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Journal of Pediatric Psychology Advance Access published online on November 20, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn119
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: A Qualitative Analysis of Discussions about HIV in Families of Parents with HIV

Rosalie Corona, PhD1,2, Burton O. Cowgill, PhD, MPH2, Laura M. Bogart, PhD3,4, Michelle T. Parra, PhD5, Gery Ryan, PhD4, Marc N. Elliott, PhD4, Susan K. Park, MD2, Jennifer Patch, BA2 and Mark A. Schuster, MD, PhD3,4

1Virginia Commonwealth University, 2University of California, 3Children's Hospital Boston, Harvard Medical School, 4RAND Corporation, and 5Los Angeles County Department of Public Health

All correspondence concerning this article should be addressed to Rosalie Corona, Virginia Commonwealth University, 806 West Franklin Street, Richmond, VA 23284, USA. E-mail: racorona{at}vcu.edu


  Abstract

Objective To explore communication about HIV prevention, risk behaviors, and transmission in families affected by HIV. Methods Semi-structured interviews were conducted with 33 parents with HIV, 27 children (9- to 17-years old), and 19 adult children (≥18-years old) across the U.S. Coders reviewed transcripts, identified themes, and coded transcripts. Results Youth felt uncomfortable discussing HIV with their parent who has HIV because they worried about upsetting and reminding the parent of his/her illness. Adult children reported learning about HIV prevention by watching how the illness affected their parents. Few siblings reported talking with one another about HIV because they worried about upsetting their brother/sister and about their sibling unintentionally disclosing the parent's illness to others. Conclusions Discussions between youth and their parent with HIV and their siblings vary, highlighting the need for further research in this area.

Key words: communication; HIV; prevention.

Received March 18, 2008; revision received October 17, 2008; accepted October 18, 2008


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