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Characteristics of HIV-infected adolescents enrolled in a disclosure intervention trial in western Kenya.
- Source :
- AIDS Care; Dec2015 Supplement, Vol. 27, p6-17, 12p, 4 Charts
- Publication Year :
- 2015
-
Abstract
- Knowledge of one’s own HIV status is essential for long-term disease management, but there are few data on how disclosure of HIV status to infected children and adolescents in sub-Saharan Africa is associated with clinical and psychosocial health outcomes. We conducted a detailed baseline assessment of the disclosure status, medication adherence, HIV stigma, depression, emotional and behavioral difficulties, and quality of life among a cohort of Kenyan children enrolled in an intervention study to promote disclosure of HIV status. Among 285 caregiver–child dyads enrolled in the study, children’s mean age was 12.3 years. Caregivers were more likely to report that the child knew his/her diagnosis (41%) compared to self-reported disclosure by children (31%). Caregivers of disclosed children reported significantly more positive views about disclosure compared to caregivers of non-disclosed children, who expressed fears of disclosure related to the child being too young to understand (75%), potential psychological trauma for the child (64%), and stigma and discrimination if the child told others (56%). Overall, the vast majority of children scored within normal ranges on screenings for behavioral and emotional difficulties, depression, and quality of life, and did not differ by whether or not the child knew his/her HIV status. A number of factors were associated with a child’s knowledge of his/her HIV diagnosis in multivariate regression, including older age (OR 1.8, 95% CI 1.5–2.1), better WHO disease stage (OR 2.5, 95% CI 1.4–4.4), and fewer reported caregiver-level adherence barriers (OR 1.9, 95% CI 1.1–3.4). While a minority of children in this cohort knew their HIV status and caregivers reported significant barriers to disclosure including fears about negative emotional impacts, we found that disclosure was not associated with worse psychosocial outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of HIV infections
CONFIDENCE intervals
STATISTICAL correlation
DEMOGRAPHY
HIV infections
LONGITUDINAL method
MEDICAL cooperation
MULTIVARIATE analysis
QUESTIONNAIRES
REGRESSION analysis
RELIABILITY (Personality trait)
RESEARCH
RESEARCH evaluation
RESEARCH funding
STATISTICAL sampling
CROSS-sectional method
HEALTH literacy
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 27
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 111289159
- Full Text :
- https://doi.org/10.1080/09540121.2015.1026307