Conserve Donaldson F, Teti Michelle, Shin Grace, Iwelunmor Juliet, Handler Lara, Maman Suzanne
Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.
Department of Health Sciences, University of Missouri, Columbia, MO, United States.
Front Public Health. 2017 Aug 7;5:187. doi: 10.3389/fpubh.2017.00187. eCollection 2017.
Disclosure of parental human immunodeficiency virus (HIV) infection to their children remains a difficult process for parents living with HIV (PLWH). In order to identify the best strategies to facilitate parental HIV disclosure, it is necessary to examine the efficacy of existing interventions designed to help PLWH parents with the disclosure process to their children.
To systematically review the efficacy of interventions designed to assist PLWH disclose their HIV status to their children.
We conducted a systematic review and narrative synthesis of interventions designed to assist PLWH disclose their HIV status to their children. MEDLINE/PubMed, PsycINFO, Embase, Global Health, and Web of Science were searched.
Studies were eligible for inclusion if they evaluated an intervention for parental HIV disclosure. Five studies published between 2001 and 2015 met the inclusion criteria. The interventions were conducted in South Africa, China, and the United States. Three of the studies used two-arm randomized controlled trials, in which the intervention group was given enhanced care while the control group received standard care. Four of the five studies included a theoretically informed intervention and three were limited to mothers. Results showed that four of the interventions increased parental HIV disclosure.
The findings suggest that parental HIV disclosure interventions are successful in assisting parents with the disclosure process and can be adapted in different cultural context. Future parental HIV disclosure interventions should include fathers in order to assist men with parental HIV disclosure.
对于感染人类免疫缺陷病毒（HIV）的父母来说，向其子女披露自身感染情况仍是一个艰难的过程。为了确定促进父母披露HIV感染情况的最佳策略，有必要检验现有干预措施在帮助感染HIV的父母向子女披露感染情况方面的效果。
系统评价旨在帮助感染HIV的父母向其子女披露HIV感染状况的干预措施的效果。
我们对旨在帮助感染HIV的父母向其子女披露HIV感染状况的干预措施进行了系统评价和叙述性综合分析。检索了MEDLINE/PubMed、PsycINFO、Embase、Global Health和Web of Science数据库。
如果研究评估了针对父母披露HIV感染情况的干预措施，则符合纳入标准。2001年至2015年间发表的五项研究符合纳入标准。这些干预措施在南非、中国和美国实施。其中三项研究采用双臂随机对照试验，干预组接受强化护理，对照组接受标准护理。五项研究中有四项纳入了基于理论的干预措施，三项研究仅限于母亲。结果显示，四项干预措施增加了父母披露HIV感染情况的比例。
研究结果表明，父母披露HIV感染情况的干预措施在帮助父母进行披露过程方面是成功的，并且可以在不同文化背景下进行调整。未来父母披露HIV感染情况的干预措施应纳入父亲，以帮助男性进行父母HIV感染情况的披露。
