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Disclosure to South African children about their own HIV status over time.

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Title: Disclosure to South African children about their own HIV status over time.
Authors: Wu, Melody, Shiau, Stephanie, Strehlau, Renate, Liberty, Afaaf, Patel, Faeezah, Burke, Megan, Murnane, Pamela M., Violari, Avy, Yin, Michael T., Abrams, Elaine J., Kuhn, Louise, Arpadi, Stephen
Source: AIDS Care. Mar2023, Vol. 35 Issue 3, p334-340. 7p. 3 Charts, 1 Graph.
Subjects: Disclosure, HIV infections, Caregiver attitudes, Confidence intervals, Health status indicators, Disease incidence, Kaplan-Meier estimator, Drugs, Research funding, Patient compliance, Proportional hazards models, Longitudinal method, Psychology of HIV-positive persons
Geographic Terms: South Africa
Abstract: Disclosure to children living with HIV (CLHIV) about their own status is associated with positive outcomes such as treatment adherence, but prior cross-sectional studies in sub-Saharan Africa report disclosure rates of <50%. This study aims to assess pediatric disclosure over time. 548 CLHIV were followed from 2/2013–4/2018 in Johannesburg, South Africa. Cumulative incidence of disclosure was calculated with Kaplan-Meier analysis, and disclosure characteristics assessed with a Cox model. By end of follow-up, cumulative disclosure was 70.3% (95% confidence interval: 60.0–79.9). Median age at disclosure was 9 years (range: 3–13). Baseline predictors of disclosure included older child age and the child having a history of going hungry. Prior to disclosure, 98.0% of caregivers who disclosed had conversed with their child about their illness or an HIV-related topic, or their child had asked about HIV, versus 88.6% of caregivers who never disclosed. While many children did not receive disclosure during this relatively large, longitudinal study of South African CLHIV, caregivers who had not yet disclosed may have been preparing to do so by discussing their child's health or HIV generally with their child. This highlights the need for clinicians to consistently support caregivers throughout the incremental disclosure process. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Disclosure to South African children about their own HIV status over time.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wu%2C+Melody%22&quot;&gt;Wu, Melody&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shiau%2C+Stephanie%22&quot;&gt;Shiau, Stephanie&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Strehlau%2C+Renate%22&quot;&gt;Strehlau, Renate&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Liberty%2C+Afaaf%22&quot;&gt;Liberty, Afaaf&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Patel%2C+Faeezah%22&quot;&gt;Patel, Faeezah&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Burke%2C+Megan%22&quot;&gt;Burke, Megan&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Murnane%2C+Pamela+M%2E%22&quot;&gt;Murnane, Pamela M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Violari%2C+Avy%22&quot;&gt;Violari, Avy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yin%2C+Michael+T%2E%22&quot;&gt;Yin, Michael T.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Abrams%2C+Elaine+J%2E%22&quot;&gt;Abrams, Elaine J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kuhn%2C+Louise%22&quot;&gt;Kuhn, Louise&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Arpadi%2C+Stephen%22&quot;&gt;Arpadi, Stephen&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Mar2023, Vol. 35 Issue 3, p334-340. 7p. 3 Charts, 1 Graph.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Disclosure%22&quot;&gt;Disclosure&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22HIV+infections%22&quot;&gt;HIV infections&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Caregiver+attitudes%22&quot;&gt;Caregiver attitudes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Confidence+intervals%22&quot;&gt;Confidence intervals&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+status+indicators%22&quot;&gt;Health status indicators&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Disease+incidence%22&quot;&gt;Disease incidence&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Kaplan-Meier+estimator%22&quot;&gt;Kaplan-Meier estimator&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Drugs%22&quot;&gt;Drugs&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+funding%22&quot;&gt;Research funding&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+compliance%22&quot;&gt;Patient compliance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Proportional+hazards+models%22&quot;&gt;Proportional hazards models&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Longitudinal+method%22&quot;&gt;Longitudinal method&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychology+of+HIV-positive+persons%22&quot;&gt;Psychology of HIV-positive persons&lt;/searchLink&gt;
– Name: SubjectGeographic
  Label: Geographic Terms
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22South+Africa%22&quot;&gt;South Africa&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
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  Data: Disclosure to children living with HIV (CLHIV) about their own status is associated with positive outcomes such as treatment adherence, but prior cross-sectional studies in sub-Saharan Africa report disclosure rates of &lt;50%. This study aims to assess pediatric disclosure over time. 548 CLHIV were followed from 2/2013–4/2018 in Johannesburg, South Africa. Cumulative incidence of disclosure was calculated with Kaplan-Meier analysis, and disclosure characteristics assessed with a Cox model. By end of follow-up, cumulative disclosure was 70.3% (95% confidence interval: 60.0–79.9). Median age at disclosure was 9 years (range: 3–13). Baseline predictors of disclosure included older child age and the child having a history of going hungry. Prior to disclosure, 98.0% of caregivers who disclosed had conversed with their child about their illness or an HIV-related topic, or their child had asked about HIV, versus 88.6% of caregivers who never disclosed. While many children did not receive disclosure during this relatively large, longitudinal study of South African CLHIV, caregivers who had not yet disclosed may have been preparing to do so by discussing their child&#39;s health or HIV generally with their child. This highlights the need for clinicians to consistently support caregivers throughout the incremental disclosure process. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=162805435
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2021.2017397
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 334
    Subjects:
      – SubjectFull: Disclosure
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Caregiver attitudes
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Disease incidence
        Type: general
      – SubjectFull: Kaplan-Meier estimator
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Proportional hazards models
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: South Africa
        Type: general
    Titles:
      – TitleFull: Disclosure to South African children about their own HIV status over time.
        Type: main
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            NameFull: Wu, Melody
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            NameFull: Shiau, Stephanie
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            NameFull: Abrams, Elaine J.
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            – D: 01
              M: 03
              Text: Mar2023
              Type: published
              Y: 2023
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