Disclosure of maternal HIV status to children: considerations for research and practice in sub-Saharan Africa

被引：15

作者：

Mkwanazi, Ntombizodumo B. ^{[1
,2
]}

Rochat, Tamsen J. ^{[1
,3
]}

Imrie, John ^{[1
,2
,4
]}

Bland, Ruth M. ^{[1
,2
,5
]}

机构：

[1] Univ KwaZulu Natal, Africa Ctr Hlth & Populat Studies, ZA-3935 Somkhele, South Africa

[2] Univ Witwatersrand, Sch Publ Hlth, Johannesburg, South Africa

[3] Univ Stellenbosch, Dept Psychol, ZA-7600 Stellenbosch, South Africa

[4] UCL, Fac Populat Hlth Sci, Ctr Sexual Hlth & HIV Res, London WC1E 6BT, England

[5] Univ Glasgow, Sch Med, Glasgow G12 8QQ, Lanark, Scotland

来源：

FUTURE VIROLOGY | 2012年 / 7卷 / 12期

基金：

英国惠康基金;

关键词：

family interventions; HIV; HIV-uninfected children; maternal HIV disclosure; maternal HIV status; pre-adolescents; primary school-aged children; sub-Saharan Africa; IMMUNODEFICIENCY-VIRUS-INFECTION; HEALTH-CARE WORKERS; MENTAL-HEALTH; PSYCHOSOCIAL ADJUSTMENT; LIVING ARRANGEMENTS; UNINFECTED CHILDREN; CLOSE RELATIONSHIPS; TREATMENT ADHERENCE; MOTHERS DISCLOSURE; PARENTS DISCLOSURE;

D O I：

10.2217/FVL.12.109

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

An estimated 2.8 million children are born to HIV-infected mothers each year, 2.5 million of whom are likely to be HIV-exposed but uninfected. In sub-Saharan Africa up to 40% of pregnant women are HIV-infected, resulting in large numbers of HIV-uninfected children living with at least one HIV-infected parent. These parents face many challenges, including the dilemma of when and how to disclose their HIV status to their children, particularly those who are pre-adolescent. This article summarizes the current evidence on maternal HIV disclosure to their HIV-uninfected children, explores the reported benefits of disclosure to children and mothers, highlights the gaps in knowledge and areas for future research, and discusses possible future intervention models focusing on primary school-aged children in sub-Saharan Africa.

引用

页码：1159 / 1182

页数：24

共 133 条

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