Custody plans among parents living with human immunodeficiency virus infection

Arch Pediatr Adolesc Med. 2004 Apr;158(4):327-32. doi: 10.1001/archpedi.158.4.327.


Objectives: To describe and to examine predictors of making custody plans by parents living with the human immunodeficiency virus (HIV) infection.

Interventions: The custody plans of 296 parents living with HIV for 708 children were examined over 5 years, with at least 85% reassessed annually.

Results: Over time, increasing numbers of parents living with HIV made custody plans for all of their children (23.8%-52.8%), typically with extended family members. However, parents change plans frequently, and 44.8% of parents living with HIV died without custody plans. Custody planning was less likely in families with only adolescent children, when parents had a partner, or when parents were depressed. Parents' disclosure of HIV status, physical health status, substance use, and ethnicity were unrelated to making custody plans.

Conclusion: Custody planning is a slow and unstable process in families affected by HIV.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Age Distribution
  • Age Factors
  • Child
  • Child Custody / legislation & jurisprudence
  • Child Custody / statistics & numerical data*
  • Child, Preschool
  • Depression / epidemiology
  • Family Characteristics
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / psychology
  • Humans
  • Male
  • Multivariate Analysis
  • New York / epidemiology
  • Parent-Child Relations*
  • Proportional Hazards Models
  • Registries
  • Time Factors
  • Wills / statistics & numerical data