疾病告知与监护计划对父母患有艾滋病的青少年的影响。

The impact of illness disclosure and custody plans on adolescents whose parents live with AIDS.

作者信息

Rotheram-Borus M J, Draimin B H, Reid H M, Murphy D A

机构信息

Department of Psychiatry, University of California, Los Angeles 90024, USA.

出版信息

AIDS. 1997 Jul 15;11(9):1159-64. doi: 10.1097/00002030-199709000-00012.

DOI:10.1097/00002030-199709000-00012

PMID:9233464

Abstract

OBJECTIVES

To describe the disclosure and custody planning of parents living with AIDS and the impact of these on their adolescents' adjustment.

METHODS

An examination of the association of multiple behaviour problems in children and the illness disclosure and custody plans of their parents living with AIDS.

RESULTS

Both mothers (87%) and fathers were significantly more likely to disclose their HIV serostatus to adolescents (73%), compared with younger children (23%); only 44% disclosed their illness to all their children; 11% disclosed to none. Most parents (80%) living with AIDS had discussed their custody plans. However, only 30% initiated legal plans, typically for younger children. Adolescents who were informed of their parents' serostatus engaged in more sexual risk acts, smoked more cigarettes, and reported more severe substance use and greater emotional distress than uninformed adolescents. Legal custody arrangements were not associated with adolescent adjustment at recruitment or follow-up.

CONCLUSIONS

A longitudinal analysis of the impact on adolescents of the behaviours of parents living with AIDS is needed.

摘要

目的

描述携带艾滋病病毒的父母的病情披露及监护计划，以及这些对其青少年子女适应情况的影响。

方法

研究儿童的多种行为问题与其携带艾滋病病毒的父母的病情披露及监护计划之间的关联。

结果

与年幼儿童（23%）相比，母亲（87%）和父亲向青少年披露其艾滋病毒血清状态的可能性显著更高（73%）；只有44%的人向所有子女披露了病情；11%的人未向任何子女披露。大多数携带艾滋病病毒的父母（80%）讨论过他们的监护计划。然而，只有30%的人启动了法律程序，通常是为了年幼儿童。与未被告知的青少年相比，得知父母血清状态的青少年有更多的性风险行为、吸烟更多，且报告有更严重的物质使用问题和更大的情绪困扰。法律监护安排与招募时或随访时青少年的适应情况无关。