THE ROLE OF THE FAMILY SYSTEM IN HIV RISK REDUCTION - YOUTHS WITH HEMOPHILIA AND HIV-INFECTION AND THEIR PARENTS

Objective. To examine the relationship between family communication an d HIV risk reduction behaviors among a multisite sample of 125 male yo uths (ages 12-25) with hemophilia and HIV-infection, as well as their parents. Methods: Participants completed self-report surveys assessing communication and attitudes regarding HIV risk reduction intervention s; adolescents also provided data about their sexual behaviors. Result s: Adolescents with parents who discuss sexual issues were more likely to report HIV status disclosure to sexual partners. Most parents were supportive of HBV risk reduction interventions for their adolescents, but the youths themselves tended to endorse only interventions that o ffered opportunities for recreational activities and socialization wit h peers. Conclusions: Findings are discussed in terms of intervention implications and the need for family systems-based programs.