Encyclopedia of AIDS

Living Edition
| Editors: Thomas J. Hope, Douglas Richman, Mario Stevenson

Family Interventions

Living reference work entry
DOI: https://doi.org/10.1007/978-1-4614-9610-6_98-1


This chapter describes family-based HIV prevention interventions and research on their efficacy. Both domestic and international interventions are discussed.

Risky sexual behaviors that can lead to HIV infection are influenced both by the characteristics of an individual and the characteristics of their interpersonal, social, and cultural environment. The recognition of these layers of influence has prompted the development of multilevel and structural approaches to HIV prevention that go beyond targeting only the individual. For adolescents, the family can be a particularly significant external system of influence, characterized primarily by parent-adolescent relationships and interactions (Bastien et al. 2011; DeVore and Ginsburg 2005). Research has shown consistent links between parenting behaviors and characteristics and adolescents’ sexual risk taking (DeVore and Ginsburg 2005; Kincaid et al. 2012).

The definitions of “families” and “parents” are quite broad and...


Family-based Interventions Sexual Risk Behavior Adolescent Mental Health Project Parent-adolescent Communication Sharing Material Resources 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in to check access.


  1. Baptiste DR, Bhana A, Petersen I, McKay M, Voisin D, Bell C, Martinez DD. Community collaborative youth-focused HIV/AIDS prevention in south Africa and Trinidad: preliminary findings. J Pediatr Psychol. 2006;31(9):905–16. doi:10.1093/jpepsy/jsj100.PubMedCrossRefGoogle Scholar
  2. Bastien S, Kajula LJ, Muhwezi WW. A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa. Reprod Health. 2011;8:25. doi:10.1186/1742-4755-8-25.PubMedCrossRefPubMedCentralGoogle Scholar
  3. Cervantes R, Goldbach J, Santos S. Familia Adelante: a multi-risk prevention intervention for latino families. J Prim Prev. 2011;32(3):225–34. doi:10.1007/s10935-011-0251-y.PubMedCrossRefPubMedCentralGoogle Scholar
  4. Cluver L, Gardner F. The mental health of children orphaned by mental health of children by AIDS: a review of international and southern African research. J Child Adolesc Mental Health. 2007;19(1):1–17.CrossRefGoogle Scholar
  5. Cluver L, Boyes M, Orkin M, Pantelic M, Molwena T, Sherr L. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study. Lancet Glob Health. 2013;1(6):e362–70.PubMedCrossRefGoogle Scholar
  6. DeVore ER, Ginsburg KR. The protective effects of good parenting on adolescents. Curr Opin Pediatr. 2005;17(4):460–5.PubMedCrossRefGoogle Scholar
  7. Donenberg GR, Brown LK, Hadley W, Kapuungu C, Lescano CM, DiClemente RJ. Family-based HIV-prevention for adolescents with psychiatric disorders. In: Pequegnat W, Bell CC, editors. Family and HIV/AIDS: cultural and contextual issues in prevention and treatment. New York: Springer; 2012.Google Scholar
  8. Downing J, Jones L, Bates G, Sumnall H, Bellis MA. A systematic review of parent and family-based intervention effectiveness on sexual outcomes in young people. Health Educ Res. 2011;26(5):808–33. doi:10.1093/her/cyr019.PubMedCrossRefGoogle Scholar
  9. Han CK, Ssewamala FM, Wang JS. Family economic empowerment and mental health among AIDS-affected children living in AIDS-impacted communities: evidence from a randomised evaluation in southwestern Uganda. J Epidemiol Community Health. 2013;67(3):225–30. doi:10.1136/jech-2012-201601.PubMedCrossRefPubMedCentralGoogle Scholar
  10. Jemmott LS, Outlaw FH, Jemmott JB, Brown EJ, Howard M, Hopkins B. Strengthening the bond: the mother and son health promotion project. In: Pequegnat W, Szapocznik J, editors. Inside families: the role of families in preventing and adapting to HIV/AIDS. Bethesda: Sage; 2000. p. 133–51.Google Scholar
  11. Kincaid C, Jones DJ, Sterrett E, McKee L. A review of parenting and adolescent sexual behavior: the moderating role of gender. Clin Psychol Rev. 2012;32(3):177–88. doi:10.1016/j.cpr.2012.01.002.PubMedCrossRefPubMedCentralGoogle Scholar
  12. Murry VM, Berkel C, Chen YF, Brody GH, Gibbons FX, Gerrard M. Intervention induced changes on parenting practices, youth self-pride and sexual norms to reduce HIV-related behaviors among rural African American youths. J Youth Adolesc. 2011;40(9):1147–63. doi:10.1007/s10964-011-9642-x.PubMedCrossRefGoogle Scholar
  13. Operario D, Underhill K, Chuong C, Cluver L. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis. J Int AIDS Soc. 2011;14:25. doi:10.1186/1758-2652-14-25.PubMedCrossRefPubMedCentralGoogle Scholar
  14. Pequegnat W, Bell CC, editors. Family and HIV/AIDS: cultural and contextual issues in prevention and treatment. New York: Springer; 2012.Google Scholar
  15. Poulsen MN, Vandenhoudt H, Wyckoff SC, Obong’o CO, Ochura J, Njika G, Miller KS. Cultural adaptation of a U.S. Evidence-based parenting intervention for rural western Kenya: from parents matter! to families matter! AIDS Educ Prev. 2010;22(4):273–85.PubMedCrossRefGoogle Scholar
  16. Puffer ES, Drabkin AS, Stashko AL, Broverman SA, Ogwang-Odhiambo RA, Sikkema KJ. Orphan status, HIV risk behavior, and mental health among adolescents in rural Kenya. J Pediatr Psychol. 2012;37(8):868–78. doi:10.1093/jpepsy/jss077.PubMedCrossRefPubMedCentralGoogle Scholar
  17. Thurman TR, Brown L, Richter L, Maharaj P, Magnani R. Sexual risk behavior among South African adolescents: is orphan status a factor? AIDS Behav. 2006;10(6):627–35. doi:10.1007/s10461-006-9104-8.PubMedCrossRefGoogle Scholar
  18. Wu Y, Stanton BF, Galbraith J, Kaljee L, Cottrell L, Li X, Burns JM. Sustaining and broadening intervention impact: a longitudinal randomized trial of 3 adolescent risk reduction approaches. Pediatrics. 2003;111(1):e32–8. doi:10.1542/peds.111.1.e32.PubMedCrossRefGoogle Scholar

Authors and Affiliations

  1. 1.Department of Psychology and NeuroscienceDuke UniversityDurhamUSA
  2. 2.Duke Global Health InstituteDuke UniversityDurhamUSA