Abstract #2014 - Family matters: Relationships and HIV
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Session: 28.4: Family matters: Relationships and HIV (Parallel) on Thursday @ 11.30-13.00 in C002 Chaired by Eline Op de Coul, Francine Cournos
Authors: Presenting Author: Dr Li Li - University of California, Los Angeles, United States
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Additional Authors:
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Aim: The study focused on both parental and adolescent’s reports on bonding from HIV-impacted families and assessed their relationships with parent-reported family conflict and adolescent-reported stress.
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Method / Issue: A total of 118 families with one parent living with HIV (PLH) and one adolescent were included in this study. Two family-level bonding scores were constructed – the average of parental and adolescent bonding scores and the discrepancy score - the difference between these two scores. We categorized the families into four bonding groups based on their “paired” median bonding scores, and used linear mixed-effects models to examine associations between different bonding groups and PLH-reported family conflict or adolescent-reported everyday stress.
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Results / Comments: The discrepancy in bonding reports by PLH and adolescents was positively associated with a higher level of adolescent-reported stress (p=0.017). A negative association was observed between the family-level bonding and PLH-reported conflict level (p<.0001). Reporting of family conflict was significantly greater in the groups with low bonding than the groups with high bonding (p=0.003). The highest level of stress was reported by adolescents in families where PLH perceived a high level of bonding and adolescents reported a low level of bonding, which was significantly greater than that reported by adolescents in families where PLH perceived a low level of bonding and adolescents reported a high level of bonding (p=0.025).
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Discussion: Our study findings highlight the importance of combining both parental and adolescent responses while studying issues of family well-being and adolescent mental health.
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