Krauss Beatrice J, Godfrey Christopher C, O'Day Joanne, Freidin Elizabeth
Center for Community and Urban Health, Hunter College, 425 E., 25th Street, New York, New York 10010, USA.
J Pediatr Psychol. 2006 Oct;31(9):891-904. doi: 10.1093/jpepsy/jsj099. Epub 2006 Feb 1.
HIV-related stigma affects not only persons living with HIV (PLwHIV) but also their communities and families including children. This study aimed to determine whether an interactive training administered to community parents significantly increases their children's reported comfort interacting with PLwHIV.
A randomized clinical trial with random-quota dwelling unit sampling and a random invitation to treatment had 238 parent and 238 child participants.
For children of trained parents, significant increases in comfort were obtained, baseline to 6-month follow-up, on 14 of 22 reported daily activities with PLwHIV. For children who recently interacted with a person living with HIV, this comfort predicted the number of recent activities, even after controlling for closeness to the person living with HIV and for the number of persons with HIV known, living or deceased.
Training parents to be HIV health educators of their children significantly impacts youth and shows promise for reducing HIV-related stigma and social isolation.
与艾滋病相关的耻辱感不仅影响艾滋病病毒感染者（PLwHIV），还影响他们的社区和家庭，包括儿童。本研究旨在确定对社区家长进行的互动培训是否能显著提高其子女报告的与艾滋病病毒感染者互动时的舒适度。
一项采用随机配额居住单元抽样和随机邀请治疗的随机临床试验，有238名家长和238名儿童参与。
对于接受培训的家长的孩子，从基线到6个月随访期间，在报告的22项与艾滋病病毒感染者的日常活动中，有14项活动的舒适度显著提高。对于最近与艾滋病病毒感染者互动过的孩子，即使在控制了与艾滋病病毒感染者的亲近程度以及已知的艾滋病病毒感染者（在世或已故）的数量之后，这种舒适度也能预测近期活动的次数。
培训家长成为其子女的艾滋病健康教育者对青少年有显著影响，并有望减少与艾滋病相关的耻辱感和社会隔离。
