Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived health
Abstract Background Disclosure of maternal HIV status to children can be beneficial for both mother and children. Few studies have examined factors and moderators of HIV disclosure among mothers living with HIV. Objective The present study examined the association of outcome expectations and perceiv...
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| Language: | English |
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BMC
2025-05-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-025-23042-2 |
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| author | Qian Wang Yinghui Sun Ho Hin Lee Kam Hei Hui Ailing Wang Xiaoyan Wang Xinwei Li Phoenix Kit-Han Mo |
| author_facet | Qian Wang Yinghui Sun Ho Hin Lee Kam Hei Hui Ailing Wang Xiaoyan Wang Xinwei Li Phoenix Kit-Han Mo |
| author_sort | Qian Wang |
| collection | DOAJ |
| description | Abstract Background Disclosure of maternal HIV status to children can be beneficial for both mother and children. Few studies have examined factors and moderators of HIV disclosure among mothers living with HIV. Objective The present study examined the association of outcome expectations and perceived health on intention to disclose maternal HIV status to children, and the moderating role of perceived health among women living with HIV in China. Method A cross-sectional survey was conducted among 269 women with HIV who had at least one living child aged > 5 years and had not yet disclosed their HIV status to their oldest child in China. Results Results from hierarchical regression revealed that after adjusting for significant socio-demographic and medical variables, positive outcome expectations had a positive association and negative outcome expectations had a negative association with intention to disclose HIV. Perceived health had no significant association with intention to disclose HIV. Furthermore, a significant moderation effect of perceived health on positive outcome expectations was found. Further analysis showed that the association of positive outcome expectations and intention to disclose HIV was stronger among women with better perceived health. Conclusion Findings support the importance of outcome expectations, and the need to consider the moderating role of perceived health on HIV disclosure among women living with HIV in China. |
| format | Article |
| id | doaj-art-067c6ec4f07b45cd95c1348d95ff6606 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-067c6ec4f07b45cd95c1348d95ff66062025-08-20T03:47:45ZengBMCBMC Public Health1471-24582025-05-012511910.1186/s12889-025-23042-2Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived healthQian Wang0Yinghui Sun1Ho Hin Lee2Kam Hei Hui3Ailing Wang4Xiaoyan Wang5Xinwei Li6Phoenix Kit-Han Mo7National Center for Women and Children’s Health, NHC, PRC (NCWCH)Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong KongCentre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong KongCentre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong KongNational Center for Women and Children’s Health, NHC, PRC (NCWCH)National Center for Women and Children’s Health, NHC, PRC (NCWCH)National Center for Women and Children’s Health, NHC, PRC (NCWCH)Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong KongAbstract Background Disclosure of maternal HIV status to children can be beneficial for both mother and children. Few studies have examined factors and moderators of HIV disclosure among mothers living with HIV. Objective The present study examined the association of outcome expectations and perceived health on intention to disclose maternal HIV status to children, and the moderating role of perceived health among women living with HIV in China. Method A cross-sectional survey was conducted among 269 women with HIV who had at least one living child aged > 5 years and had not yet disclosed their HIV status to their oldest child in China. Results Results from hierarchical regression revealed that after adjusting for significant socio-demographic and medical variables, positive outcome expectations had a positive association and negative outcome expectations had a negative association with intention to disclose HIV. Perceived health had no significant association with intention to disclose HIV. Furthermore, a significant moderation effect of perceived health on positive outcome expectations was found. Further analysis showed that the association of positive outcome expectations and intention to disclose HIV was stronger among women with better perceived health. Conclusion Findings support the importance of outcome expectations, and the need to consider the moderating role of perceived health on HIV disclosure among women living with HIV in China.https://doi.org/10.1186/s12889-025-23042-2HIV statusDisclosure intentionWomenOutcome expectationsPerceived health |
| spellingShingle | Qian Wang Yinghui Sun Ho Hin Lee Kam Hei Hui Ailing Wang Xiaoyan Wang Xinwei Li Phoenix Kit-Han Mo Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived health BMC Public Health HIV status Disclosure intention Women Outcome expectations Perceived health |
| title | Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived health |
| title_full | Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived health |
| title_fullStr | Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived health |
| title_full_unstemmed | Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived health |
| title_short | Intention to disclose maternal HIV status to children among Chinese mothers: association with outcome expectations and moderation by perceived health |
| title_sort | intention to disclose maternal hiv status to children among chinese mothers association with outcome expectations and moderation by perceived health |
| topic | HIV status Disclosure intention Women Outcome expectations Perceived health |
| url | https://doi.org/10.1186/s12889-025-23042-2 |
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