Concerns of Parental HIV Disclosure in China

Meiyan Sun, Wei Ti Chen, Joyce P. Yang, Shuyuan Huang, Lin Zhang, Mingfeng Shi, Wei Li, Ye Li, Meijuan Bao, Hongzhou Lu

Research output: Contribution to journalArticlepeer-review


Although parental HIV disclosure has benefits for parents and children, the disclosure rate among parents remains low. This study aims to qualitatively examine parental concerns regarding disclosure of their HIV status to their children. Eighty parents were enrolled in a randomized controlled trial of a three-session disclosure-support intervention, with forty receiving the intervention and forty receiving treatment as usual. Intervention sessions were audio recorded, and transcriptions were qualitatively coded for content related to concerns of disclosure. Four themes emerged: Intention to disclose, disclosure approach, indicators for disclosure, and fears about disclosure. These themes reveal struggles that parents experience when considering HIV disclosure suggesting that an effective disclosure intervention must help parents assess pros and cons, discuss the emotions of the children after the disclosure, and monitor the impact on children’s lives after disclosure over time. Future research is needed to implement interventions supporting HIV-positive parents’ disclosure decision-making and actions.

Original languageEnglish (US)
Pages (from-to)830-839
Number of pages10
JournalClinical Nursing Research
Issue number6
StatePublished - Jul 2021


  • China
  • HIV
  • disclosure
  • parents
  • qualitative study

ASJC Scopus subject areas

  • General Nursing


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