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The Role of the Family System in HIV Risk Reduction: Youths With Hemophilia and HIV Infection and Their Parents
Authors:Parsons, Jeffrey T.   Butler, Regina   Kocik, Susan   Norman, Lisa   Nuss, Rachelle   Adolescent Hemophilia Behavioral Intervention Evaluation Projects Study Group
Affiliation:1Jersey City State College, 2Children's Hospital of Philadelphia, 3Puget Sound Blood Center, 4Centers for Disease Control and Prevention, 5University of Colorado Health Sciences Center

6All correspondence should be sent to Jeffrey T. Parsons, Dept. of Psychology, Jersey City State College, 2039 Kennedy Blvd., Jersey City, New Jersey 07305. E-mail: JPARSONS{at}jcs1.jcstate.edu.

Abstract:Objective. To examine the relationship between family communicationand HIV risk reduction behaviors among a multisite sample of125 male youths (ages 12—25) with hemophilia and HIV-infection,as well as their parents. Methods: Participants completed self-report surveys assessingcommunication and attitudes regarding HIV risk reduction interventions;adolescents also provided data about their sexual behaviors. Results: Adolescents with parents who discuss sexual issueswere more likely to report HIV status disclosure to sexual partners.Most parents were supportive of HIV risk reduction interventionsfor their adolescents, but the youths themselves tended to endorseonly interventions that offered opportunities for recreationalactivities and socialization with peers. Conclusions: Findings are discussed in terms of interventionimplications and the need for family systems-based programs.
Keywords:hemophilia   HIV-infection   family systems   communication   safer sex behaviors.
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