Marelich William D, Murphy Debra A, Payne Diana L, Herbeck Diane M, Schuster Mark A
Int J Adolesc Youth. 2012;17(1):21-33. doi: 10.1080/02673843.2011.649398. Epub 2012 Mar 20.
Adolescent children of mothers with HIV face a host of stressors that place them at increased risk for poor outcomes. Using covariance structure analysis, this study examines adolescent risk outcomes and their relationships to maternal health, as well as the potentially protective factors of family environment and self-competence. The final model indicated that poor maternal health was negatively related to a protective family environment, which in turn was negatively related to adolescent risk outcomes. A protective family environment was also positively related to adolescent self-competence, which was negatively related to adolescent risk outcomes. Implications of the study are discussed, including how these findings can influence interventions aimed at reducing the risk for poor outcomes among adolescent youth with HIV-infected mothers.
感染艾滋病毒母亲的青春期子女面临着一系列压力源，这使他们出现不良后果的风险增加。本研究采用协方差结构分析方法，考察了青少年的风险后果及其与母亲健康的关系，以及家庭环境和自我能力等潜在保护因素。最终模型表明，母亲健康状况不佳与保护性家庭环境呈负相关，而保护性家庭环境又与青少年风险后果呈负相关。保护性家庭环境也与青少年自我能力呈正相关，而青少年自我能力与青少年风险后果呈负相关。本文讨论了该研究的意义，包括这些发现如何能够影响旨在降低感染艾滋病毒母亲的青少年出现不良后果风险的干预措施。
