HIV Positivity Disclosure Among Children Living with HIV/AIDS and Currently on HAART in Dessie, Northeast Ethiopia.

IF 1.5 Q4 INFECTIOUS DISEASES
HIV AIDS-Research and Palliative Care Pub Date : 2022-10-07 eCollection Date: 2022-01-01 DOI:10.2147/HIV.S356507
Muluken Genetu Chanie, Abenezer Abebe, Amare Muche, Nigusu Worku
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Abstract

Background: Disclosure of HIV/AIDS positive test result to children is a continuing routine problem in the health care setting. Some of the families as well as the health care workers are negligent to inform children of their HIV status. This study was aimed at identifying the prevalence of HIV-positivity disclosure and the factors among 6-15-year-old children currently on HAART in Dessie, Ethiopia.

Methods: A facility based cross-sectional study design was performed in Dessie from January 21 to March 12, 2020 among 346 parents/caregivers with children living with HIV and currently on HAART. The data were collected using pre-tested, structured and self-administered questionnaires. The collected data were entered into Epi info v.7.1 and exported into SPSS version 23 for further analysis. Binary and multivariable logistic regression was employed and statistically significant factors were identified at 95% CI and at p-value <0.05.

Results: HIV positivity disclosure was found to be 29.2% (26.3-34.7%). Being widowed mothers/caregivers, 11-15-year-old children, child received support from NGOs and having a mother with a negative HIV test were found to be statistically significant factors for disclosure.

Conclusion: The overall HIV positivity disclosure to children living with HIV was found to be low in contrast to the WHO standard. In other ways, it was comparable with the Ethiopian figures. Health workers and managers need to focus on strengthening child support, make known the maternal/caregivers' HIV status, and child age specific effective interventions to improve disclosure of HIV positivity status for children living with HIV for better ART adherence and treatment outcomes.

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在埃塞俄比亚东北部的德西,感染艾滋病毒/艾滋病并目前正在接受HAART治疗的儿童的艾滋病毒阳性情况披露。
背景:向儿童披露艾滋病毒/艾滋病阳性检测结果是卫生保健机构持续存在的常规问题。一些家庭和卫生保健工作者在告知儿童他们的艾滋病毒状况方面疏忽了。本研究旨在确定埃塞俄比亚Dessie目前正在接受HAART治疗的6-15岁儿童中艾滋病毒阳性信息披露的流行程度及其影响因素。方法:2020年1月21日至3月12日,在Dessie对346名携带艾滋病毒且目前正在接受HAART治疗的儿童的父母/照顾者进行了一项基于设施的横断面研究设计。数据是通过预先测试、结构化和自我管理的问卷收集的。收集到的数据输入Epi info v.7.1,导出到SPSS version 23进行进一步分析。采用二变量和多变量logistic回归,在95% CI和p值下发现具有统计学意义的因素。结果:HIV阳性信息披露率为29.2%(26.3-34.7%)。丧偶母亲/照顾者、11-15岁儿童、儿童获得非政府组织支持以及母亲艾滋病毒检测呈阴性是统计上显著的披露因素。结论:与世界卫生组织标准相比,感染艾滋病毒儿童的总体艾滋病毒阳性信息披露率较低。在其他方面,它与埃塞俄比亚的数字是可以比较的。卫生工作者和管理人员需要重点加强对儿童的支持,使人们了解产妇/照料者的艾滋病毒状况,以及针对儿童年龄的有效干预措施,以改善艾滋病毒感染儿童艾滋病毒阳性状况的披露,从而提高抗逆转录病毒治疗的依从性和治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
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