Knowledge of their children's HIV status in HIV‐positive mothers attending a genitourinary medicine clinic in the UK

Eisenhut, Michael; Sharma, Vinod; Kawsar, M; Balachandran, Thambiah

doi:10.1111/j.1468-1293.2008.00556.x

Cited by 15 publications

(17 citation statements)

References 3 publications

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“…Loss of status and community support and social isolation after confidentiality gaps are among the main reasons given for not testing 9–13 , 16 , 24 , 26 , 27 , 34 , 41 , 42 . This is a particular concern for individuals who need to bring a relative or friend to help with translation 19 .…”

Section: Resultsmentioning

confidence: 99%

HIV testing and counselling for migrant populations living in high-income countries: a systematic review

Arco

Monge

Azcoaga

et al. 2012

European Journal of Public Health

165

197

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Background: The barriers to HIV testing and counselling that migrants encounter can jeopardize proactive HIV testing that relies on the fact that HIV testing must be linked to care. We analyse available evidence on HIV testing and counselling strategies targeting migrants and ethnic minorities in high-income countries. Methods: Systematic literature review of the five main databases of articles in English from Europe, North America and Australia between 2005 and 2009. Results: Of 1034 abstracts, 37 articles were selected. Migrants, mainly from HIV-endemic countries, are at risk of HIV infection and its consequences. The HIV prevalence among migrants is higher than the general population’s, and migrants have higher frequency of delayed HIV diagnosis. For migrants from countries with low HIV prevalence and for ethnic minorities, socio-economic vulnerability puts them at risk of acquiring HIV. Migrants have specific legal and administrative impediments to accessing HIV testing—in some countries, undocumented migrants are not entitled to health care—as well as cultural and linguistic barriers, racism and xenophobia. Migrants and ethnic minorities fear stigma from their communities, yet community acceptance is key for well-being. Conclusions: Migrants and ethnic minorities should be offered HIV testing, but the barriers highlighted in this review may deter programs from achieving the final goal, which is linking migrants and ethnic minorities to HIV clinical care under the public health perspective.

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Section: Resultsmentioning

confidence: 99%

HIV testing and counselling for migrant populations living in high-income countries: a systematic review

Arco

Monge

Azcoaga

et al. 2012

European Journal of Public Health

165

197

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“…Only 39% of children born to HIV‐positive mothers were untested, which is lower than reported in other studies from the UK [5]. Of these, 25% were 18 years of age or younger.…”

Section: Discussionmentioning

confidence: 73%

“…A recent BHIVA audit of 143 UK adult HIV clinics showed that only 61 (43%) had started or completed a review of their patients to identify and test children for HIV infection. In an earlier study of women with HIV infection attending a clinic in south‐east England, 51% of their children under 16 years old living in the UK and 91% living abroad were untested [5]. This study looked at the HIV testing status of children whose mothers attend HIV services at three south‐west London clinics.…”

Section: Introductionmentioning

confidence: 99%

Testing children of mothers with HIV infection: experience in three south‐west London HIV clinics

et al. 2011

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ObjectiveThere are several reported cases of vertically infected children presenting with advanced HIV infection in the UK. The children of women with HIV infection are at increased risk of being infected. There are few data available on the number of such children that are yet to be tested for HIV. This study looked at the HIV testing status of children whose mothers attend HIV services at three south-west London clinics. MethodsCase notes of women attending the clinics from 1 January to 30 June 2009 were reviewed. When data were incomplete, women were prospectively interviewed. ResultsCase notes of 605 women were reviewed; 478 women had 1107 children. The majority of women (386; 81%) were of Black African ethnicity. Sixty-one per cent (675 of 1107) of the children were known to have been tested for HIV. The children resident abroad were more likely to be untested compared with those resident in the UK; 186 of 255 (73%) vs. 246 of 852 (29%). A quarter (106 of 432) of the untested children were 18 years old; 49 (46%) of these were resident in the UK. The most common reason given by the mothers for not testing was a perceived 'unlikely risk'. ConclusionsA significant number of children at risk of vertically transmitted HIV infection, including 49 children 18 years and resident in the UK, were identified through this study. The mothers are being encouraged to have these children tested and a multidisciplinary team involving adult and paediatric HIV healthcare professionals has been set up to negotiate and facilitate testing.

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“…This is not uncommon amongst African parents who live in the UK (Eisenhut et al 2008 ) and particularly for children who live in Africa. This is not uncommon amongst African parents who live in the UK (Eisenhut et al 2008 ) and particularly for children who live in Africa.…”

Section: Supporting Hiv-positive Parentsmentioning

confidence: 99%

Children and Young People Living with HIV/AIDS

Liamputtong¹

2016

Cross-Cultural Research in Health, Illness and Well-Being

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This new series examines determinants of health from a cross-cultural perspective. The focus of this perspective is on factors which could infl uence and determine the health and well-being of people. These factors include biological and genetic factors; health behaviors; socio-cultural and socio-economic factors and environment factors. This series fi lls a gap by including books which are research-based and contain diverse issues relevant to determinants of health including emerging health issues, such as HIV/AIDS and other infectious and non-infectious diseases/illnesses from a cross-cultural perspective. Volumes in the series will be a valuable resource for researchers and students in sociology, quality of life studies, anthropology, medicine, public health, social work and medicine.More information about this series at

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Knowledge of their children's HIV status in HIV‐positive mothers attending a genitourinary medicine clinic in the UK

Cited by 15 publications

References 3 publications

HIV testing and counselling for migrant populations living in high-income countries: a systematic review

HIV testing and counselling for migrant populations living in high-income countries: a systematic review

Testing children of mothers with HIV infection: experience in three south‐west London HIV clinics

Children and Young People Living with HIV/AIDS

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