Communication of HIV diagnosis in proper time: scoping review

Cremonese, Luiza; Padoin, Stela Maris de Mello; Paula, Cristiane Cardoso de

doi:10.1590/1980-220x-reeusp-2021-0153

Cited by 2 publications

(1 citation statement)

References 66 publications

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“…The disclosure procedure, however, generates negative emotions and stigma among healthcare professionals, parents, and caregivers (3). There is a rising concern in Tanzania and other countries within and outside Africa about the small extent to which disclosure of HIV/AIDS status is being done to children at the necessary age (4). According to the WHO guidelines, it is recommended that the disclosure process should be initiated when the child is six years old and should be completed not later than the age of 12 years (5).…”

Section: Introductionmentioning

confidence: 99%

“We Can Tell Them, But Not Right Now!” - Hiv Status Disclosure and Related Factors Among Children Aged 6-14 Years Living with Hiv in Kilimanjaro Region, Tanzania

Msoka

Mtesha

Masika

et al. 2023

Preprint

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Background: In Tanzania, disclosure of HIV status to children remains a challenge despite the World Health Organization (WHO) recommendation that children should be informed about their HIV status between the ages of 6 to 12 years. This study aims to determine HIV status disclosure and related factors among children living with HIV in Kilimanjaro, Tanzania. Method: A cross-sectional study using a convergent parallel mixed-methods design was conducted from September 2021 to February 2022 among children aged 6-14 years receiving HIV care. Semi-structured questionnaires were collected from caregivers of undisclosed children, including socio-demographic data and reasons for non-disclosure. Additionally, we interviewed 20 caregivers of children in-depth who had disclosed and not disclosed the status to their children; we also interviewed children whose HIV status had been disclosed, followed by a focus group discussion. Bivariate and multivariate logistic regression analyses identified factors associated with HIV status disclosure. P<0.05 was considered statistically significant. We did thematic content analysis for qualitative data. Results: 121 children and their parents or caregivers were included in the analysis and 51(42%) knew about their HIV status. 31%(n=38) of children were between the ages 6-8 and among them, 33(87%) did not know about their status. Thirty-nine percent (n=47) of children were between the ages of 9-11; 32(68%) did not know about their status. 30% (n=36) of the children were above 12 years old, and 5(14%) did not know their status. 60 children were girls (49.5%); the majority (n=75;62%) lived with their biological parents; 112 children had primary education (93%); and 94 (78%) children attended referral hospitals for ART services. Moreover, 86(71%) of the children had caregivers who had been interviewed. In the final multivariate model, children aged above 12 years (OR= 30; 95%; Cl= 7.2-124); children aged 9-11(OR=2.7;95%; CI= 0.8-9.0) and having a treatment supporter (OR=2.9; 95%CI=1.0-8.2) were significantly associated with HIV status disclosure to their children compared to their counterparts respectively. Through IDI, we revealed the following themes: (1) HIV disclosure challenges and reasons not to disclose the status, (2) the process of the disclosure, and (3) the Importance of disclosure. Conclusion: HIV status disclosure to children living with HIV in Kilimanjaro region was associated with age above 12 years and having a treatment supporter, unlike the WHO recommendation. Therefore, health facilities should introduce new strategies to ensure children know their HIV status.

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Section: Introductionmentioning

confidence: 99%

“We Can Tell Them, But Not Right Now!” - Hiv Status Disclosure and Related Factors Among Children Aged 6-14 Years Living with Hiv in Kilimanjaro Region, Tanzania

Msoka

Mtesha

Masika

et al. 2023

Preprint

View full text Add to dashboard Cite

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Silêncio, segredo e sigilo: desafios da revelação do diagnóstico de HIV/AIDS em jovens infectados por transmissão vertical

Freire,

Minayo

2024

Rev. Pesq. Qual.

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Este artigo busca compreender os efeitos psicossociais do silêncio, segredo e sigilo relacionados ao diagnóstico de HIV/aids em jovens infectados por transmissão vertical. Utilizando abordagem qualitativa, foram realizadas entrevistas semiestruturadas e análise de prontuários. A pesquisa incluiu dez jovens de idades entre 12-17 anos, que conhecem seu status sorológico, atendidos em ambulatório especializado de hospital público de referência no cuidado em saúde dessa população. O estudo abordou o perfil dos participantes, os mecanismos de transmissão vertical do vírus, os impactos da revelação, o amadurecimento no enfrentamento da doença, o papel dos pais e cuidadores, e os avanços científicos e tecnológicos. Os resultados destacaram que o segredo reforça a percepção do HIV como tabu. Essas descobertas são fundamentais para orientar pais/cuidadores, profissionais de saúde, educadores e formuladores de políticas, aprimorando as estratégias de comunicação, aconselhamento e suporte oferecidos aos jovens de forma respeitosa e adequada.

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Communication of HIV diagnosis in proper time: scoping review

Cited by 2 publications

References 66 publications

“We Can Tell Them, But Not Right Now!” - Hiv Status Disclosure and Related Factors Among Children Aged 6-14 Years Living with Hiv in Kilimanjaro Region, Tanzania

“We Can Tell Them, But Not Right Now!” - Hiv Status Disclosure and Related Factors Among Children Aged 6-14 Years Living with Hiv in Kilimanjaro Region, Tanzania

Silêncio, segredo e sigilo: desafios da revelação do diagnóstico de HIV/AIDS em jovens infectados por transmissão vertical

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