Factors Associated with HIV Status Disclosure in HIV-Infected Sub-Saharan Migrants Living in France and Successfully Treated with Antiretroviral Therapy: Results from the ANRS-VIHVO Study

Background. The World Health Organization (WHO) recommends that children should be informed of their HIV status at ages 6 to 12 years and full disclosure of HIV and AIDS be offered in a caring and supportive manner at about 8 to 10 years. The objective of this study was to determine factors associated with HIV status disclosure and its effect on treatment adherence and health-related quality of life among children between 6 and 17 years of age living with HIV/AIDS in the Southern Highlands Zone, Tanzania, 2017. Methods. A hospital based unmatched case control study was conducted between April and September 2017. A total of 309 children between 6 and 17 years on ART for at least six months were enrolled in this study. Simple random sampling was employed in selecting the children from existing treatment registers. Data were collected using a structured questionnaire which included the WHO Quality of Life standard tool (WHOQOL-BREF 2012 tool) and treatment adherence manual. Multiple logistic regression was used to test for the independent effect of HIV status disclosure on treatment adherence and quality of life at p value less than 0.05. Results. Out of 309 children, only 102 (33%) had their HIV status disclosed to them. The mean age at HIV status disclosure was 12.39 (SD=3.015). HIV status disclosure was high among girls (51%), children aged 10-13 years (48.3%), and those living with their biological parents (59.8%). After adjusting for confounders, being aged between 10-13 and 14-17 years was associated with HIV status disclosure (AOR 19.178, p<0.05 and AOR=65.755, p<0.001, respectively). HIV status disclosure was associated with ART adherence (AOR=8.173, p<0.05) and increased the odds of having good quality of life (AOR=3.283, p<0.001). Conclusions. HIV status disclosure significantly improved adherence to treatment and quality of life among children living with HIV/AIDS.

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Individual and Structural Factors Associated With HIV Status Disclosure to Main Partner in Cameroon: ANRS 12-116 EVAL Survey, 2006–2007

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/qai.0b013e31821fcfa8 ◽

2011 ◽

Vol 57 ◽

pp. S22-S26 ◽

Cited By ~ 12

Author(s):

Marie Suzan-Monti ◽

Jérôme Blanche ◽

Paule Bilé ◽

Sinata Koulla-Shiro ◽

Mohammad Abu-Zaineh ◽

...

Keyword(s):

Structural Factors ◽

Hiv Status ◽

Main Partner ◽

Factors Associated ◽

Hiv Status Disclosure ◽

Status Disclosure

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HIV Status Disclosure and Uptake of Female Condom among Women Accessing Antiretroviral Therapy Services at a Military Hospital in Lagos, Nigeria

World Journal of AIDS ◽

10.4236/wja.2019.93010 ◽

2019 ◽

Vol 09 (03) ◽

pp. 129-141

Author(s):

N. E. Harrison ◽

O. A. Adegbite ◽

C. U. Agbaim ◽

O. Nwaiwu ◽

K. E. Oruka

Keyword(s):

Antiretroviral Therapy ◽

Female Condom ◽

Military Hospital ◽

Hiv Status ◽

Therapy Services ◽

Hiv Status Disclosure ◽

Status Disclosure

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Disclosure of HIV Status to Children in Sub-Saharan Africa: A Systematic Review

Medicina ◽

10.3390/medicina55080433 ◽

2019 ◽

Vol 55 (8) ◽

pp. 433 ◽

Cited By ~ 4

Author(s):

Doat ◽

Negarandeh ◽

Hasanpour

Keyword(s):

Systematic Review ◽

Democratic Republic Of Congo ◽

Psychological Impact ◽

Hiv Disclosure ◽

Sub Saharan Africa ◽

Hiv Status ◽

Sub Saharan ◽

Information Materials ◽

Hiv Status Disclosure ◽

Status Disclosure

Background and objectives: This study aimed to assess the level of HIV disclosure to children in sub-Saharan Africa as it relates to prevalence of disclosure, barriers, merits and demerits, timing of disclosure, and factors that promote parents and caregivers’ decisions to disclose the information. Materials and Methods: A systematic literature search was performed using the following online databases: PubMed, Google Scholar, Web of Science, Scopus, and Embase, to obtain relevant articles on HIV disclosure to children in sub-Saharan Africa. The following search terms were used: “HIV” AND “Disclosure” AND “Sub-Saharan Africa” AND “Children”. Results: A total of 18 articles were included in this systematic review. The studies on HIV status disclosure to children in sub-Saharan Africa included a total of 1343 HIV-positive children and 1879 caregiver/child or healthcare worker-child dyads, from the following countries: Ethiopia, South Africa, Ghana, Kenya, Cote d’Ivoire, Burundi, Cameroon, Democratic Republic of Congo, Uganda, Burkina Faso, and Zambia. The prevalence of HIV disclosure ranged from as low as 9% to 72%. Age was a major factor associated with disclosure. Conclusions: HIV status disclosure to children is quite low in sub-Saharan Africa. This is a result of multiple factors such as parents’/caregivers’ fear of the child disclosing status to others, a lack of knowledge on how the disclosure should be made, and the assertion that the children are young and cannot withstand the psychological impact of diagnosis.

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The Influence of HIV-Status Disclosure on Adherence, Immunological and Virological Outcomes among HIV-Infected Patients Started on Antiretroviral Therapy in Dar-esSalaam, Tanzania

Journal of HIV and AIDS ◽

10.16966/2380-5536.111 ◽

2015 ◽

Vol 1 (3) ◽

Cited By ~ 1

Author(s):

Buma Deus

Keyword(s):

Antiretroviral Therapy ◽

Hiv Status ◽

Virological Outcomes ◽

Hiv Status Disclosure ◽

Status Disclosure

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Associations between HIV Status Disclosure, Social Support, and Adherence to and Antiretroviral Therapy in Adults Patients with HIV/AIDS

Journal of Epidemiology and Public Health ◽

10.26911/jepublichealth.2021.06.01.11 ◽

2021 ◽

Vol 6 (1) ◽

pp. 112-124

Author(s):

Mustainu Habibi ◽

◽

Setyo Sri Rahardjo ◽

Bhisma Murti ◽

◽

...

Keyword(s):

Social Support ◽

Antiretroviral Therapy ◽

Hiv Status ◽

Hiv Status Disclosure ◽

Status Disclosure ◽

Hiv Aids

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Factors Associated with HIV Status Disclosure to Orphans and Vulnerable Children Living with HIV: Results from a Longitudinal Study in Tanzania

AIDS Research and Treatment ◽

10.1155/2020/6663596 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10

Author(s):

Shraddha Bajaria ◽

Amon Exavery ◽

Noreen Toroka ◽

Asheri Barankena ◽

John Charles ◽

...

Keyword(s):

School Enrollment ◽

Hiv Status ◽

Vulnerable Children ◽

Orphans And Vulnerable Children ◽

Factors Associated ◽

Disclosure Status ◽

Hiv Status Disclosure ◽

Living With Hiv ◽

Status Disclosure ◽

Disclosure Rate

Background. The Tanzanian national guideline for pediatric HIV disclosure recommends beginning disclosure as early as age 4–6 years; full disclosure is recommended at the age of 8–10 years. Despite clear procedures, the disclosure rate in Tanzania remains relatively low. This study assessed the factors associated with HIV status disclosure to orphans and vulnerable children living with HIV (OVCLHIV). Methods. Data for this analysis come from the USAID-funded Kizazi Kipya program in Tanzania that provides health and social services to OVC and caregivers of HIV-affected households. Data were collected between January 2018 and March 2019. Disclosure status was self-reported by caregivers of children aged 8 years or above. Beneficiary characteristics were included as independent variables. Generalized estimating equations took into account the clustering effect of the study design. Results. Of the 10673 OVCLHIV, most were females (52.43%), and 80.67% were enrolled in school. More than half (54.89%) were from households in rural areas. Caregivers were mostly females (70.66%), three quarters were between 31 and 60 years old and had a complete primary education (67.15%), and 57.75% were HIV-infected. Most of the OVCLHIV (87.31%) had a disclosed HIV status. Greater OVCLHIV age p < 0.001 , school enrollment (OR = 1.22; 95% CI 1.06, 1.41), urban location of household (OR = 1.64; 95% CI 1.44, 1.86), caregivers’ higher education level p < 0.001 , and caregiver HIV-positive status (OR = 1.25; 95% CI 1.09, 1.43) were positively associated with disclosure status. OVCLHIV of female caregivers were 27% less likely to have been disclosed than those of male caregivers. Conclusion. The disclosure rate among OVCLHIV in this study was high. Disclosure of HIV status is crucial and beneficial for OVCLHIV continuum of care. Caregivers should be supported for the disclosure process through community-based programs and involvement of health volunteers. Policymakers should take into consideration the characteristics of children, their caregivers, and location of households in making disclosure guidelines as adaptable as possible.

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