Quality of parent-child relationships in autobiographical narratives in relation to risk behaviors, domestic coercion, and coping strategies in HIV+ and HIV- mothers
Methods: 100 mothers (67% HIV+, 33% HIV-; 92% African American, mean age 44 years) from the Chicago Women’s Interagency HIV Study narrated 3 life turning points. Inductive and deductive methods were used to identify parent-child themes. Narratives were reliably coded for parent-child relationship quality (global judgment across good/poor communication, positive/negative feelings, caring/lack of care); risk behaviors (e.g., unsafe sex, substance use); and coping strategies (e.g., self-blame). History of substance abuse and domestic coercion were via self-report. .
Results: Identified themes included care/lack of care for children, children motivating positive life changes, pride in children, mothers’ repeating/compensating for previous negative relationships and children as a source of stress. No HIV serostatus differences were noted. Controlling for education, income, age, and narrative word count, partial correlations indicated that positive parent-child relationships related to lower risk behaviors (e.g., unsafe sex, r=-.33, p=.001, multiple partners, r=-.23, p=.034, illegal drug use, r=-.21, p=.037); more positive coping (e.g., positive reflection on past experiences, r=.21, p=.04); less negative coping (e.g., self-blame, r=-.32, p=.002, pessimism, r = -.20, p = .05); lower self-reported crack/cocaine/heroin use (r=-.35, p<.001) and less domestic coercion (r=-.22, p=.035).
Conclusions: Positive parent-child relationships relate to positive coping, fewer risk behaviors, and less domestic coercion for women with and at risk for HIV. Future research should focus on directionality among these factors.
Learning Areas:Social and behavioral sciences
Describe the relationships of parent-child relationship quality in autobiographical narratives with coping strategies and risk behaviors among women with or at risk for HIV.
Keyword(s): Women and HIV/AIDS
Qualified on the content I am responsible for because: I am a doctoral level graduate student funded via a diversity supplement to a federally funded grant (the Women's Interagency HIV study) focusing on coping strategies, gender roles and health outcomes in women with and at risk for HIV.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.