Abstract
Objectives
Little is known about the vulnerabilities faced by human immunodeficiency virus [HIV] positive parents living with their children in Bangladesh.
Methods
A qualitative research design was used to examine parental experiences of living with HIV in the Bangladeshi family context, with data collected through in-depth interviews with 19 individuals in the cities of Khulna and Dhaka.
Results
Psychological distress emerged as a major theme, specifically in regard to parental concern about their childrens’ future. Economic insecurity was a primary concern, with financial difficulties a consequence of reduced income, savings and assets. Impacts were greater with parents who were poor, where both parents were HIV-positive, in families with a single parent, particularly single or widowed women, and parents living with significant HIV-related disabilities.
Conclusions
There is an urgent need to both develop and implement appropriate psychological health- and wider social-care programmes for the welfare of parents living with HIV and their families in Bangladesh.
Similar content being viewed by others
References
Aboud, F., Huq, N. L., Larson, C. P., & Ottisova, L. (2010). An assessment of community readiness for HIV/AIDS preventive interventions in rural Bangladesh. Social Science & Medicine, 70(3), 360–367.
Audet, C. M., Wagner, L., & Wallston, K. A. (2015). Finding meaning in life while living with HIV: validation of a novel HIV meaningfulness scale among HIV-infected participants living in Tennessee. BMC Psychology, 3(15), 1–8.
BBS (2018). Statistical year book Bangladesh 2018. Dhaka: Bangladesh Bureau of Statistics.
Benzizes, K. M., & Allen, M. N. (2001). Methodological issues in nursing research-symbolic interactionism as theoretical perspective for multiple method research. Journal of Advanced Nursing, 33(4), 541–547.
Betancourt, T. S., Ng, L. C., Kirk, C. M., Munyanah, M., Mushashi, C., Ingabire, C., & Sezibera, V. (2014). Family-based prevention of mental health problems in children affected by HIV and AIDS: an open trial. AIDS, 28(Suppl 3), S359–S368.
Bogart, L. M., Cowgill, B. O., Kennedy, D., Ryan, G., Debra, A., Murphy, D. A., Elijah, J., & Schuester, M. A. (2008). HIV-related stigma among people with HIV and their families: a qualitative analysis. AIDS and Behavior, 12(2), 244–254.
Caldwell, B., Pieris, I., Khuda, B., Caldwell, J., & Caldwell, P. (1999). Sexual regimes and sexual networking: the risk of an HIV/AIDS epidemic in Bangladesh. Social Science & Medicine, 48(8), 1103–1116.
Chi, P., Li, X., Tam, C. C., Du, H., Zhao, G., & Zhao, J. (2015). Parenting mediates the impact of caregivers’ distress on children’s well-being in families affected by HIV/AIDS. AIDS and Behavior, 19(11), 2130–2139.
Crooks, D. L. (2001). The importance of symbolic interaction in grounded theory research on women’s health. Health Care for Women International, 22(1-2), 11–27.
Eaves, Y. D. (2001). Methodological issues in nursing research: a synthesis technique for grounded theory data analysis. Journal of Advanced Nursing, 35(5), 654–663.
Fajardo-Ortiz, D., Lopez-Cervantes, M., Duran, L., Dumontier, M., Lara, M., & Ochoa, H., et al. (2017). The emergence and evolution of the research fronts in HIV/AIDS research. PLoS ONE, 12(5), e0178293.
Foebel, A. D., Hirdes, J. P., Boodram, C., Lemrick, R., Tai, J. W., & Comeau, R. L. (2016). Comparing the care needs of people living with and without HIV in Canadian home and long-term settings. Canada Communicable Disease Report, 42(3), 52–56.
Gibney, L., Choudhury, P., Khawaja, Z., Sarker, M., & Vermund, S. H. (1999). Behavioural risk factors for HIV/AIDS in a low-HIV prevalence Muslim nation: Bangladesh. International Journal of STD & AIDS, 10(3), 186–194.
Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: strategies for qualitative research. New York: Aldine de Gruyter.
Guoping, J., Li, L., Chunqing, L., & Sun, S. (2007). The impact of HIV/AIDS on families and children—a study in China. AIDS, 21(suppl 8), s157–s161.
Hasan, M. T., Nath, S. R., Khan, N. S., Akram, O., Gomes, T. M., & Rashid, S. F. (2012). Internalized HIV/AIDS-related stigma in a sample of HIV-positive people in Bangladesh. Journal of Health, Population, and Nutrition, 30(1), 22–30.
Hongfei, D., Xiaoming, Li, Peilian, C., Junfeng, Z., & Guoxiang, Z. (2017). Meaning in life, resilience, and psychological well-being among children affected by parental HIV. AIDS Care, 29(11), 1410–1416.
Hossain, M., Mani, K. K., Sidik, S. M., Shahar, H. K., & Islam, R. (2014). Knowledge and awareness about STDs among women in Bangladesh. BMC Public Health, 14(1), 775, 1–7.
Islam, S., Minichiello, V., & Scott, J. (2019). Resileince strategies of HIV-positive parents who live with children within the family context in Bangladesh. AIDS Care, 31(3), 310–313.
Islam, S., Scott, J., & Minichiello, V. (2016a). A qualitative exploration of parental experiences of stigma while living with HIV in Bangladesh. AIDS Care, 28(2), 247–249.
Islam, S., Scott, J., & Minichiello, V. (2016b). Children’s experiences of living with HIV-positive parents within the family context of Bangladesh. In: P. Liamputtong (Ed.), Children, young people and HIV/AIDS: a cross-cultural perspective, Springer.
Islam, S., Minichiello, V., & Scott, J. (2014). Children living in HIV family: a review. Journal of Child and Adolescent Behavior, 2(170), 1–7.
Jackson-Best, F., & Edwards, N. (2018). Stigma and intersectionality: a systematic review of systematic reviews across HIV/AIDS, mental illness and physical disability. BMC Public Health, 18, 919, 1–19.
Jeon, Y. H. (2004). The application of grounded theory and symbolic interactionism. Scandinavian Journal of Caring Sciences, 18(3), 249–256.
Khan, S. I., Hussain, M. I., Parveen, S., Bhuiyan, M. I., Gourab, G., Sarker, G. F., Arafat, S. M., & Sikder, J. (2009). Living on the extreme margin: social exclusion of the transgender population (hijra) in Bangladesh. Journal of Health, Population and Nutrition., 27(4), 441–451.
Kes, A., Ogwang, S., Prabha Pande, R., Douglas, Z., Karuga, R., Odhiambo, F., Laserson, K., & Schaffer, K. (2015). The economic burden of maternal mortality on households: evidence from three sub-counties in rural Western Kenya. Reproductive Health, 12(Suppl 1), S3, 1–10.
Kheswa, J. G. (2017). Exploring the factors and effects of non-adherence to antiretroviral treatment by people living with HIV/AIDS. Indo-Pacific Journal of Phenomenology, 17(1), 1–11.
Khosla, N. (2009). The ready-made garment industry in Bangladesh: a means of reducing gender-based social exclusion of women? Journal of International Women’s Studies, 11(1), 289–303.
Klunklin, A., & Greenwood, J. (2006). Symbolic interactionism in grounded theory studies: women surviving with HIV/AIDS in rural northern Thailand. Journal of the Association of Nurses in AIDS Care, 17(5), 32–41.
Li, X., Chi, P., Sherr, L., Cluver, L., & Stanton, B. (2015). Psychological resilience among children affected by parental HIV/AIDS: a conceptual framework. Health Psychology and Behavioral Medicine, 3(1), 217–235.
Liamputtong, P., Haritavorn, N., & Kiatying-Angsulee, N. (2015). Local discourse on antiretrovirals and the lived experience of women living with HIV/AIDS in Thailand. Qualitative Health Research, 25(2), 253–263.
Mondal, N. I., Hoque, N., Chowdhury, M. R. K., & Hossain, M. S. (2015). Factors associated with misconceptions about HIV transmission among ever-married women in Bangladesh. Japan Japanese Journal of Infectious Diseases, 68(1), 13–19.
NIPORT. (2016). Bangladesh demographic and health survey 2014. Dhaka, Bangladesh, and Rockville, Maryland, USA: NIPORT, Mitra and Associates, and ICF International.
Ritzer, G., & Goodman, D. J. (2003). Sociological theory. Sixth ed Boston: McGraw-Hill.
Seffren, V., Familiar, I., Murray, S. M., Augustinavicius, J., Boivin, M. J., Nakasujja, N., Opoka, R., & Bass, J. (2018). Association between coping strategies, social support, and depression and anxiety symptoms among rural Ugandan women living with HIV/AIDS. AIDS Care, 30(7), 888–895.
Sherr, L., Cluver, L. D., Betancourt, T. S., Kellerman, S. E., Richter, L. M., & Desmond, C. (2014). Evidence of impact: health, psychological and social effects of adult HIV on children. AIDS, 28(Suppl 3), S2551–S259.
Siccama, C. J., & Penna, S. (2008). Enhancing validity of a qualitative dissertation research study by using NVIVO. Qualitative Research Journal, 8(2), 91–103.
Statista (2018). Highest population density—top 50 countries. https://www.statista.com/statistics/264683/top-fifty-countries-with-the-highest-population-density/. Accessed 14 Dec 2018.
Stein, A., Desmond, C., Garbarino, J., Van IJzendoorn, M. H., Barbarin, O., Black, M. M., & Richter, L. M. (2014). Predicting long-term outcomes for children affected by HIV and AIDS: Perspectives from the scientific study of children’s development. AIDS, 28(Suppl 3), S261–S268.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd Ed Thousand Oaks: SAGE Publications, Inc.
Subramaniam, S., Camacho, L. M., Carolan, M. T., & López-Zerón, G. (2017). Resilience in low-income African American women living and aging with HIV. Journal of Women & Aging, 29(6), 543–550.
Sulaiman, N., & Baldry, D. (2011). Care practice in public residential care homes for the elderly (PbRCHfE): The application of visual method using computer aided qualitative data analysis software (CAQDAS): Nvivo 9.0. The Built & Human Environment Review, 4(1), 138–154.
Turan, J. M., Elafros, M. A., Logie, C. H., Banik, S., Turan, B., Crockett, K. B., Pescosolido, B., & Murray, S. M. (2019). Challenges and opportunities in examining and addressing intersectional stigma and health. BMC Medicine, 17(7), 1–15.
Turner, A. (2009). Population priorities: the challenge of continued rapid population growth. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 364(1532), 2977–2984.
Ullah, A. K. M. A. (2011). HIV/AIDS-related stigma and discrimination: a study of health care providers in Bangladesh. Journal of the International Association of Physicians in AIDS Care, 10(2), 97–104.
UN Country Stats (2018). Bangladesh. http://data.un.org/en/iso/bd.html. Accessed 14 Dec 2018.
UNAIDS (2017a). Bangladesh: Country factsheets, HIV and AIDS estimates, Joint United Nations programme on HIV/AIDS, Geneva.
UNAIDS (2017b). UNAIDS data 2017, Joint United Nations programme on HIV/AIDS, Geneva.
WHO (2006). The impact of HIV/AIDS on the health workforce in developing countries. https://www.who.int/hrh/documents/Impact_of_HIV.pdf. Accessed 14 Dec 2018.
World Bank (2017). Bangladesh: global financing facility. Washington, DC: Author.
Author Contributions
M.S.I.: involved in designing and implementing the study, collected data from the field, involved in analysing the data and interpretation the result, and wrote the draft manuscript. S.W.: collaborated in the writing, organising and editing the final manuscript. V.M.: involved in designing and implementing the study as a principal supervisor, and read and approved the final manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval
Prior to conducting this research project, ethical approval from the Human Research Ethics. Committee (HREC), University of New England, Australia was obtained (approval number: HE11/010).
Informed Consent
Written informed consent was obtained from all participants included in this study.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Shahidul Islam, M., Wark, S. & Minichiello, V. Parental Experiences of Living with HIV in Bangladesh. J Child Fam Stud 29, 699–710 (2020). https://doi.org/10.1007/s10826-019-01609-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10826-019-01609-z