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Families - Talking About HIV/AIDS

This information is designed to help families talk with their children and teens about HIV/AIDS.   You may think your children are too young to learn about HIV/AIDS, but people hear many messages about it from the media, friends, and other family members.  Perhaps they even no someone who is HIV positive.  The truth is the only way to help prevent HIV/AIDS among your people is share accurate, age-appropriate information so that they can protect themselves. 

Some Basic Facts about HIV/AIDS

What is HIV?    HIV stands for Human Immunodeficiency Virus.  The virus only lives in humans and attacks the immune system by invading the white blood cells called T-cells.   A person can be infected with HIV and not know it and may not have any symptoms and feel healthy. 


What is AIDS?   AIDS stands for Acquired Immunodeficiency Syndrome.  It is called a syndrome because AIDS is a collection of symptoms, diseases or infections.  AIDS is the diagnosis given to an HIV positive person who has a T-cell count of less than 200 (normally a person with a healthy immune system has T-cell count between 800-1200 T-cell count) or someone who is HIV positive and developed one of the many “opportunistic infections (OI) ”.  These types of infections include rare cases of cancer, pneumonia and others.  On average, it takes more than 10 years for a person infected with HIV to become ill with AIDS. 

How to you get HIV?   Someone who is HIV positive can pass the virus to another person through certain body fluids.  They include blood, semen, vaginal secretions, breast milk and other body fluids containing blood.  Certain behaviors can put people at risk of HIV infection.  The most common ways to transmit the virus are having unprotected sexual intercourse (oral, vaginal, or anal) with someone who is HIV positive;  sharing needles with someone who is HIV positive (sharing drugs, body piercing or tattoo); form an HIV positive mother to her baby before or during birth or after birth through breastfeeding. 

 

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Tips to Help Parents Talk with their Children about HIV/AIDS

Do not wait for your child to ask questions.   Know and practice the messages you want to share with them.  Seek “teachable moments” and opportunities to share your message and values.    Let your child know you are open to talking with them about sexuality issues.  Listen to them.  Provide accurate, age appropriate information (books, pamphlets, and other material).   Find out what your children’s schools are teaching about HIV/AIDS. 

How to Begin Talking with your Children?

Talking with Preschoolers (ages of 3-4):    Children at this age are learning about their bodies.  They begin to ask questions.  They understand simple answers.  The best thing to do is to create an environment where children feel comfortable asking questions about this body, health, and sexuality in discussing in your home.

Talking with young children (ages of 5-8):   Children at this age understand more complex issues about health, disease, and sexuality. They are interested in birth, families, and death.  They may have heard about HIV/AIDS from television, friends, or adults.  The information you provide them should be simple, clear, and age-appropriate language for them.  They may have questions or fears about HIV/AIDS.  They may have heard people get HIV because they are bad.  They understand answers to questions based on concrete examples from their lives.  For example, if your child cuts their finger and blood appears, you have an excellent opportunity to explain how germs (things that make you sick) can get into the blood system from cuts in the body.  If they are in school with a child with HIV, they need to know they will not get HIV/AIDS from playing, studying, or eating with or talking with that child.  They need to know if someone is bleeding they should not touch the blood, they should find an adult to help them.  If they find a needle on the playground, street,or anywhere else, they should not touch it, but find an adult to help. 

 

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Talking with Preteens (age’s nine to 12):  Because of strong social pressures that start at this age, it is important that you talk with your child about HIV/AIDS.   As a concerned parent, you must make certain your child knows about prevention.  During the changes of puberty, preteens are very curious about sex and need basic, accurate information.   They need to know that sex has consequences, including pregnancy, diseases, and HIV infection.  They need to know why sexual intercourse- vaginal, anal or oral- is an adult behavior and why it is a good idea for young people to wait to have sex.  They need to know how HIV is transmitted, and how to prevent transmission, including using condoms.    This may seem like a difficult tack, but it will give you a chance to teach your child the values that you hope they will adopt in their lives.  It is a time to remind children that they can come to you with questions about HIV/AIDS and/or sexuality.

Talking with Teens (ages 13 to 19):    The social pressure to try sex and drugs are often very strong for teens at this age.   It is estimated that over 50% of young people in grades 9 through 12 have had sexual intercourse and it is important for your share your values with your child on sexuality.  Let your teenager and preteen know that the best way to prevent HIV infection is not to engage in any behavior that will put them at risk for infection, including having any type of sexual intercourse, including oral sex; or using any type of drugs.     At the same time, explain if they are sexually active, that they must protect themselves against pregnancy and sexually transmitted diseases (STDs), including HIV.  This is the time when you might consider taking with your teen about the full range of sexual behaviors that people find pleasure but do not involve any exchange of body fluids and lessen the risk of STD/HIV infection and pregnancy.  Examples include hugging, kissing, massage, watching sexy videos, masturbation, French kissing and body rubs.    Abstinence is not having any sexual intercourse and it is the best method for preventing HIV infection, STDs and pregnancy.   Lifelong monogamy with an uninfected and honest partner is an effective way to prevent HIV infection too.  Teenagers who have intercourse should use latex condoms for each and every act of intercourse, including oral, vaginal and anal sex.  Teenagers should avoid all drugs and alcohol because they impair good decision-making and may suppress the immune system.  Sharing needles of any kind puts people at risk for HIV and other infections.  This includes body piercing, tattooing, injecting steroids or other injecting drugs. 

Good Sources for HIV/AIDS Information include:

www.powerkidspress.com or call 888-436-4643 for series of books designed for elementary school children

www.channing-bete.com or call 800-628-7733 for workbooks and pamphlets on HIV/AIDS designed for children of all ages

www.cdc.gov or call for free brochures on HIV/AIDS  (need to put telephone number here)

www.advocatesforyouth.org provides information for parents and young people on sexual health and sexuality education in the US

www.hivinstite.ucsf.edu/In-site from the University of California, San Francisco provides answers to common questions on HIV/AIDS