tailieunhanh - Disclosure to HIV-seropositive children in rural Zambia

Care of children living with HIV comprises various issues, some considered challenging. One of the challenging areas is the serostatus disclosure to HIV-positive children. This study describes the current situation of HIV disclosure among rural children in Zambia and examines the socio-demographic factors promoting disclosure. | Tsuzuki et al. BMC Pediatrics 2018 18 272 https s12887-018-1252-2 RESEARCH ARTICLE Open Access Disclosure to HIV-seropositive children in rural Zambia c h I vx - Tfi 7I 11 1 1 1 I X l zx lrl-xíl - XA - I_I I IAI Ì l 1 i m V SO sl s h r I fh Z X k x h zx r CAi I l-xzx2 3 t I V V Ị xtrxrviA2 A s4 s I s 2 3 Shinya ISUZUKI iNdOKO Ishikawa HiaeKi Miyamoto Christopher Dube Nangana Kayama Janet wataia and Albert Mwango3 4 Abstract Background Care of children living with HIV comprises various issues some considered challenging. One of the challenging areas is the serostatus disclosure to HIV-positive children. This study describes the current situation of HIV disclosure among rural children in Zambia and examines the socio-demographic factors promoting disclosure. Methods We used a mixed method approach applying both quantitative and qualitative methods to obtain comprehensive picture of HIV serostatus disclosure for children. Data were collected in Mumbwa district Zambia 2010-2012 included 57 clinical records of children older than 5 years old. We examined children s age gender and cohabitation status with their parents caregivers level of education and income and the relation between children and caregivers. Logistic regression model was applied to examine associations between disclosure and socio-demographic characteristics. Semi-structured interviews with 50 caregivers and 22 HIV-positive children were conducted to qualitatively investigate attitude towards disclosure and support needed. Results Full disclosure was completed in 17 out of 57 patients. Median ages of patients in disclosed group and non-disclosed group were 10 and 9 respectively IQR . In univariate analyses older age and male gender has positive relation to the completion of serostatus disclosure. In logistic regression models cohabitation status with patients mothers showed positive correlation to the completion of serostatus disclosure. In the interviews with .