Prevalence and predictors of pediatric disclosure among HIV-infected Nigerian children on treatment

Odiachi, Angela; Abegunde, Dele

doi:10.1080/09540121.2016.1147018

Cited by 18 publications

(31 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, most children studied in the earlier report were pre-adolescent (mean age 8.8 ± 2.2 years) compared to our study in which the majority were in early and mid-adolescence (mean age 12.2 ± 3.2 years), making disclosure more likely in our study with corresponding higher prevalence. More recent studies in Nigeria by Ubesie et al, [20] and Odiachi et al [21] reported prevalence of disclosure to HIV positive children of 29.5 and 30.9% respectively; comparable to our findings which suggests an increase prevalence of disclosure to Nigerian children living with HIV within recent time. Although relatively higher than most reports from within Nigeria and the African continent, [5,[22][23][24][25][26][27][28] our disclosure rate are lower compared with findings from the US, Canada and Europe [29][30][31].…”

Section: Discussionsupporting

confidence: 91%

“What will my child think of me if he hears I gave him HIV?”: a sequential, explanatory, mixed-methods approach on the predictors and experience of caregivers on disclosure of HIV status to infected children in Gombe, Northeast Nigeria

et al. 2020

View full text Add to dashboard Cite

Background: With increasing access to effective Anti-Retroviral Therapy (ART), the proportion of children who survive into later childhood with HIV has increased. Consequently, caregivers are constantly being confronted with the dilemma of 'if', 'when', and 'how' to tell their children living with HIV their status. We aimed to determine the prevalence and predictors of disclosure and explore the barriers caregivers face in disclosing HIV status to children living with HIV in Gombe, northeast Nigeria. Methods: We conducted a sequential, explanatory, mixed-methods study at the specialist Paediatric HIV clinic of the Federal Teaching Hospital Gombe, northeast Nigeria. The quantitative component was a cross sectional, questionnaire-based study that consecutively recruited 120 eligible primary caregivers of children (6-17 years) living with HIV. The qualitative component adopted an in-depth one-on-one interview approach with 17 primary caregivers. Primary caregivers were purposively selected to include views of those who had made disclosure and those who have not done so to gain an enhanced understanding of the quantitative findings. We examined the predictors of HIV status disclosure to infected children using binary logistic regression. The qualitative data was analysed using a combined deductive and inductive thematic analysis approach.

show abstract

Section: Discussionsupporting

confidence: 91%

“What will my child think of me if he hears I gave him HIV?”: a sequential, explanatory, mixed-methods approach on the predictors and experience of caregivers on disclosure of HIV status to infected children in Gombe, Northeast Nigeria

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Vaz et al ( 4 ) reported only 3% pediatric disclosure in their study in the Democratic Republic of Congo, while Vreeman et al ( 7 ) also reported almost 100% non-disclosure in Kenya. More recent studies in SSA have similarly reported low disclosure rates—13.5% ( 8 ) and 30.9% ( 9 ) in Nigeria; 21% ( 10 ) in Ghana; 17.4% ( 11 ) and 39.5% ( 12 ) in Ethiopia; 19% ( 13 ) and 26% ( 14 ) in Kenya; and 32.6% ( 15 ) in Cote d’Ivoire.…”

Section: Introductionmentioning

confidence: 87%

“…Factors that influence pediatric disclosure include child’s age and cognitive development ( 10 , 12 ); concerns around antiretroviral therapy (ART) adherence ( 8 , 9 ); imminent onset of sexual activity ( 4 ); and the need to protect others from infection ( 16 ). Benefits of pediatric disclosure include improved adherence to ART, and psychosocial well-being and mental health ( 17 ).…”

Section: Introductionmentioning

confidence: 99%

The Impact of Disclosure on Health and Related Outcomes in Human Immunodeficiency Virus-Infected Children: A Literature Review

Odiachi

2017

Front. Public Health

Self Cite

View full text Add to dashboard Cite

This review explores the association between pediatric human immunodeficiency virus (HIV) disclosure and health and related outcomes among children living with HIV. A multi-stage process was used to search for relevant articles on the ISI Web of Knowledge database. Fifteen articles met the inclusion criteria. Five major outcomes emerged from children’s knowledge of their HIV-seropositive status: physical/physiological outcomes; adherence to antiretroviral therapy; psychosocial outcomes; sexual and reproductive health, including HIV prevention outcomes; and disclosure of status by the children. Disclosure of a child’s HIV status to the child has value in terms of positive health outcomes for the child, such as better adherence and slower disease progression—albeit the different studies did not always reach the same conclusions, and some suggest negative health outcomes, such as increased psychiatric hospitalization. Yet, there does not seem to be a systematic or coherent system for child disclosure. One recommendation from this review, therefore, is for government and program policies and guidelines that will promote child HIV disclosure in order to address the current low rates of disclosure in sub-Saharan Africa (SSA). More rigorous and longitudinal studies on the outcomes of disclosure, with larger sample sizes, and in SSA, are also needed.

show abstract

“…Although both child and caregiver related factors have been identified as barriers in disclosure to perinatally infected children, often studies that investigate disclosure to children focus on child related factors with the exception of caregiver related factors: The most cited child related factors for nondisclosure include perceived young age of the child, child's perceived ability to understand the meaning of HIV, and concerns that disclosure would have negative consequences for the child. There are also numerous child related fears that are cited as barriers to disclosure such as the fear that the child would tell others about their HIV status, fear of stigmatization, social rejection, and isolation, fear of the children's resentment, and fear that disclosure would hurt the child [2, 4, 5, 7–9, 13–15]. From the limited data on caregiver related barriers to disclosure, the most commonly cited include lack of HIV knowledge, lack of communication skills on HIV, lack of skills on how to conduct HIV disclosure, fear of answering questions related to the source of the HIV infection, unpreparedness for HIV related questions, lack of adequate knowledge about the benefits of disclosure, emotional unpreparedness to disclose, and fear of being judged and blamed by the adolescent [9, 10, 16, 17].…”

Section: Introductionmentioning

confidence: 99%

Caregivers Lack of Disclosure Skills Delays Disclosure to Children with Perinatal HIV in Resource-Limited Communities: Multicenter Qualitative Data from South Africa and Botswana

Madiba

2016

Nursing Research and Practice

View full text Add to dashboard Cite

To promote the appropriate implementation of procedures for health disclosure to children, it is important to understand the reasons why caregivers delay the disclosure of healthcare information to children. This paper explored the views of caregivers on what makes disclosure to children with perinatal acquired HIV (PAH) difficult and what could make disclosure in these cases easier. Data were collected using focus group interviews with caregivers who were purposely selected from a multicenter study conducted in Botswana and South Africa. Forty-seven nondisclosed caregivers of children between 5 and 18 years who were receiving ART were interviewed. Caregivers felt that children should be told of their HIV-positive status despite the fact that none had disclosed this information to the children. The caregivers reported lack of disclosure skills but believed they were primarily responsible for disclosure to children and required support from healthcare workers (HCWs) during the disclosure process. They believed that counseling on how to approach disclosure and training on when and how to disclose will make the disclosure process easier. HCWs have a crucial role to play in promoting disclosure to perinatally infected children. The development of appropriate disclosure guidelines and training for HCWs will facilitate disclosure to children.

show abstract

Prevalence and predictors of pediatric disclosure among HIV-infected Nigerian children on treatment

Cited by 18 publications

References 7 publications

“What will my child think of me if he hears I gave him HIV?”: a sequential, explanatory, mixed-methods approach on the predictors and experience of caregivers on disclosure of HIV status to infected children in Gombe, Northeast Nigeria

“What will my child think of me if he hears I gave him HIV?”: a sequential, explanatory, mixed-methods approach on the predictors and experience of caregivers on disclosure of HIV status to infected children in Gombe, Northeast Nigeria

The Impact of Disclosure on Health and Related Outcomes in Human Immunodeficiency Virus-Infected Children: A Literature Review

Caregivers Lack of Disclosure Skills Delays Disclosure to Children with Perinatal HIV in Resource-Limited Communities: Multicenter Qualitative Data from South Africa and Botswana

Contact Info

Product

Resources

About