Caregivers' intentions to disclose HIV diagnosis to children living with HIV in South Africa: a theory-based approach.

Caregivers' intentions to disclose HIV diagnosis to children living with HIV in South Africa: a theory-based approach.
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DOI:
10.1007/s10461-013-0672-0
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发表时间:
2014-06
期刊:
影响因子:
4.4
通讯作者:
Ngwane Z
Ngwane Z
中科院分区:
医学2区
文献类型:
--
作者:
Jemmott JB 3rd;Heeren GA;Sidloyi L;Marange CS;Tyler JC;Ngwane Z

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When people know their HIV serostatus, they can take steps to manage their health and the risk of transmitting HIV to others. Mounting evidence indicates that caregivers often do not disclose to HIV-positive children that the children are living with HIV, but little is known about the modifiable determinants of pediatric HIV disclosure. The present study examined theory-of-planned-behavior predictors of the intention to disclose to children their HIV diagnosis. The participants were 100 caregivers of HIV-positive children in Eastern Cape Province, South Africa. Proportional-odds logistic regression analysis revealed that normative support for disclosure and caregiver-child communication predicted the intention to disclose, whereas behavioral beliefs regarding the consequences of disclosing and self-efficacy to disclose did not. The results suggest that interventions to increase pediatric HIV disclosure in South Africa should help caregivers enlist support for disclosure among important referents and improve communication with their HIV-infected children.
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