Murphy Debra A, Armistead Lisa, Marelich William D, Herbeck Diane M
Health Risk Reduction Projects, Integrated Substance Abuse Programs, University of California Los Angeles.
Department of Psychology, Georgia State University, Fullerton.
Vulnerable Child Youth Stud. 2015;10(1):41-54. doi: 10.1080/17450128.2014.931614.
The purpose of this study was to examine a model of the relationships between parenting deficits and skills, along with child outcomes, in a sample of mothers living with HIV (MLH) and their 6 to 14 year old children. Sixty-two MLH (61% Latina, 26% black, 3% white, & 10% multiracial) and their well children (age 6 - 14) were recruited from the greater Los Angeles, California, region to participate in an intervention (IMAGE: Improving Mothers' parenting Abilities, Growth, and Effectiveness) designed to assist MLH with parenting and self-care skills. Constructs examined included parenting deficits, parenting skills, and child outcomes. Covariance structural modeling was used for the analyses. Covariance structural modeling confirmed the hypothesized set of construct associations. As predicted, fewer parenting deficits were associated with better parenting skills, which, in turn, were associated with better child outcomes. This study delineated further the parenting issues with which MLH struggle, providing information on the interventions needed for this population. MLH who have little confidence they can enact parenting skills and limited knowledge of basic parenting practices appear to be less likely to provide family routines consistently, monitor their children, or to engender family cohesion or a close parent-child relationship. Such parenting skills were found to be associated with child functioning.
本研究的目的是在感染艾滋病毒的母亲（MLH）及其6至14岁子女的样本中，检验养育缺陷与技能之间的关系模型以及儿童的相关结果。从加利福尼亚州大洛杉矶地区招募了62名感染艾滋病毒的母亲（61%为拉丁裔、26%为黑人、3%为白人、10%为多种族）及其健康子女（6至14岁），以参与一项干预项目（IMAGE：提高母亲的养育能力、成长和效能），该项目旨在帮助感染艾滋病毒的母亲提高养育和自我照顾技能。所检验的构念包括养育缺陷、养育技能和儿童结果。分析采用协方差结构模型。协方差结构模型证实了假设的构念关联集。正如预测的那样，较少的养育缺陷与较好的养育技能相关，而较好的养育技能又与较好的儿童结果相关。本研究进一步阐明了感染艾滋病毒的母亲所面临的养育问题，为该人群所需的干预措施提供了信息。那些对自己实施养育技能缺乏信心且对基本养育做法了解有限的感染艾滋病毒的母亲，似乎不太可能始终如一地提供家庭日常安排、监督子女，或营造家庭凝聚力或亲密的亲子关系。研究发现，此类养育技能与儿童的机能状况相关。
