当前位置： SCI文献检索 > NURSING RESEARCH期刊下所有文献 > Parental caregiving and developmental outcomes of infants of mothers with HIV.

Parental caregiving and developmental outcomes of infants of mothers with HIV.

Abstract：

BACKGROUND:All infants exposed to human immunodeficiency virus (HIV) prenatally, even those who do not become infected, are at risk for developmental problems because of poverty, prenatal substance abuse, and maternal illness. OBJECTIVES:The purpose was to describe the development of infants of mothers with HIV and to determine, using hierarchical linear models, the longitudinal effects of child characteristics, parental caregiver characteristics, family characteristics, and parenting quality on development. METHODS:Eighty-one infants born to women with HIV and their primary parental caregivers were followed-up until 18 to 24 months of age; 53 infants were always cared for by their biologic mothers, 16 were always cared for by kin or foster parents, and 12 had primary caregiver changes. Predictor variables and developmental outcomes were obtained at enrollment and 6, 12, 18, and 24 months. RESULTS:Mental development and adaptive behavior scores decreased over age. Infants with changes in their primary caregiver had lower motor and adaptive behavior scores than infants remaining with consistent caregivers. Higher mental, motor, and adaptive behavior scores were associated with more positive attention and more negative control, whereas better language abilities were associated only with more positive attention. Child, maternal, and family characteristics had lesser effects. HIV-infected infants and infants of mothers with more education had lower mental, motor, and adaptive behavior scores. Male gender and more family conflict were associated with lower motor and adaptive behavior scores. Infants from smaller families had lower mental scores. CONCLUSIONS:Because both parenting quality and consistency of the primary caregiver influenced developmental outcomes, interventions with the mothers of these infants need to focus both on improving the quality of parenting and reducing the frequency of primary caregiver changes.

journal_name

Nurs Res

journal_title

Nursing research

authors

Holditch-Davis D,Miles MS,Burchinal M,O'Donnell K,McKinney R,Lim W

doi

10.1097/00006199-200101000-00003

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

5-14

issue

eissn

0029-6562

issn

1538-9847

journal_volume

pub_type

杂志文章

在线工具

Parental caregiving and developmental outcomes of infants of mothers with HIV.