Cross Sectional Characterization of Factors Associated with Pediatric HIV Status Disclosure in Southern EthiopiaReportar como inadecuado




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Background

Disclosure of HIV positive status to children and adolescents is a complex process. However, disclosure has been found to be associated with improved outcomes. The objective of the current study was to identify the predictors that facilitate disclosure of HIV status to children and adolescents and to study the reasons for non-disclosure.

Methods

Interviews of caregivers and reviews of records were done to collect data on caregiver and child information and details regarding the disclosure status of children. Bivariate analysis was done to test the association between HIV status disclosure and different caregiver and child factors. To identify the independent predictors of disclosure, we did multivariable logistic regression.

Results

A total of 177 children attending an HIV clinic were included. The mean age of the participants was 10.1 years SD = 2.8, and about half 50.8% were female. Most caregivers, 137 77.8% stated that disclosure of HIV status to children is important and should be done. However, disclosure had only been made to 59 33.3% of the participants. Child age more than 10 years AOR = 6.7; 95%CI: 1.73–26.01, duration of HIV diagnosis of 5 years or more AOR = 4.4; 95%CI: 1.26–15.06 and taking a zidovudin AZT based regimen AOR = 3.5; 95%CI: 1.31–9.53 predicted HIV positive status disclosure. Additionally, length of treatment of caregivers of more than 14 years AOR = 3.9; 95%CI: 1.07–14.61, disclosure of caregiver’s HIV status to children and-or others AOR = 4.7; 95%CI: 1.19–18.74, and the child’s inquiry about their condition AOR = 4.5; 95%CI: 1.16–17.43 increased the odds of disclosure.

Conclusion

The rate of disclosure among HIV infected children in southern Ethiopia is low. Primarily time-based factors were associated with the probability of HIV positive status disclosure and a specific regimen which has not been found previously. Further qualitative research may elucidate more on these factors; educational strategies may address some of these determinants.



Autor: Birkneh Tilahun Tadesse, Byron Alexander Foster , Yifru Berhan

Fuente: http://plos.srce.hr/



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