Disclosure of Paediatric HIV Status to Infected Children and Significant Others: Impact and Psychosocial outcomes
Gako-hitzak:
disclosure, HIV, significant others, children, psychosocial impactLaburpena
There is limited data on disclosure of Paediatric HIV to significant others in the social network of children which may impact on their care. This study determined the prevalence of disclosure of Paediatric HIV to infected children and others as well as their impact on the children. It took place at the Paediatric Infectious Disease Clinic of the University College Hospital, Ibadan. Caregivers of HIV positive school aged children were interviewed using a semi-structured questionnaire and the Parent version of the Strength and Difficulties Questionnaire. Data was analysed using IBM SPSS Statistics version 20.0. A total of 200 children were studied with a male: female ratio of 1.3:1 and ages ranging from 6-17 years. Disclosure of HIV status had been done to 54 (27%) of the 200 children. Disclosure was not associated with a significant difference in psychological functioning or adherence to ART. Disclosure had been made to extended family members in 128 (64%) of the 200 patients, to the children’s siblings in 33 (21.4 %) of the 154 who had siblings, to the family spiritual leaders in 28 (14%) of the 200 families and to the children’s teachers in 3 (1.5%) of 197 cases in school. In response to disclosure, all the siblings, teachers and spiritual leaders encouraged the families and expressed willingness to support but this was so for only 108 (84.4%) of the 128 extended family members. Major forms of support given were financial, medication reminder, emotional support and prayers. Negative outcomes included stigmatization and HIV related parental separation. There is need for health workers to promote disclosure to significant others and provide support for families who get abandoned by relations following disclosure
Erreferentziak
Adefalu, M. O., Florence, M., Ayinmode, T., Issa, B. A., & Adefalu, A. A. (2016). Does Disclosure of HIV/AIDS Status to Children with HIV/AIDS Affect their Mental Health? J. Psychiatry, 20(1), 1–5.
Akpa, O. M., Bamgboye, E. A., & Baiyewu, O. (2015). The Adolescents’ Psychosocial Functioning Inventory (APFI): scale development and initial validation using Exploratory and Confirmatory Factor Analysis. Afr. J. Psychol. Study Soc. Issues 18(1), 1–21.
Arrivé, E., Dicko, F., Amghar, H., Aka, A. E., Dior, H., Bouah, B., et al for Pediatric IeDEA West Africa Working Group. (2012). HIV status disclosure and retention in care in HIV-infected adolescents on antiretroviral therapy (ART) in West Africa. PloS One, 7(3), e33690.
Battles, H. B., & Wiener, L. S. (2002). From adolescence through young adulthood: Psychosocial adjustment associated with long-term survival of HIV. J. Adolesc Health, 30(3), 161–168.
Bikaako-Kajura, W., Luyirika, E., Purcell, D. W., Downing, J., Kaharuza, F., Mermin, J., et al. (2006). Disclosure of HIV Status and Adherence to Daily Drug Regimens Among HIV-infected Children in Uganda. AIDS Behav. 10(S1), 85–93.
Binagwaho, A., Murekatete, I., Rukundo, A., Mugwaneza, P., Hinda, R., Lyambabaje, A., et al. (2012). Factors Associated with Disclosure of HIV Status Among HIV-Positive Children in Rwanda. Rwanda Med. J. 69(3), 9-15.
Brown, B. J., Oladokun, R. E., Osinusi, K., Ochigbo, S., Adewole, I. F., & Kanki, P. (2011). Disclosure of HIV status to infected children in a Nigerian HIV Care Programme. AIDS Care, 23(9), 1053–1058.
Dickey, W. C., & Blumberg, S. J. (2004). Revisiting the Factor Structure of the Strengths and Difficulties Questionnaire: United States, 2001. J. Am. Acad. Child Adolesc. Psychiatry, 43(9), 1159–1167.
Doku, P. (2009). Parental HIV/AIDS status and death, and children’s psychological wellbeing. Inter. J. Ment. Health Syst. 3(1), 26.
Giannakopoulos, G., Tzavara, C., Dimitrakaki, C., Kolaitis, G., Rotsika, V., & Tountas, Y. (2009). The factor structure of the Strengths and Difficulties Questionnaire (SDQ) in Greek adolescents. Ann. Gen. Psychiatry, 8, 20.
Goodman, R. (1997). The Strengths and Difficulties Questionnaire: a research note. J. Child Psychol. Psychiatry, 38(5), 581–586.
Gyamfi, E., Okyere, P., Enoch, A., & Appiah-Brempong, E. (2017). Prevalence of, and barriers to the disclosure of HIV status to infected children and adolescents in a district of Ghana. BMC Int. Health Hum Rights, 17(8).
Haberer, J. E., Cook, A., Walker, A. S., Ngambi, M., Ferrier, A., Mulenga, V., et al. (2011). Excellent adherence to antiretrovirals in HIV+ Zambian children is compromised by disrupted routine, HIV nondisclosure, and paradoxical income effects. PloS One, 6(4), e18505.
Kalembo, F. W., Kendall, G. E., Ali, M., & Chimwaza, A. F. (2019). Prevalence and factors associated with emotional and behavioural difficulties among children living with HIV in Malawi: a cross-sectional study. BMC Psychiatry, 19(1), 60.
Atuyambe, L. M., Ssegujja, E., Ssali, S., Tumwine, C., Nekesa, N., Nannungi, A., et al. (2014). HIV/AIDS status disclosure increases support, behavioural change and, HIV prevention in the long term: a case for an Urban Clinic, Kampala, Uganda. BMC Health Serv Res. 14, 276.
Nichols, J., Steinmetz, A., & Paintsil, E. (2017). Impact of HIV-Status Disclosure on Adherence to Antiretroviral Therapy Among HIV-Infected Children in Resource-Limited Settings: A Systematic Review. AIDS Behav. 21(1), 59–69.
Nzota, M. S., Matovu, J. K., Draper, H. R., Kisa, R., & Kiwanuka, S. N. (2015). Determinants and processes of HIV status disclosure to HIV - infected children aged 4 to 17 years receiving HIV care services at Baylor College of Medicine Children’s Foundation Tanzania, Centre of Excellence (COE) in Mbeya: a cross-sectional study. BMC Pediatr. 15(1), 81.
Oyedeji, G. (1985). Socio-economic and Cultural Background of Hospitalised Children in Ilesha. Niger J Paediatr, 12(4), 111–117.
Pinzon-Iregui, M. C., Beck-Sague, C. M., & Malow, R. M. (2013). Disclosure of Their HIV Status to Infected Children: A Review of the Literature. J. Trop Pediatr. 59(2), 84–89.
Tadesse, B. T., Foster, B. A., & Berhan, Y. (2015). Cross Sectional Characterization of Factors Associated with Pediatric HIV Status Disclosure in Southern Ethiopia. PLOS ONE, 10(7). e0132691.
Ugwu, R., & Eneh, A. (2013). Factors influencing adherence to paediatric antiretroviral therapy in Port Harcourt, South- South Nigeria. Pan Afr Med. J. 16, 30.
United Nations Children’s Fund (UNICEF). (2018). Global and regional trends: the challenge. Retrieved April 25, 2019, from https://data.unicef.org/topic/hivaids/global-regional-trends/
Vreeman, R. C., Nyandiko, W. M., Ayaya, S. O., Walumbe, E. G., Marrero, D. G., & Inui, T. S. (2009). Factors Sustaining Pediatric Adherence to Antiretroviral Therapy in Western Kenya. Qual. Health Res. 19(12), 1716–1729.
Vreeman, R. C., Nyandiko, W. M., Ayaya, S. O., Walumbe, E. G., Marrero, D. G., & Inui, T. S. (2010). The perceived impact of disclosure of pediatric HIV status on pediatric antiretroviral therapy adherence, child well-being, and social relationships in a resource-limited setting. AIDS Patient Care STDs, 24(10), 639–649.
Vreeman, R. C., Scanlon, M. L., Mwangi, A., Turissini, M., Ayaya, S. O., Tenge, C., & Nyandiko, W. M. (2014). A Cross-Sectional Study of Disclosure of HIV Status to Children and Adolescents in Western Kenya. PLoS ONE, 9(1), e86616.
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