Psychosocial Stressors of Families Affected by HIV/AIDS: Implications for Social Work Practice

Lichtenstein, Bronwen; Sturdevant, Marsha; Mujumdar, Anil A.

doi:10.1080/15381501003795717

Cited by 11 publications

(11 citation statements)

References 21 publications

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“…As such, “coinfected” families face their own challenges and needs that might require support or, at least, attention and better understanding within their specific cultural, epidemiological, and economic context. In coming years, we might see an expansion of this “secondary epidemic” [ 48 , page: 150]. Serodiscordant families are likely to increase in numbers, as treatments are becoming more effective and available and people live longer and are able to safely have uninfected children.…”

Section: Understanding Family Dynamics In the Context Of Chronic Imentioning

confidence: 99%

Families Living with Blood-Borne Viruses: The Case for Extending the Concept of “Serodiscordance”

Persson

Newman

Hamilton

et al. 2017

Interdisciplinary Perspectives on Infectious Diseases

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The concept of “serodiscordance” (mixed infection status) is primarily associated with epidemiological concerns about HIV transmission risk in couples. We make the case for extending this concept to include families with mixed HIV and viral hepatitis status. Social research on couples with mixed HIV and hepatitis C status has laid an important foundation for illuminating how experiences of serodiscordance within intimate partnerships are much broader than concerns about risk. This body of work attests to serodiscordance holding promise as a valuable concept for understanding viral infections as socially situated and intensely relational phenomena. However, serodiscordance is still limited as a concept because of its near universal focus on couples. It is rarely applied to wider relationships, including family networks beyond the couple. Despite evidence in the literature that families are affected by blood-borne viruses in multiple social, emotional, financial, and generational ways, the concept of serodiscordance does not capture these broader dynamics. Making serodiscordance more inclusive is an important step in recognising the diverse ways families' everyday lives, relationships, and futures can be entangled with HIV, hepatitis C, and hepatitis B, and for understanding how today's era of effective treatment options might shape the “family life” of viral infections.

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Section: Understanding Family Dynamics In the Context Of Chronic Imentioning

confidence: 99%

Families Living with Blood-Borne Viruses: The Case for Extending the Concept of “Serodiscordance”

Persson

Newman

Hamilton

et al. 2017

Interdisciplinary Perspectives on Infectious Diseases

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“…Most studies had been performed in the USA (n = 25), followed by Italy (n = 2), Spain (n = 2), Canada (n = 1), France (n = 1) and the Netherlands (n = 1). Study designs were: cohort (n = 10) [ 3 , 41 – 49 ]; cross-sectional (n = 20) [ 6 , 50 – 68 ] and qualitative (n = 2) [ 8 , 69 ]. Of the ten cohort studies, four measured the school functioning outcomes only once and two presented only baseline data of school functioning; for this review they were therefore labelled as cross-sectional [ 3 , 41 , 42 , 45 , 46 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

School functioning of children with perinatal HIV-infection in high-income countries: A systematic review

et al. 2021

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Introduction Since the introduction of combination antiretroviral therapy, human immunodeficiency virus (HIV) infection is a manageable chronic disease. However, school-age children (4–18 years) living with HIV could still experience problems with functioning at school, due to the impact of the virus itself, medication, comorbidities and social stigma. School functioning covers academic achievement, school attendance, and social relationships and is of utmost importance to optimize normal participation. Methods To gain insight in school functioning problems of perinatally HIV-infected children, we performed a systematic review of the literature in multiple databases from January 1997 up to February 2019. Studies were included if they described outcomes of school functioning of school-age children perinatally infected with HIV, in high-income countries. Meta-analyses were performed for sufficiently comparable studies. Results and discussion Results from 32 studies show that HIV-infected children experience more problems in various areas of school functioning in comparison with national norms, matched healthy controls, siblings and HIV-exposed uninfected (HEU) children. The most pronounced differences concerned the usage of special educational services, general learning problems, and mathematics and reading performance scores. Comparisons with both national norms and siblings/HEU children show that the differences between HIV-infected children and siblings/HEU children were less pronounced. Moreover, siblings/HEU children also reported significantly worse outcomes compared to national norms. This suggests that problems in school functioning cannot be solely attributed to the HIV-infection, but that multiple socio-economic and cultural factors may play a role herein. Conclusion Perinatally HIV-infected children seem vulnerable to problems in various areas of school functioning. Therefore, monitoring of school functioning should be an important aspect in the care for these children. A family-focused approach with special attention to a child’s socio-environmental context and additional attention for siblings and HEU children, is therefore recommended.

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“…Social workers have become part of the secondary prevention teams through their roles as HIV social workers and case managers (Poindexter, 2010). Part of social workers' role includes assessment and treatment planning with clients regarding HIV-transmission, prevention of other STIs, and discussions regarding contraception/family planning (Lichtenstein, Sturdevant, & Mujumdar, 2010;Mitchell & Linsk, 2001). These conversations can naturally include explicit discussions of both heterosexual and same-sex sexual practices.…”

Section: Persons Living With Hiv/aidsmentioning

confidence: 99%

MSW student perceptions of sexual health as relevant to the profession: Do social work educational experiences matter?

Winter

O’Neill

Begun

et al. 2016

Social Work in Health Care

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Many social work clients are at an increased risk for negative outcomes related to sexual behavior, including unwanted pregnancies and sexually transmitted infections (STIs). However, there is a dearth of literature on social work student experiences with these topics in social work classrooms and their perceptions about the topic's relevance to their practice. The purpose of this study is to explore relationships between experiences with STIs and contraception as topics in social work education and practica experiences on student perceptions toward sexual health as a relevant topic for social work. Among a national sample of MSW students (N = 443), experiences with STIs and contraception as topics in practica was significantly related to perceptions toward sexual health's relevance to social work. Findings and implications are discussed.

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Psychosocial Stressors of Families Affected by HIV/AIDS: Implications for Social Work Practice

Cited by 11 publications

References 21 publications

Families Living with Blood-Borne Viruses: The Case for Extending the Concept of “Serodiscordance”

Families Living with Blood-Borne Viruses: The Case for Extending the Concept of “Serodiscordance”

School functioning of children with perinatal HIV-infection in high-income countries: A systematic review

MSW student perceptions of sexual health as relevant to the profession: Do social work educational experiences matter?

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