ArticleAIDS and behavior2016
A Mixed-Methods Study Supporting a Model of Chinese Parental HIV Disclosure.
Article in AIDS and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Relationship quality among people living with HIV/AIDS: a systematic review and meta-analysis.Health and quality of life outcomes · 2026Pooled it
- Concerns of Parental HIV Disclosure in China.Clinical nursing research · 2021Trial
- Beyond knowledge deficits: social visibility, family dynamics, and delayed initiation among people living with HIV in Southwestern China-a descriptive phenomenological study.BMC public health · 2026Article
- Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived health.BMC public health · 2025Article
- Health disparities affecting persons living with HIV and using substances in China.Applied nursing research : ANR · 2023Article
- Chinese Mothers' Intent to Disclose Their HIV Status to Their Children: The Role of Positive Outcome Expectations and Reward Responsiveness.International journal of public health · 2023Article
- Male and female Asians living with HIV: a text-mining analysis comparing their concerns.Frontiers in psychology · 2023Article
- A Mixed-Methods Longitudinal Investigation of Mothers' Disclosure of HIV to Their Children.Child development · 2021Article
- Reducing distress and promoting resilience: a preliminary trial of a CBT skills intervention among recently HIV-diagnosed MSM in China.AIDS care · 2018Article
- The Development of a Brief Distress Reduction Intervention for Individuals Recently Diagnosed With HIV in China.Cognitive and behavioral practice · 2018Article
- Article
- Unable to be a Human Being in Front of Other People: A Qualitative Study of Self-Isolation Among People Living with HIV/AIDS in China.Journal of clinical psychology in medical settings · 2017Article
- Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, Uganda.AIDS research and treatment · 2017Article
- Facilitators of and barriers to HIV self-management: Perspectives of HIV-positive women in China.Applied nursing research : ANR · 2016Article
- The Amagugu Intervention: A Conceptual Framework for Increasing HIV Disclosure and Parent-Led Communication about Health among HIV-Infected Parents with HIV-Uninfected Primary School-Aged Children.Frontiers in public health · 2016Article
- "Please Don't Make Me Ask for Help": Implicit Social Support and Mental Health in Chinese Individuals Living with HIV.AIDS and behavior · 2015Article
- Disclosing Parental HIV Status to Children in China: Lessons Learned Through an Intervention Study.The Journal of the Association of Nurses in AIDS Care : JANACArticle
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
Abstract
Parents who are HIV-positive confront difficult decisions regarding whether, when, and how to disclose their HIV status to their children. In China, a setting of acute HIV stigma where family harmony is culturally valued, limited research has been conducted on parental disclosure. We aimed to develop a model of parental disclosure that accounts for the cultural context in China based on a mixed-methods study. In our individual, in-depth interviews (N = 24) as well as survey data (N = 84) collected from parents living with HIV in Shanghai and Beijing, we found the primary barriers to disclosure were stigma, fear of exposing the mode by which they acquired HIV, psychologically burdening the child, rejection by the child, and negative social consequences for the family. Parents concurrently cited many motivations for disclosure, such as disease progression, ensuring safety of the child, gaining assistance, and fulfilling their parental responsibility. Most parents had not actively disclosed their HIV status (68 %); many parents reported some form of partial disclosure (e.g., sharing they have a blood disease but not labeling it HIV), unplanned disclosure, or unintentional disclosure to their children by other people. Findings informed the development of a Chinese Parental HIV Disclosure Model, with primary components accounting for distal cultural factors, decision-making (balancing approach and avoid motivations), the disclosure event, and outcomes resulting from the disclosure. This model highlights the cultural context of the Chinese parental disclosure process, and may be useful in guiding future observational research and intervention work.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.