Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 AIDS 2015 ; 29 (0 1): S25-34 Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Factors influencing the decision-making of parental HIV disclosure: a socio-ecological approach #MMPMID26049536
Qiao S; Li X; Zhou Y; Shen Z; Tang Z; Stanton B
AIDS 2015[Jun]; 29 (0 1): S25-34 PMID26049536show ga
Objectives: Using the socio-ecological approach, the current study aims to identify facilitators and barriers to decision-making regarding parental HIV disclosure or nondisclosure at intrapersonal, interpersonal, and sociocultural levels; and examine the unique contribution of factors at different level of influences to the decision of disclosure or nondisclosure. Design: A cross-sectional survey was conducted among people living with HIV in Guangxi, China. A sub-sample of 1254 participants, who had children aged 5?16 years, was included in the data analysis in the current study. Methods: Multivariate models using hierarchical logistic regression were employed to assess the association of parental decision regarding HIV disclosure to children with various factors at intrapersonal, interpersonal, and sociocultural levels controlling background characteristics, and detect the level-specific influence on disclosure decision. Results: Positive coping with HIV infection and a good parent?child relationship facilitated parental HIV disclosure; whereas high level of resilience and fears of parental HIV disclosure impeded their decisions to talk about HIV status to their children. In addition, the current study recognized specific contribution of multiple ecological levels to parental decisions regarding disclosure to children. Conclusion: The socio-ecological model is a promising theoretical framework to guide further studies and interventions related to parental HIV disclosure. Directions for further studies using socio-ecological approach were also discussed.