Journal
AIDS AND BEHAVIOR
Volume 17, Issue 1, Pages 369-389Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-011-0069-x
Keywords
Parental HIV infection; HIV disclosure; Children; Parental HIV disclosure; Literature review
Funding
- NICHD NIH HHS [R01 HD074221] Funding Source: Medline
- NIMH NIH HHS [R01 MH076488, R01MH76488] Funding Source: Medline
- NINR NIH HHS [R01 NR010498, R01NR10498] Funding Source: Medline
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [R01HD074221] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH076488] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF NURSING RESEARCH [R01NR010498] Funding Source: NIH RePORTER
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This review examines the global empirical literature regarding disclosure of parental HIV infection to children. Thirty-eight articles published in English-language journals prior to 2011 were retrieved and reviewed regarding disclosure process, reasons for disclosure/non-disclosure and impacts of disclosure/non-disclosure. Disclosure rate was relatively low worldwide. The decision making of disclosure or non-disclosure was mainly affected by children's development level, stigma, consideration of children's benefits, and parenting practices. Unintentional and forced disclosures were common. Findings regarding the impacts of disclosure/non-disclosure were mixed but disclosure tended to have long-term positive impacts on the well-being of children, parents and family in general. This review underscores the importance of developing evidence-informed developmentally and culturally appropriate interventions to assist HIV-positive parents to disclose their HIV status to children, particularly in low-resource settings.
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