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Integrated model of maternal caregiving in child HIV management in Chinese mother–child dyads living with HIV

A qualitative dyadic analysis

Bibliographic Data

ID6417840
AuthorsShiyun Ji (0000-0001-8147-6163, Department of Social and Behavioural Sciences City University of Hong Kong Kowloon Hong Kong SAR China), Xiaoliang Zeng (0000-0003-2201-3489, Guangxi Center for Disease Control and Prevention Nanning Guangxi China), Chen (0009-0003-9584-6905), Chen Chen (0000-0002-9786-8003, Department of Social and Behavioural Sciences City University of Hong Kong Kowloon Hong Kong SAR China), Rong Fu (0000-0002-2850-1697, Department of Social and Behavioural Sciences City University of Hong Kong Kowloon Hong Kong SAR China), Zhiyong Shen (0000-0001-7629-0743, Guangxi Center for Disease Control and Prevention Nanning Guangxi China), Xiaoming Li (0000-0002-5555-9034, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health University of South Carolina Columbia South Carolina USA), Nancy Xiaonan Yu (0000-0002-6371-2684, Department of Social and Behavioural Sciences City University of Hong Kong Kowloon Hong Kong SAR China, corresponding author)
Year2023
Volume30
Issue2
Pages214-225
Publication date2023-11-27
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueChild & Family Social Work (JOURNAL)
Journal identifiersISSN: 1356-7500 • E-ISSN: 1365-2206
PublisherWiley (PUBLISHER • GB)
DOI10.1111/cfs.13112
OpenAlexW4389069781
LanguageEN
Citations received2
References cited44

Perinatally HIV‐positive (PHIV+) children face challenges arising from their complicated and highly stigmatized chronic illness throughout childhood and adolescence. Caring and support from caregivers are vital, especially from their mothers who also live with HIV. However, little is known regarding how HIV+ mothers coach their PHIV+ children to adjust to HIV. This study used dyadic‐level qualitative analyses of semi‐structured, one‐on‐one interviews among 20 mother–child dyads ( n = 40; children aged 12–18 years) living with HIV in southern China. Interviews examined the perspectives of both mothers and children on the maternal caregiving in child HIV management and child adaptation outcomes. Our findings showed that based on a dual‐dimension model of the extent of maternal involvement in child HIV management and the intimacy of the mother–child relationship, four categories of maternal caring emerged among the mother–child dyads: supportiveness ( n = 4, 20%), independence ( n = 9, 45%), contradiction ( n = 4, 20%) and alienation ( n = 3, 15%). The PHIV+ children's selected HIV management indicators (including disclosure of HIV status, HIV‐related communication, antiretroviral therapy adherence, stigma coping and emotion management) also showed some variations among these four categories. The integrated model may inform the development of dyadic intervention programmes tailored for mothers and children both living with HIV

Coping (psychology · Developmental psychology · Family medicine · Human immunodeficiency virus (HIV · Qualitative research · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare · Psychology

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Unique citing works2
Citations per year1
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2
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