The Emotional and Educational Functioning of Children Living with Maternal HIV/AIDS and Substance Use

The rates of HIV infection among women in the U.S. have risen dramatically in the past decades, affecting not only women as individuals, but also women as mothers and caregivers. Waning maternal physical and psychological resources, coupled with poverty and possible familial substance use, place children of HIV-infected women at behavioral and developmental risk. This study compared the emotional and educational functioning of HIV-uninfected children, 6–15 years of age, living with an HIV-infected mother who used substances to a comparison group of children living with maternal substance use only. Results indicate that children whose mothers are HIV-infected and use substances have poorer emotional functioning when their mother experiences HIV-related symptoms compared to the comparison group. Paradoxically, results also indicated that target group children were significantly less likely to be rated as disruptive during the interview than the control group children. Implications for practice are discussed.Cynthia Devane Fair, Associate Professor is affiliated with Department of Human Services, Elon University, USA