母婴 HIV 感染状况、母女间性风险沟通与青少年 HIV 风险认知和意向。
Maternal HIV serostatus, mother-daughter sexual risk communication and adolescent HIV risk beliefs and intentions.
机构信息
School of Social Work, University of Southern California, Montgomery Ross Fisher Building, Room 214, Los Angeles, CA 90089, USA.
出版信息
AIDS Behav. 2013 Sep;17(7):2540-53. doi: 10.1007/s10461-012-0218-x.
Daughters of HIV-positive women are often exposed to the same factors that placed their mothers at risk. This cross-sectional study (N = 176 dyads) examined HIV status, parent-teen sexual risk communication (PTSRC), and daughters' abstinence and condom use beliefs and intentions. Maternal HIV status was not associated with PTSRC. Path analyses show that maternal depression was associated with PTSRC behavioral and normative beliefs; relationship satisfaction was associated with PTSRC normative and control beliefs. Control beliefs were solely predictive of maternal PTSRC intention. PTSRC was associated with adolescent behavioral and normative beliefs. Abstinence beliefs were associated with abstinence intentions; condom beliefs were associated with condom use intentions. Relationship satisfaction was associated with adolescent control beliefs about both abstinence and condom use. There is a need for interventions that help HIV-positive mothers recognize their daughter's HIV risk and provide them with relationship building and parent process skills to help reduce these risks.
HIV 阳性妇女的女儿通常会接触到使母亲面临风险的相同因素。本横断面研究（N=176 对母女）调查了 HIV 状况、父母与青少年的性风险沟通（PTSRC）以及女儿的禁欲和使用避孕套的信念和意图。母亲的 HIV 状况与 PTSRC 无关。路径分析显示，母亲的抑郁与 PTSRC 的行为和规范信念有关；关系满意度与 PTSRC 的规范和控制信念有关。控制信念是唯一能预测母亲 PTSRC 意图的因素。PTSRC 与青少年的行为和规范信念有关。禁欲信念与禁欲意图有关；避孕套信念与使用避孕套的意图有关。关系满意度与青少年对禁欲和使用避孕套的控制信念有关。需要采取干预措施，帮助 HIV 阳性母亲认识到女儿的 HIV 风险，并为她们提供建立关系和父母过程技能，以帮助降低这些风险。
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