Medical University of South Carolina.
Georgia State University.
Child Dev. 2021 Jul;92(4):1403-1420. doi: 10.1111/cdev.13493. Epub 2021 Jan 7.
Mothers living with HIV (MLH) must navigate disclosing their serostatus to their children, but the longitudinal impact on families remains unknown. This study examined HIV disclosure, parenting, parenting stress, and child adjustment among 174 MLH-child dyads (aged 6-14; 35% Latinx; 57% Black/African American). Quantitative data were collected over four waves spanning 15 months. Qualitative data were collected with 14 families in which disclosure had occurred. Latent change score modeling revealed that disclosure led to improvements in parenting stress, communication, and relationship quality. Disclosure did not predict child adjustment. Qualitative themes contextualized these findings, revealing stability and improvements in family functioning. MLH should be supported in disclosing their serostatus to their children to minimize parenting stress and bolster parenting skills.
携带 HIV 的母亲（MLH）必须向其子女透露其血清状况，但这对家庭的长期影响仍不清楚。本研究调查了 174 个 MLH-儿童对（年龄 6-14 岁；35%拉丁裔；57%黑/非裔美国人）的 HIV 披露、育儿、育儿压力和儿童适应情况。定量数据在跨越 15 个月的四个时间点收集。在已经发生披露的 14 个家庭中收集了定性数据。潜在变化分数模型显示，披露导致育儿压力、沟通和关系质量的改善。披露并没有预测儿童的适应情况。定性主题使这些发现具体化，显示家庭功能的稳定性和改善。应支持 MLH 向其子女透露其血清状况，以最大限度地减少育儿压力并增强育儿技能。
