Erschienen in:
01.01.2013 | Substantive Review
Disclosure of Parental HIV Infection to Children: A Systematic Review of Global Literature
verfasst von:
Shan Qiao, Xiaoming Li, Bonita Stanton
Erschienen in:
AIDS and Behavior
|
Ausgabe 1/2013
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Abstract
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.