The Impact of Pediatric HIV on Families



Children and adolescents infected and affected by HIV face similar challenges. Each must cope with: physical illness and medical regimens to optimize health; mental health symptoms and fears of premature death; shifts in their social relationships, including deciding when, how, and what to disclose regarding one’s serostatus; reducing risky lifestyles, especially alcohol and drug abuse; and concurrent partnerships with seronegative partners. This chapter describes the developmental and epidemiological patterns, which concentrate these challenges in the poorest populations in low- and middle-income countries. Family- and community-based structural interventions are the strategy for improving the outcomes for pediatric HIV over time. The intervention literature is reviewed and summarized, with structural interventions outlined for the future.


Pediatric HIV Adolescents living with HIV Coping with HIV infection Mental health of families affected by HIV 



This chapter was completed with support by grants from the National Institutes of Health MH58107, 5P30AI028697, and MH111391 and from the National Institute of Alcohol and Alcohol Abuse AA022919 and AA017104.

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© Springer International Publishing AG 2016

Authors and Affiliations

  1. 1.University of CaliforniaLos AngelesUSA

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