Children's voices: living with HIV.

PURPOSE

To present the findings from a qualitative study that explored living with pediatric HIV from the children's perspectives.

STUDY DESIGN AND METHODS

The researcher conducted face-to-face interviews with seven HIV-positive children in this nested, phenomenological study. The children's parents were enrolled at the same time in a longitudinal qualitative study, which focused on raising a child with HIV. The children, ages 9 to 13, were interviewed once in the context of their homes. The researcher identified themes based on interview transcriptions.

RESULTS

Four major themes emerged: a positive self-perception; varying levels of understanding about HIV; a lack of concern and/or memory about the disclosure process; and an awareness to keep the diagnosis private.

CLINICAL IMPLICATIONS

Nurses who counsel children living with HIV should be aware that the self-perception of these children varies and may not be focused on their chronic illness. The interpretation of the disclosure process and the understanding of the diagnosis itself may be impacted by memory and developmental changes over time.