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Concerns of Parental HIV Disclosure in China

Author

Listed:
  • Meiyan Sun
  • Wei-Ti Chen
  • Joyce P. Yang
  • Shuyuan Huang
  • Lin Zhang
  • Mingfeng Shi
  • Wei Li
  • Ye Li
  • Meijuan Bao
  • Hongzhou Lu

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.

Suggested Citation

  • Meiyan Sun & Wei-Ti Chen & Joyce P. Yang & Shuyuan Huang & Lin Zhang & Mingfeng Shi & Wei Li & Ye Li & Meijuan Bao & Hongzhou Lu, 2021. "Concerns of Parental HIV Disclosure in China," Clinical Nursing Research, , vol. 30(6), pages 830-839, July.
  • Handle: RePEc:sae:clnure:v:30:y:2021:i:6:p:830-839
    DOI: 10.1177/1054773820932725
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    References listed on IDEAS

    as
    1. Rochat, Tamsen J. & Mitchell, Joanie & Lubbe, Anina M. & Stein, Alan & Tomlinson, Mark & Bland, Ruth M., 2017. "Communication about HIV and death: Maternal reports of primary school-aged children's questions after maternal HIV disclosure in rural South Africa," Social Science & Medicine, Elsevier, vol. 172(C), pages 124-134.
    2. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    3. Chaudoir, Stephenie R. & Fisher, Jeffrey D. & Simoni, Jane M., 2011. "Understanding HIV disclosure: A review and application of the Disclosure Processes Model," Social Science & Medicine, Elsevier, vol. 72(10), pages 1618-1629, May.
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