Brief Report: A Qualitative Analysis of Discussions about HIV in Families of Parents with HIV

Corona, Rosalie; Cowgill, Burton O.; Bogart, Laura M.; Parra, Michelle T.; Ryan, Gery W.; Elliott, Marc N.; Park, Susan K.; Patch, Jennifer; Schuster, Mark A.

doi:10.1093/jpepsy/jsn119

Cited by 17 publications

(17 citation statements)

References 9 publications

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“…Similar to a study by Corona et al (2009), many of the women in this study reported their own experience of living with HIV shaped their conversations with their child, and some used themselves as an “example.” Contrary to previous findings (Corona et al, 2009), our findings suggest some mothers would not have discussed sexual topics/safer sex with their children had it not been for their experience with HIV illness. This pattern was also observed for parent-child discussions on tobacco use (but not alcohol use); parents who smoke cigarettes tended to communicate more with their children about smoking, specifically discussing rules and discipline pertaining to tobacco use (Ennett, Bauman, Foshee, Pemberton, & Hicks, 2001).…”

Section: Discussionsupporting

confidence: 59%

“…While there was some discomfort, the study also found that both parents and children expressed openness and comfort sharing information. Messages conveyed included: parents encouraging their children not to make the same mistakes they made; parents drawing on the their experience with HIV (e.g., the children observed their parent's hospitalizations and fluctuating health); and discussion about safer sex and how HIV is transmitted (Corona et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

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HIV-Positive Mothers’ Communication About Safer Sex and STD Prevention With Their Children

Murphy

Roberts

Herbeck

2011

Journal of Family Issues

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Mothers play an important role in promoting the sexual health of their adolescent children. Fifty-seven HIV-positive mothers with adolescent children participated in an in-depth, qualitative interview regarding whether they have talked to their children about safer sex and STD prevention, including at what age they began such discussions, and what messages they gave to their children. The majority of mothers (95%) had talked with their child about safer sex; some began such discussions when the children were as young as 6 years old, but most began when the children were around 12 years old. Mothers’ messages fell into the following areas: (1) protecting oneself from STDs; (2) giving factual information regarding STDs, including HIV; (3) avoiding pregnancy; (4) empowering and respecting oneself; and (5) communicating with sexual partners. The mothers’ own HIV status impacted the discussions with their children. Content of mothers’ messages, child reactions, and child outcomes are discussed.

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Section: Discussionsupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

HIV-Positive Mothers’ Communication About Safer Sex and STD Prevention With Their Children

Murphy

Roberts

Herbeck

2011

Journal of Family Issues

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“…To date, only one study has specifically evaluated the impact of maternal HIV serostatus on engagement by adolescents in HIV risk behaviors (Mellins, Brackis-Cott, Dolezal, & Meyer-Bahlburg, 2005). Only three (Corona et al, 2009; Marhefka et al, 2009; O’Sullivan et al, 2005) have examined parent-child communication within families where the parent is HIV infected. Because of the reported risk among this adolescent group for their own sexually acquired HIV infection, more information about this population is needed to better understand their HIV risk reduction needs.…”

Section: Limits Of Existing Literaturementioning

confidence: 99%

“…In families where the mother is HIV infected, far less is known about mother-daughter sexual risk communication. To date, only three studies have examined how discussions about HIV may differ in families with an HIV-positive parent (Corona et al, 2009; Marhefka, Mellins, Brackis-Cott, Dolezal, & Ehrhardt, 2009; O’Sullivan, Dolezal, Brackis-Cott, Traeger, & Mellins, 2005). This study sought to add to our understanding of how living with HIV impacts mother-daughter dyads, particularly, sexual risk communication.…”

mentioning

confidence: 99%

The Experience of Sexual Risk Communication in African American Families Living With HIV

Cederbaum

2011

Journal of Adolescent Research

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Mother-daughter communication plays an influential role in adolescent development. The impact of maternal HIV infection on family communication is not clear. This study explores how living with HIV impacts sexual risk communication between mothers and daughters and whether maternal HIV status influences adolescent choices about engagement in HIV risk behaviors. Data were collected from 12 African American women and 10 of their adolescent daughters through focus groups. Both mothers and daughters shared information about issues that promoted and inhibited communication and engagement in risk behaviors. Findings show that HIV status served as a mechanism for behavioral change related to communication and risk engagement behaviors. Therefore, HIV-infected mothers should be supported in communicating values and expectations to their daughters.

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“…23,25 Although previous studies have queried HIV-infected parents on whether they discussed safer sex and HIV prevention with adolescents, 13,26–30 the content 13,26–30 and context of such talks, 27 their perceived conversational outcomes 27,30 and comfort level, 27,28 and what role their HIV status played in these discussions, 13,30 no study has focused on factors that encourage or prevent parents from broaching these important topics.…”

mentioning

confidence: 99%

Facilitators and Barriers to Discussing HIV Prevention With Adolescents: Perspectives of HIV-Infected Parents

Edwards

Reis²,

Weber³

2013

Am J Public Health

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Objectives We examined HIV-infected parents’ conversations about HIV prevention with their uninfected children, including what facilitated or hindered communication. Methods Parents with HIV/AIDS (n|=|90) who had children aged 10 to 18 years were recruited for a mixed method study from 2009 to 2010. Interviews assessed facilitators and barriers to discussing HIV prevention. A questionnaire identified the frequency and content of conversations, parental confidence level, and perceived importance of discussing preventive topics. Results Eighty-one percent of parents reported “sometimes” or “often” communicating about HIV prevention. A subset of parents found these conversations difficult; 44% indicated their desire for support. Facilitators to communication included utilizing support, focusing on the benefits of talking, and having a previous relationship with one's child. Barriers to discussions included fear of negative consequences, living in denial, and lacking a parental role model who discussed safer sex. Parents varied as to how they believed their HIV status affected communication. Those who did not disclose their HIV status to their children reported less frequent communication; self-efficacy partially mediated this relationship. Conclusions Findings highlighted the need for communication skills training that support HIV-infected parents in their efforts to discuss HIV-related information with adolescents.

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Brief Report: A Qualitative Analysis of Discussions about HIV in Families of Parents with HIV

Abstract: Discussions between youth and their parent with HIV and their siblings vary, highlighting the need for further research in this area.

Cited by 17 publications

References 9 publications

HIV-Positive Mothers’ Communication About Safer Sex and STD Prevention With Their Children

HIV-Positive Mothers’ Communication About Safer Sex and STD Prevention With Their Children

The Experience of Sexual Risk Communication in African American Families Living With HIV

Facilitators and Barriers to Discussing HIV Prevention With Adolescents: Perspectives of HIV-Infected Parents

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