Factors Associated with HIV Status Disclosure and Its Effect on Treatment Adherence and Quality of Life among Children 6–17 Years on Antiretroviral Therapy in Southern Highlands Zone, Tanzania: Unmatched Case Control Study

Bulali, Regina Edward; Kibusi, Stephen M.; Mpondo, Bonaventura C. T.

doi:10.1155/2018/8058291

Cited by 25 publications

(30 citation statements)

References 24 publications

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“…Findings showed that the rate of full disclosure of status to children living with HIV is still low in Ghana. Although this rate of disclosure is considered to be low, it is slightly higher compared to those reported in Kenya [ 31 ], the Dominican Republic [ 29 ], Zimbabwe [ 32 ], and earlier figures reported in Ghana [ 15 ]. The low rate of disclosure of HIV status could be attributed to the fact that the majority of the children who participated in this study were younger, and it has been established that older children and adolescents are more likely to have their HIV status disclosed to them than younger children [ 15 , 33 , 34 ].…”

Section: Discussionmentioning

confidence: 57%

Disclosure and health-related outcomes among children living with HIV and their caregivers

2021

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Background The prevalence of disclosure of status to children living with the Human Immunodeficiency Virus (HIV) is low in most sub-Saharan African countries, leading to poor compliance and adverse psychological outcomes in these children. This study examined the influence of disclosure on health outcomes in children living with HIV and their caregivers. Methods Using a cross-sectional design, 155 HIV-positive children between age 6–15 years and their caregivers were administered standardized questionnaires measuring adherence to medication, children's psychological well-being, caregiver burden, and caregivers’ psychological health. Results Results indicated that only 33.5% of the children sampled knew their status. Disclosure of HIV status was significantly related to medication adherence, psychological wellbeing, the burden of caregiving, and the length of the disclosure. A child’s age and level of education were the only demographic variables that significantly predicted disclosure of HIV status. In a hierarchical analysis, after controlling for all demographic variables medication adherence, psychological well-being and burden of caregiving were found to be significant predictors of disclosure of status in children living with HIV. Conclusions Findings suggest the need for disclosure of status among children living with HIV for a positive impact on their medication adherence and psychological health. These findings underscore the need for the development of context-specific interventions that will guide and encourage disclosure of status by caregivers to children living with HIV.

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Section: Discussionmentioning

confidence: 57%

Disclosure and health-related outcomes among children living with HIV and their caregivers

2021

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“…This study is supported by studies conducted in Bale, Gondar, Nigeria, South Africa, Tanzania, and Zimbabwe. 13 , 14 , 21–23 , 25 …”

Section: Discussionmentioning

confidence: 99%

Disclosure Status and Associated Factors Among Children on Antiretroviral Therapy in Ethiopia

Tucho¹,

Tekelehaimanot²,

Habte³

2021

PHMT

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Background The World Health Organization recommends that children should be informed of their HIV status at age 6–12 years. However, disclosure of HIV status among children is very low in resource-limited areas, particularly in Ethiopia. So, the aim of this study was to determine the prevalence of disclosure and associated factors among a cohort of HIV-infected children in southwest Ethiopia. Methods A facility-based cross-sectional study design was employed among caregivers of HIV-positive children aged 6–15 in Bench sheko and West Omo zone Southwest Ethiopia, from March 1 to April 20, 2020. Study participants were included using a consecutive sampling technique. Data were collected using a pretested interviewer administered questionnaire and checklist. A multivariable logistic regressions model was used to identify independent predictors of disclosure. The significance of association was declared by AOR at 95% confidence and a p -value <0.05. Results A total of 327 participants were involved in the study yielding a 95% response rate. The prevalence of HIV-positive status disclosure was 45.6% (95% CI=41.01–51.02). Caregiver secondary education and above (AOR=3.16, 95% CI=1.07–9.34), caregiver discussed about disclosure with health professionals (AOR= 9.56, 95% CI=4.88–18.74), child age 10–15 year old (AOR=3.64, 95% CI=1.64–8.08), duration on ART >5 years (AOR=5.08, 95% CI=1.57–16.37), treatment follow-up at hospital (AOR=2.23, 95% CI=1.27–5.01) and having treatment support for Children (AOR=3.84, 95% CI=1.88–7.85) were independent predictors of HIV-positive status disclosure. Conclusion Disclosure of HIV status to children is low. Caregivers educational status, caregivers discussion with health professional, older child, duration on ART of more than 5 year, getting treatment service from hospital, and having a treatment support group are factors that enable disclosure. Therefore, concerted efforts based on the findings of this study will be required to improve the disclosure status among HIV-positive children.

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“…In SSA, HRQoL studies have mostly been conducted among clients who access ART in clinical settings [24,[26][27][28]. Differentiated service delivery (DSD) is a patientcentered approach which offer virally suppressed PLHIV alternative models of HIV care both within clinic (e.g.…”

Section: Introductionmentioning

confidence: 99%

Beyond viral suppression: Quality of life among stable ART clients in a differentiated service delivery intervention in Tanzania

Okere

Censi

Machibya³

et al. 2021

Qual Life Res

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Background With antiretroviral therapy, more people living with HIV (PLHIV) in resource-limited settings are virally suppressed and living longer. WHO recommends differentiated service delivery (DSD) as an alternative, less resource-demanding way of expanding HIV services access. Monitoring client’s health-related quality of life (HRQoL) is necessary to understand patients’ perceptions of treatment and services but is understudied in sub-Saharan Africa. We assessed HRQoL among ART clients in Tanzania accessing two service models. Methods Cross-sectional survey from May–August 2019 among stable ART clients randomly sampled from clinics and clubs in the Shinyanga region providing DSD and clinic-based care. HRQoL data were collected using a validated HIV-specific instrument—Functional Assessment of HIV infection (FAHI), in addition to socio-demographic, HIV care, and service accessibility data. Descriptive analysis of HRQoL, logistic regression and a stepwise multiple linear regression were performed to examine HRQoL determinants. Results 629 participants were enrolled, of which 40% accessed DSD. Similar HRQoL scores [mean (SD), p-value]; FAHI total [152.2 (22.2) vs 153.8 (20.6), p 0.687] were observed among DSD and clinic-based care participants. Accessibility factors contributed more to emotional wellbeing among DSD participants compared to the clinic-based care participants (53.4% vs 18.5%, p = < 0.001). Satisfactory (> 80% of maximum score) HRQoL scoring was associated with (OR [95% CI], p-value) being male (2.59 [1.36–4.92], p 0.004) among clinic participants and with urban residence (4.72 [1.70–13.1], p 0.001) among DSD participants. Conclusions Similar HRQoL was observed in DSD and clinic-based care. Our research highlights focus areas to identify supporting interventions, ultimately optimizing HRQoL among PLHIV.

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Factors Associated with HIV Status Disclosure and Its Effect on Treatment Adherence and Quality of Life among Children 6–17 Years on Antiretroviral Therapy in Southern Highlands Zone, Tanzania: Unmatched Case Control Study

Cited by 25 publications

References 24 publications

Disclosure and health-related outcomes among children living with HIV and their caregivers

Disclosure and health-related outcomes among children living with HIV and their caregivers

Disclosure Status and Associated Factors Among Children on Antiretroviral Therapy in Ethiopia

Beyond viral suppression: Quality of life among stable ART clients in a differentiated service delivery intervention in Tanzania

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