AIDS and Behavior

, Volume 23, Issue 10, pp 2829–2836 | Cite as

Important Roles of Health Professionals in Maternal HIV Disclosure Among HIV-Infected Women in China

  • Qian Wang
  • Zixin Wang
  • Xiaomeng Ma
  • Yuan Fang
  • Phoenix K. H. MoEmail author
  • Joseph T. F. LauEmail author
Original Paper


Maternal HIV disclosure to children is beneficial for both mothers and children. A cross-sectional survey was conducted to investigate the prevalence of maternal HIV disclosure to at least one living child aged > 5 years among 292 HIV-infected mothers in Guangxi Province, China. Among all participants, 45.2% had self-disclosed their HIV positive sero-status to at least one living child aged > 5 years. After adjusting for the significant background variables, participants self-reported health professionals in governmental antenatal care clinics had discussed with them about maternal HIV disclosure (adjusted odds ratios, aOR: 5.85), had received counseling services (aOR: 7.84) or support (aOR: 8.75) from these health professionals when making decision on maternal HIV, and perceived higher empathy of these health professionals (aOR: 1.09) were more likely to have reported maternal HIV disclosure. Instrumental and affective interactions between health professionals and HIV-infected mothers were important facilitators of maternal HIV disclosure.


Maternal HIV disclosure to children HIV-infected mothers Doctor-patient interactions China 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research Involving Human Participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Survey and Behavioural Research Ethics Committee, the Chinese University of Hong Kong and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

10461_2019_2566_MOESM1_ESM.docx (26 kb)
Supplementary material 1 (DOCX 26 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.National Center for Women and Children’s Health, China Center for Disease Control and PreventionBeijingChina
  2. 2.Centre for Health Behaviours Research, JC School of Public Health and Primary CareThe Chinese University of Hong KongHong Kong SARChina
  3. 3.Shenzhen Research InstituteThe Chinese University of Hong KongShenzhenChina
  4. 4.Department of Health Policy and ManagementJohn Hopkins Bloomberg School of Public HealthBaltimoreUSA

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