Concerns of Parental HIV Disclosure in China

Author:

Sun Meiyan1,Chen Wei-Ti2ORCID,Yang Joyce P.3,Huang Shuyuan4,Zhang Lin1,Shi Mingfeng1,Li Wei1,Li Ye1,Bao Meijuan1,Lu Hongzhou1

Affiliation:

1. Shanghai Public Health Clinical Center, Fudan University, Shanghai, China

2. University of California Los Angeles, Los Angeles, CA, USA

3. University of San Francisco, San Francisco, CA, USA

4. Yale University, Orange, CT, USA

Abstract

Although parental HIV disclosure has benefits for parents and children, the disclosure rate among parents remains low. This study aims to qualitatively examine parental concerns regarding disclosure of their HIV status to their children. Eighty parents were enrolled in a randomized controlled trial of a three-session disclosure-support intervention, with forty receiving the intervention and forty receiving treatment as usual. Intervention sessions were audio recorded, and transcriptions were qualitatively coded for content related to concerns of disclosure. Four themes emerged: Intention to disclose, disclosure approach, indicators for disclosure, and fears about disclosure. These themes reveal struggles that parents experience when considering HIV disclosure suggesting that an effective disclosure intervention must help parents assess pros and cons, discuss the emotions of the children after the disclosure, and monitor the impact on children’s lives after disclosure over time. Future research is needed to implement interventions supporting HIV-positive parents’ disclosure decision-making and actions.

Publisher

SAGE Publications

Subject

General Nursing

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