HIV-Positive Mothers’ Communication About Safer Sex and STD Prevention With Their Children

Murphy, Debra A.; Roberts, Kathleen Johnston; Herbeck, Diane M.

doi:10.1177/0192513x11412158

Cited by 18 publications

(23 citation statements)

References 30 publications

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“…Many MLH see infection as a strength (Murphy, Roberts, & Herbeck, 2011), including as a source of knowledge and motivation to discuss topics related to sexual risks with their children (Cederbaum, 2012). Compared to other youth, their adolescent children have reported a greater ability to have these conversations (O'Sullivan, Dolezal, Brackis-Cott, Traeger, & Mellins 2005).…”

Section: Introductionmentioning

confidence: 99%

“…To begin mending disruptions, strategies were drawn from Attachment-Based Family Therapy (ABFT; Diamond, Diamond, & Levy, 2014). In addition, techniques from an evidence-based disclosure intervention (the TRACK Program) were built into Ms. Now (Murphy et al, 2011), including strategies to enhance mothers’ self-efficacy to continue the disclosure process, a practice not addressed in PMP and one potentially protective of youth HIV risk. Consequently, two theories emerged from the adaptation process that fit well with our understanding of the overall mechanisms of behavioral change of Ms. Now— the theory of planned behavior (Ajzen, 1985) and attachment theory (Bowlby, 1969; Diamond et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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A parent-based intervention to prevent HIV among adolescent children of mothers living with HIV: the Ms. Now! Program

Tarantino

Armistead

2016

Vulnerable Children and Youth Studies

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One group often overlooked by HIV prevention efforts is adolescent children of mothers living with HIV (MLH). Despite their potential vulnerability, very few evidence-based prevention programs exist for this population in the United States (U.S.) and elsewhere. The current study introduces a parent-based program adapted for families affected by HIV for the purpose of preventing adolescent HIV infection. Following a structured process of adaptation, 12 African American MLH-adolescent dyads were recruited from HIV clinics and non-governmental organizations in a southeastern U.S. city to participate in a feasibility pilot evaluation of the adapted program (Moms Stopping It Now! [Ms. Now]). The intervention consisted of group and individual sessions implemented in a university setting and at participants’ homes, respectively. We determined feasibility through assessing participant acceptability and signs of intervention efficacy. Quantitative and qualitative process data revealed high levels of acceptability, as participants were largely satisfied and engaged with Ms. Now, and were willing to attend most sessions. In addition, positive intervention effects approaching medium to large effect sizes were observed for some protective parenting outcomes, including increases in parent-child relationship quality, parental monitoring, maternal HIV disclosure self-efficacy, and communication about maternal HIV infection. Other outcomes, namely communication about sex topics, did not show positive shifts due to ceiling effects and may be indicative of the pre-existing strengths these MLH possess. Ms. Now’s approach and further refinement is discussed in the context of strengthening families affected by HIV. Moreover, we recommend that policy aimed at program development consider jointly targeting these populations (MLH and adolescents) due to the unique benefits of family intervention.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A parent-based intervention to prevent HIV among adolescent children of mothers living with HIV: the Ms. Now! Program

Tarantino

Armistead

2016

Vulnerable Children and Youth Studies

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“…Mothers, in particular, are widely acknowledged to be their children’s primary health educators [10,15,34]. Specifically with regard to vaccination decisions, adolescents typically follow decisions of their parents, due to their legal custody, greater knowledge, and financial means.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically with regard to vaccination decisions, adolescents typically follow decisions of their parents, due to their legal custody, greater knowledge, and financial means. In studies with White, Black, and Hispanic/Latino adolescent daughters, for example, mothers with higher levels of knowledge about their children’s health and those who communicated about vaccinations and sex were associated with higher vaccination rates and fewer episodes of unprotected sexual intercourse for their daughters [1,10,15,31,34]. Health information passed from mother to daughter is influenced by sociocultural factors as well as individual parenting styles.…”

Section: Introductionmentioning

confidence: 99%

Khmer American Mothers' Knowledge about HPV and HBV Infection and Their Perceptions of Parenting: My English Speaking Daughter Knows More

Lee¹,

Kiang

Tang

et al. 2015

Asian Nursing Research

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SUMMARY Purpose The purpose of this study is to explore and describe Khmer mothers’ understanding of HBV and HPV prevention as well as their perception of parenting on health and health education of their daughters in the US. Methods The qualitative pilot study guided by the revised Network Episode Model and informed by ethnographic analysis and community-based purposive sampling method were used. Face-to-face audiotaped interviews with eight Khmer mothers were conducted by bilingual female middle-aged community health leaders who spoke Khmer. Results The findings revealed that Khmer mothers clearly lacked knowledge about HBV and HPV infection prevention and had difficulty understanding and educating their daughters about health behavior, especially on sex-related topics. The findings showed that histo-sociocultural factors are integrated with the individual factor, and these factors influenced the HBV and HPV knowledge and perspective of Khmer mothers’ parenting. Conclusion The study suggests that situation-specific conceptual and methodological approaches that take into account the uniqueness of the sociocultural context of CAs is a novel method for identifying factors that are significant in shaping the perception of Khmer mothers’ health education related to HBV and HPV prevention among their daughters. The communication between mother and daughter about sex and the risk involved in contracting HBV and HPV has been limited, partly because it is seen as a “taboo subject” and partly because mothers think that schools educate their children regarding sexuality and health.

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“…Parents with HIV/AIDS, for example, are likely grappling with several conflicting goals or objectives when discussing HIV and HIV prevention with their children. These parents typically have a keen appreciation for educating their children about the risks of HIV, and thus an implicit goal of keeping their children safe from HIV infection (Murphy, Roberts, & Herbeck, 2012). Many have not disclosed their HIV status to their children, however, and might also be reticent to discuss broader aspects of HIV and HIV prevention (Green & Smith, 2004;Letteny & Laporte, 2004).…”

Section: Introductionmentioning

confidence: 99%

Communicating in Complex Situations: A Normative Approach to HIV-Related Talk Among Parents Who Are HIV+

Edwards

Donovan-Kicken

Reis

2013

Health Communication

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Parents with HIV/AIDS are confronted with unique challenges when discussing HIV-related information with their children. Strategies for navigating these challenges effectively have not been systematically examined. In this study, we conducted in-depth interviews with 76 parents with HIV/AIDS who had children ages 10-18. Guided by O'Keefe and Delia's definition of a complex communication situation and Goldsmith's normative approach to interpersonal communication, we examined parents' goals for discussing HIV-related information, factors that made conversations challenging, and instances where these conversational purposes conflicted with one another. Our data reveal the following parent-adolescent communication predicaments: relaying safety information about HIV while minimizing child anxiety, modeling open family communication without damaging one's parental identity, and balancing parent-child relational needs amidst living with an unpredictable health condition. Parents also described a variety of strategies for mitigating challenges when discussing HIV-related topics. Strategies parents perceived as effective included: reframing HIV as a chronic, manageable illness; keeping talk educational; and embedding HIV-related topics within more general conversations. The theoretical and practical applications of these findings are discussed with regards to their relevance to health communication scholars and HIV care professionals.

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HIV-Positive Mothers’ Communication About Safer Sex and STD Prevention With Their Children

Cited by 18 publications

References 30 publications

A parent-based intervention to prevent HIV among adolescent children of mothers living with HIV: the Ms. Now! Program

A parent-based intervention to prevent HIV among adolescent children of mothers living with HIV: the Ms. Now! Program

Khmer American Mothers' Knowledge about HPV and HBV Infection and Their Perceptions of Parenting: My English Speaking Daughter Knows More

Communicating in Complex Situations: A Normative Approach to HIV-Related Talk Among Parents Who Are HIV+

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