Predictors of Disclosure of Maternal HIV Status by Caregivers to their Children in an Inner-City Community in the United States
| العنوان: | Predictors of Disclosure of Maternal HIV Status by Caregivers to their Children in an Inner-City Community in the United States |
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| المؤلفون: | Rozan Abdulrahman, Emma Stuard, Murli Purswani, Mary E. Vachon, Richard Neugebauer, Cate Nicholas, Stefan H.F. Hagmann |
| المصدر: | AIDS and Behavior. 21:141-151 |
| بيانات النشر: | Springer Science and Business Media LLC, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, Parents, Urban Population, Social stigma, Social Stigma, Immigration, Human immunodeficiency virus (HIV), HIV Infections, Maternal hiv, medicine.disease_cause, 0302 clinical medicine, Surveys and Questionnaires, 030212 general & internal medicine, Young adult, Child, media_common, Age Factors, Hispanic or Latino, Middle Aged, Health psychology, Infectious Diseases, Caregivers, Child, Preschool, Female, 0305 other medical science, Adult, medicine.medical_specialty, Adolescent, Social Psychology, media_common.quotation_subject, Emigrants and Immigrants, Mothers, Disclosure, Young Adult, 03 medical and health sciences, Foreign born, medicine, Humans, Psychiatry, Aged, 030505 public health, business.industry, Public health, Infant, Newborn, Public Health, Environmental and Occupational Health, Infant, United States, Black or African American, business, Demography |
| الوصف: | Disclosure of HIV status to children is a challenge parents living with HIV face. To evaluate predictors of maternal HIV disclosure in a low-income clinic in the U.S. that serves an African American, Hispanic and immigrant population with high HIV prevalence, 172 caregivers with 608 children completed a standardized survey. Caregivers were 93 % female, 84 % biological mothers, and 34 % foreign born. Sixty-two (36 %) caregivers had at least one disclosed child, 42 of whom also had other nondisclosed children. Of all children, 581 (96 %) were uninfected and 181 (30 %) were disclosed. Caregiver's U.S. birth (OR: 2.32, 95 % CI 1.20-4.52), child's age (OR: 1.2/year, 95 % CI 1.16-1.24), and increased HIV-stigma perception by caregiver (1.06/point increase, 95 % CI 1.04-1.09) predicted disclosure. Children were more often disclosed if their caregiver was born in the U.S. or reported higher HIV-related stigma. These findings suggest that complex family context may complicate disclosure, particularly among immigrants. |
| تدمد: | 1573-3254 1090-7165 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3148f8af618b06a3f6cc3bad7bed6aa4Test https://doi.org/10.1007/s10461-016-1372-3Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....3148f8af618b06a3f6cc3bad7bed6aa4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15733254 10907165 |
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