Department of Health Promotion, Education, and Behavior, School of Public Health, University of South Carolina, Columbia, SC, USA.
South Carolina SmartState Center for Healthcare Quality, School of Public Health, University of South Carolina, Columbia, SC, USA.
AIDS Care. 2024 Jul;36(sup1):76-84. doi: 10.1080/09540121.2024.2308744. Epub 2024 Jan 30.
Parental HIV disclosure, where parents living with HIV (PLH) communicate their diagnosis to their children, is crucial for family communication. This study assessed intervention effects of a parental HIV disclosure intervention on psychosocial factors, focusing on child's age impact. Data from a randomized controlled trial involving 791 PLH in China were analyzed at baseline (W1), 6-month (W2), and 12-month follow-ups (W3). The study measured effects on psychosocial factors (HIV disclosure knowledge, outcome expectancy, action self-efficacy, and action planning) using the proportional latent change score method. Among PLH with children aged 6-9, the intervention yielded significant intervention effects on knowledge ( = 0.190, = .004), action self-efficacy ( = 0.342, = .001), and action planning ( = 0.389, < .001) from W1 to W2. For PLH with children aged 10-12, the intervention significantly enhanced action self-efficacy ( = 0.162, = .003) and action planning ( = 0.367, = .001) from W1 to W2, but there was a reduction in perceived benefits ( = -0.175, = 0.024) from W2 to W3. For PLH with children aged 13-15, significant intervention effects were observed on action planning, both from W1 to W2 ( = 0.251, = .045) and from W2 to W3 ( = 0.321, < .001). These findings highlight the importance of tailoring interventions to consider psychosocial factors and children's developmental stages to enhance HIV disclosure practices.
父母艾滋病病毒（HIV）披露，即 HIV 感染者父母向子女透露其诊断结果，对家庭沟通至关重要。本研究评估了父母 HIV 披露干预对心理社会因素的干预效果，重点关注儿童年龄的影响。研究数据来自中国一项涉及 791 名 HIV 感染者的随机对照试验，在基线（W1）、6 个月（W2）和 12 个月随访（W3）时进行分析。该研究使用比例潜在变化得分法测量心理社会因素（HIV 披露知识、结果预期、行动自我效能和行动计划）的影响。对于年龄在 6-9 岁的儿童的 HIV 感染者，干预措施在知识（ = 0.190， = .004）、行动自我效能（ = 0.342， = .001）和行动计划（ = 0.389， < .001）方面从 W1 到 W2 有显著的干预效果。对于年龄在 10-12 岁的儿童的 HIV 感染者，干预措施显著提高了行动自我效能（ = 0.162， = .003）和行动计划（ = 0.367， = .001），但从 W2 到 W3 时感知益处减少（ = -0.175， = 0.024）。对于年龄在 13-15 岁的儿童的 HIV 感染者，干预措施在行动计划方面有显著的干预效果，无论是从 W1 到 W2（ = 0.251， = .045）还是从 W2 到 W3（ = 0.321， < .001）。这些发现强调了根据儿童发展阶段调整干预措施以增强 HIV 披露实践的重要性，同时需要考虑心理社会因素。
