Fathers and HIV/AIDS: A missing factor in developing interventions but not in the lives of their children

Abstract

This chapter provides an overview of three perspectives on fatherhood in relation to HIV prevention and treatment: an ecological approach, father identity, and father involvement. Next, four distinct subgroups are highlighted: (1) HIV-negative fathers, (2) gay and bisexual fathers, (3) incarcerated fathers, and (4) homeless fathers. An intervention study for fathers and their children, Responsible, Empowered, Aware, Living (REAL) Men is presented to illustrate the importance of fathers as effective educators on HIV prevention and sexuality for their sons. Race and culture are discussed as key factors to consider as we move forward in understanding the role of fathers in relations to HIV/AIDS. The discussion concludes with recommendations for future directions.