Conserve Donaldson F, Eustache Eddy, Oswald Catherine M, Louis Ermaze, Scanlan Fiona, Mukherjee Joia S, Surkan Pamela J
Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Zanmi Lasante Sociomedical Complex, Cange, Haiti.
J Child Fam Stud. 2015 Sep;24(9):2779-2785. doi: 10.1007/s10826-014-0081-7. Epub 2014 Dec 9.
Little is known about the impact of parental HIV illness on children's well-being and development in the island nations of the Caribbean. Study objectives were to examine mothers' experiences of impact of HIV illness on their children's well-being and development in Haiti. Baseline interviews were conducted between 2006 and 2007 with 25 HIV-positive mothers as part of a larger study that examined the feasibility of a psychosocial support group intervention for HIV-affected youth and their caregivers in central Haiti. Interviews were transcribed verbatim and coded for topical themes by two investigators. Main themes related to impact of maternal HIV illness on children's well-being were the lack of mothers' physical strength to take care of their children, and their difficulties in providing housing and food for their children. Children's school enrollment, attendance, and performance were also affected by their mother's illness. Mothers reported that although their children were HIV-negative, children were distressed by HIV-related stigma that they and their mothers experienced. Findings suggest that children living in HIV-affected families in this region face disadvantages in nutritional, educational, and psychological outcomes. These considerations should be taken into account when designing interventions to support children living in HIV-affected families in this setting.
在加勒比地区的岛国，关于父母感染艾滋病毒对儿童幸福和发展的影响，人们知之甚少。研究目的是调查海地母亲们关于艾滋病毒感染对其子女幸福和发展影响的经历。2006年至2007年期间，作为一项更大规模研究的一部分，对25名艾滋病毒呈阳性的母亲进行了基线访谈，该研究考察了在海地中部为受艾滋病毒影响的青少年及其照料者开展心理社会支持小组干预措施的可行性。访谈内容逐字记录，由两名研究人员对主题进行编码。与母亲感染艾滋病毒对儿童幸福的影响相关的主要主题包括母亲缺乏照顾孩子的体力，以及在为孩子提供住房和食物方面存在困难。儿童的入学、出勤和学业成绩也受到母亲疾病的影响。母亲们报告说，尽管她们的孩子艾滋病毒检测呈阴性，但孩子们因她们和母亲所遭受的与艾滋病毒相关的耻辱而感到痛苦。研究结果表明，该地区受艾滋病毒影响家庭中的儿童在营养、教育和心理方面面临不利处境。在设计干预措施以支持该环境下受艾滋病毒影响家庭中的儿童时，应考虑到这些因素。
