感染人类免疫缺陷病毒的父母的监护计划。

Custody plans among parents living with human immunodeficiency virus infection.

作者信息

Rotheram-Borus Mary Jane, Lester Patricia, Wang Pin-Wen, Shen Qing

机构信息

AIDS Institute, Center for HIV Identification, Prevention, and Treatment Services, University of California, Los Angeles 90094-6521, USA.

出版信息

Arch Pediatr Adolesc Med. 2004 Apr;158(4):327-32. doi: 10.1001/archpedi.158.4.327.

DOI:10.1001/archpedi.158.4.327

PMID:15066871

Abstract

OBJECTIVES

To describe and to examine predictors of making custody plans by parents living with the human immunodeficiency virus (HIV) infection.

INTERVENTIONS

The custody plans of 296 parents living with HIV for 708 children were examined over 5 years, with at least 85% reassessed annually.

RESULTS

Over time, increasing numbers of parents living with HIV made custody plans for all of their children (23.8%-52.8%), typically with extended family members. However, parents change plans frequently, and 44.8% of parents living with HIV died without custody plans. Custody planning was less likely in families with only adolescent children, when parents had a partner, or when parents were depressed. Parents' disclosure of HIV status, physical health status, substance use, and ethnicity were unrelated to making custody plans.

CONCLUSION

Custody planning is a slow and unstable process in families affected by HIV.

摘要

目的

描述并研究感染人类免疫缺陷病毒（HIV）的父母制定监护计划的预测因素。

干预措施

对296名感染HIV的父母为708名子女制定的监护计划进行了为期5年的研究，每年至少重新评估85%。

结果

随着时间的推移，越来越多感染HIV的父母为其所有子女制定了监护计划（23.8%-52.8%），通常是与大家庭成员一起。然而，父母经常更改计划，44.8%感染HIV的父母在没有监护计划的情况下去世。在只有青春期子女的家庭、有伴侣的父母或抑郁的父母中，制定监护计划的可能性较小。父母对HIV状况、身体健康状况、药物使用情况和种族的披露与制定监护计划无关。