The Psychological Effects of Parental Human Immunodeficiency Virus Infection on Uninfected Children

Forsyth, Brian W.C.; Damour, Lisa; Nagler, Steven; Adnopoz, Jean

doi:10.1001/archpedi.1996.02170350017002

Cited by 81 publications

(72 citation statements)

References 24 publications

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“…25 Because the number of HIV-positive children in the EMR fell just short of this target (n = 239), the target study population was reduced to 717. Of this number, 683 participated in the study, resulting in a response rate of .95%.…”

Section: Population and Study Designmentioning

confidence: 99%

HIV and Child Mental Health: A Case-Control Study in Rwanda

et al. 2014

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BACKGROUND: The global HIV/AIDS response has advanced in addressing the health and well-being of HIV-positive children. Although attention has been paid to children orphaned by parental AIDS, children who live with HIV-positive caregivers have received less attention. This study compares mental health problems and risk and protective factors in HIV-positive, HIV-affected (due to caregiver HIV), and HIV-unaffected children in Rwanda. METHODS: A case-control design assessed mental health, risk, and protective factors among 683 children aged 10 to 17 years at different levels of HIV exposure. A stratified random sampling strategy based on electronic medical records identified all known HIV-positive children in this age range in 2 districts in Rwanda. Lists of all same-age children in villages with an HIV-positive child were then collected and split by HIV status (HIV-positive, HIV-affected, and HIV-unaffected). One child was randomly sampled from the latter 2 groups to compare with each HIV-positive child per village. RESULTS: HIV-affected and HIV-positive children demonstrated higher levels of depression, anxiety, conduct problems, and functional impairment compared with HIV-unaffected children. HIV-affected children had significantly higher odds of depression (1.68: 95% confidence interval [CI] 1.15–2.44), anxiety (1.77: 95% CI 1.14–2.75), and conduct problems (1.59: 95% CI 1.04–2.45) compared with HIV-unaffected children, and rates of these mental health conditions were similar to HIV-positive children. These results remained significant after controlling for contextual variables. CONCLUSIONS: The mental health of HIV-affected children requires policy and programmatic responses comparable to HIV-positive children.

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Section: Population and Study Designmentioning

confidence: 99%

HIV and Child Mental Health: A Case-Control Study in Rwanda

et al. 2014

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“…Because of the effects of HIV disease and the social conditions that are often associated with it, parents living with HIV may have limited financial, social, and emotional resources to draw upon in raising their children. [1][2][3][4][5][6][7][8][9] Furthermore, if parents become incapacitated or die, others need to take over the role of caring for the children.…”

Section: Hiv-infected Parents and Their Children In The United Statesmentioning

confidence: 99%

HIV-infected parents and their children in the United States

et al. 2000

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OBJECTIVES: This study sought to determine the number, characteristics, and living situations of children of HIV-infected adults. METHODS: Interviews were conducted in 1996 and early 1997 with a nationally representative probability sample of 2864 adults receiving health care for HIV within the contiguous United States. RESULTS: Twenty-eight percent of infected adults in care had children. Women were more likely than men to have children (60% vs 18%) and to live with them (76% vs 34%). Twenty-one percent of parents had been hospitalized during the previous 6 months, and 10% had probably been drug dependent in the previous year. Parents continued to have children after being diagnosed with HIV: 12% of all women conceived and bore their youngest child after diagnosis, and another 10% conceived before but gave birth after diagnosis. CONCLUSIONS: Clinical and support services for people affected by the HIV epidemic should have a family focus.

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“…As these women face this chronic, stigmatizing, and ultimately fatal disease it is important to understand how maternal HIV infection, along with the high-risk context associated with infection, is related to their children's psychosocial adjustment. Relatively few empirical studies have examined the experience of parenting with HIV/AIDS and the complexities of family life in the shadow of a foreshortened future (Family Health Project Research Group, 1998;Forsyth, Damour, Nagler, & Adnopoz, 1996;Rotheram-Borus, Flannery, Rice, & Lester, 2005).…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, studies that have investigated whether parental HIV/AIDS is associated with youth adjustment problems seem to suggest that non-infected children living in families affected by parental HIV/AIDS demonstrate higher rates of maladjustment relative to children living in families not coping with parental illness (Bauman, Camacho, Silver, Hudis, & Draimin, 2002;Esposito et al, 1999;Forehand et al, 1997;Forehand Child Psychosocial Adjustment 4 et al, 1998;Forsyth et al, 1996;Lester, Stein, & Bursch, 2003;Rotheram-Borus & Stein, 1999).…”

Section: Introductionmentioning

confidence: 99%

“…For example, it appears that adolescents whose mothers are HIV-infected tend to exhibit higher rates of externalizing behaviors, whereas younger children of seropositive parents may evidence higher rates of internalizing problems (Esposito et al, 1999;Forsyth et al, 1996;Forehand et al, 1997;Forehand et al, 1998;Forehand et al, 2002), of externalizing problems (Esposito et al, 1999;Forehand et al, 1998), or of both (Bauman et al, 2002;Forehand et al, 1998;Esposito et al, 1999). It is unclear, however, whether this pattern is due to sampling characteristics (i.e., mothers vs. fathers; child age), methodological differences (i.e., failing to measure multiple domains of child functioning and/or measuring them in different ways and from different sources), or some combination Child Psychosocial Adjustment 5 thereof.…”

Section: Introductionmentioning

confidence: 99%

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Child Psychosocial Adjustment and Parenting in Families Affected by Maternal HIV/AIDS

Tompkins

2008

J Child Fam Stud

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Child adjustment and parenting were examined in 23 9-through 16-year-old youth from families affected by maternal HIV infection and 20 same-age peers whose mothers were not infected.Children whose mothers were seropositive reported significantly more externalizing problems.Infected mothers reported less age-appropriate supervision/monitoring relative to non-infected mothers. Better mother-child relationship quality and less impairment in parental supervision/monitoring of age-appropriate youth behaviors were associated with fewer externalizing difficulties among the HIV-positive group only. Similarly, only among HIV-infected mothers was refraining from engaging in inconsistent disciplinary tactics associated with lower reports of internalizing and externalizing problems. These data highlight the promise of programs targeting parenting skills to prevent or ameliorate child difficulties.

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The Psychological Effects of Parental Human Immunodeficiency Virus Infection on Uninfected Children

Cited by 81 publications

References 24 publications

HIV and Child Mental Health: A Case-Control Study in Rwanda

HIV and Child Mental Health: A Case-Control Study in Rwanda

HIV-infected parents and their children in the United States

Child Psychosocial Adjustment and Parenting in Families Affected by Maternal HIV/AIDS

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