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Published on: September 6, 2019
Parenting and HIV
Tamsen Rochat1, Elena Netsi2, Stephanie Redinger3
1Human and Social Development, Human Sciences Research Council, Durban, South Africa; MRC/Developmental Pathways to Health Research Unit, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa; Section of Child and Adolescent Psychiatry, Department of Psychiatry, University of Oxford, Oxford, UK.
Insights
Parental HIV diagnosis can impact child development due to associated challenges. This review explores parenting deficits and low-cost interventions for children with HIV-positive caregivers in resource-limited settings.
Area of Science:
- Pediatrics
- Public Health
- Psychology
Background:
- Antiretroviral therapy and prevention of mother-to-child HIV transmission have increased the number of HIV-negative children with HIV-positive parents.
- Parental HIV diagnosis is linked to increased child developmental risk, stemming from issues like parental depression, stigma, and financial strain.
- In sub-Saharan Africa, up to one-third of children are raised by HIV-positive caregivers.
Purpose of the Study:
- To review the mechanisms through which HIV impacts parenting.
- To identify parenting deficits associated with parental HIV diagnosis.
- To describe suitable low-cost parenting interventions for HIV-endemic, low-resource settings.
Main Methods:
- Literature review examining the effects of parental HIV on parenting.
- Analysis of parenting deficits across different child developmental stages.
- Identification and description of accessible parenting interventions.
Main Results:
- Parental HIV can negatively affect parental responsiveness in early childhood.
- Avoidant coping styles and parenting deficits are observed in later years.
- Low-cost interventions are feasible for resource-limited, HIV-affected areas.
Conclusions:
- Parental HIV presents unique challenges to child development and parenting.
- Targeted, low-cost interventions can mitigate negative impacts and support families.
- Further research and implementation of these interventions are crucial in affected regions.
Abstract:
With the widespread use of antiretroviral therapy and successful prevention of mother-to-child transmission the development of HIV-negative children with HIV-positive parents has become an important focus. There is considerable evidence that children's developmental risk is heightened because a parental HIV-diagnosis is associated with a range of potential problems such as depression, stigma and financial difficulties. Up to a third of children in sub-Saharan Africa (SSA) are cared for by an HIV-positive parent or caregiver. We review the mechanisms by which HIV affects parenting including its negative effects on parental responsiveness in the early years of parenting and parental avoidant coping styles and parenting deficits in the later years. We describe low-cost parenting interventions suited for low resourced HIV endemic settings.
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