Maternal HIV serostatus, mother-daughter sexual risk communication and adolescent HIV risk beliefs and intentions.

Maternal HIV serostatus, mother-daughter sexual risk communication and adolescent HIV risk beliefs and intentions.
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DOI:
10.1007/s10461-012-0218-x
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发表时间:
2013-09
期刊:
影响因子:
4.4
通讯作者:
Jemmott LS
Jemmott LS
中科院分区:
医学2区
文献类型:
--
作者:
Cederbaum JA;Hutchinson MK;Duan L;Jemmott LS

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艾滋病毒抗体呈阳性的妇女的女儿往往面临使其母亲面临风险的同样因素。这项横断面研究(N = 176对)检查艾滋病毒感染状况,父母-青少年性风险沟通(PTSRC),和女儿的禁欲和安全套使用的信念和意图。母亲HIV感染状况与PTSRC无关。路径分析表明,母亲抑郁症与PTSRC行为和规范的信念,关系满意度与PTSRC规范和控制的信念。控制信念是唯一的预测产妇PTSRC的意图。PTSRC与青少年行为和规范信念有关。禁欲信念与禁欲意图相关;安全套信念与安全套使用意图相关。关系满意度与青少年对禁欲和安全套使用的控制信念有关。有必要采取干预措施,帮助艾滋病毒抗体阳性的母亲认识到其女儿感染艾滋病毒的风险,并向她们提供建立关系和处理父母关系的技能,以帮助减少这些风险。
Daughters of HIV-positive women are often exposed to the same factors that placed their mothers at risk. This cross-sectional study (N = 176 dyads) examined HIV status, parent-teen sexual risk communication (PTSRC), and daughters’ abstinence and condom use beliefs and intentions. Maternal HIV status was not associated with PTSRC. Path analyses show that maternal depression was associated with PTSRC behavioral and normative beliefs; relationship satisfaction was associated with PTSRC normative and control beliefs. Control beliefs were solely predictive of maternal PTSRC intention. PTSRC was associated with adolescent behavioral and normative beliefs. Abstinence beliefs were associated with abstinence intentions; condom beliefs were associated with condom use intentions. Relationship satisfaction was associated with adolescent control beliefs about both abstinence and condom use. There is a need for interventions that help HIV-positive mothers recognize their daughter’s HIV risk and provide them with relationship building and parent process skills to help reduce these risks.