A cross-sectional study of disclosure of HIV status to children and adolescents in Western Kenya

Rachel Vreeman, Michael L. Scanlon, Ann Mwangi, Matthew Turissini, Samuel O. Ayaya, Constance Tenge, Winstone M. Nyandiko

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36 Citations (Scopus)

Abstract

Introduction: Disclosure of HIV status to children is essential for disease management but is not well characterized in resource-limited settings. This study aimed to describe the prevalence of disclosure and associated factors among a cohort of HIV-infected children and adolescents in Kenya. Methods: We conducted a cross-sectional study, randomly sampling HIV-infected children ages 6-14 years attending 4 HIV clinics in western Kenya. Data were collected from questionnaires administered by clinicians to children and their caregivers, supplemented with chart review. Descriptive statistics and disclosure prevalence were calculated. Univariate analyses and multivariate logistic regression were performed to assess the association between disclosure and key child-level demographic, clinical and psychosocial characteristics. Results: Among 792 caregiver-child dyads, mean age of the children was 9.7 years (SD = 2.6) and 51% were female. Prevalence of disclosure was 26% and varied significantly by age; while 62% of 14-year-olds knew their status, only 42% of 11-year-olds and 21% of 8-year-olds knew. In multivariate regression, older age (OR 1.49, 95%CI 1.35-1.63), taking antiretroviral drugs (OR 2.27, 95%CI 1.29-3.97), and caregiver-reported depression symptoms (OR 2.63, 95%CI 1.12-6.20) were significantly associated with knowing one's status. Treatment site was associated with disclosure for children attending one of the rural clinics compared to the urban clinic (OR 3.44, 95%CI 1.75-6.76). Conclusions: Few HIV-infected children in Kenya know their HIV status. The likelihood of disclosure is associated with clinical and psychosocial factors. More data are needed on the process of disclosure and its impact on children.

Original languageEnglish
Article numbere86616
JournalPLoS One
Volume9
Issue number1
DOIs
StatePublished - Jan 27 2014

Fingerprint

Kenya
Disclosure
cross-sectional studies
Logistics
Cross-Sectional Studies
Statistics
HIV
Sampling
Pharmaceutical Preparations
caregivers
Caregivers
psychosocial factors
Disease Management
disease control
demographic statistics
Multivariate Analysis
questionnaires
statistics
Logistic Models
Demography

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Vreeman, R., 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]. https://doi.org/10.1371/journal.pone.0086616

A cross-sectional study of disclosure of HIV status to children and adolescents in Western Kenya. / Vreeman, Rachel; Scanlon, Michael L.; Mwangi, Ann; Turissini, Matthew; Ayaya, Samuel O.; Tenge, Constance; Nyandiko, Winstone M.

In: PLoS One, Vol. 9, No. 1, e86616, 27.01.2014.

Research output: Contribution to journalArticle

Vreeman, R, Scanlon, ML, Mwangi, A, Turissini, M, Ayaya, SO, Tenge, C & Nyandiko, WM 2014, 'A cross-sectional study of disclosure of HIV status to children and adolescents in Western Kenya', PLoS One, vol. 9, no. 1, e86616. https://doi.org/10.1371/journal.pone.0086616
Vreeman R, Scanlon ML, Mwangi A, Turissini M, Ayaya SO, Tenge C et al. A cross-sectional study of disclosure of HIV status to children and adolescents in Western Kenya. PLoS One. 2014 Jan 27;9(1). e86616. https://doi.org/10.1371/journal.pone.0086616
Vreeman, Rachel ; Scanlon, Michael L. ; Mwangi, Ann ; Turissini, Matthew ; Ayaya, Samuel O. ; Tenge, Constance ; Nyandiko, Winstone M. / A cross-sectional study of disclosure of HIV status to children and adolescents in Western Kenya. In: PLoS One. 2014 ; Vol. 9, No. 1.
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