“…While some report early parentification in children of HIV-positive parents as predicting externalized problem behaviors (i.e., substance use among others; Burton, 2007; Sang, Cederbaum, & Hurlburt, in press; Stein, Riedel, & Rotheram-Borus, 1999), others report no significant correlation between parentification and maladaptive behaviors (Murphy, Greenwell, Resell, Brecht, & Schuster, 2008; Stein, Rotheram-Borus, & Lester, 2007; Tompkins, 2007). While inconclusive, these role stresses may place children of HIV-positive parents at greater risk for engagement in risk behaviors like alcohol use (Chabon, Futterman, & Hoffman, 2001). …”