Prevalence of, and barriers to the disclosure of HIV status to infected children and adolescents in a district of Ghana.
Prevalence of, and barriers to the disclosure of HIV status to infected children and adolescents in a district of Ghana.
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DOI：
10.1186/s12914-017-0114-6
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发表时间：
2017-04-08
影响因子：
3
通讯作者：
Appiah-Brempong E
中科院分区：
文献类型：
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作者：
Gyamfi E;Okyere P;Enoch A;Appiah-Brempong E
全球约有330万15岁以下儿童感染艾滋病毒。其中88%生活在撒哈拉以南非洲。在加纳，2012年估计有33 000名儿童感染艾滋病毒。不披露对儿童的福祉，包括获得儿科艾滋病毒治疗和护理以及坚持治疗产生不利影响。然而，受艾滋病毒感染儿童的父母和照料者面临的最大心理社会挑战是向其受感染儿童披露艾滋病毒状况。本研究旨在确定加纳下马尼亚-克罗博区向受感染儿童和青少年披露艾滋病毒状况的流行率和障碍。一项横断面研究的样本为118名4-19岁的艾滋病毒感染儿童和青少年的照顾者，他们在下马尼亚克罗博区的三个艾滋病毒诊所就诊，10名主要知情人包括医疗保健工作者和艾滋病毒志愿者，他们参与为感染儿童及其家人提供护理。披露的普遍性较高。在这项研究中发现的披露的主要障碍包括儿童的年龄，艾滋病毒的原因，艾滋病毒的耻辱，儿童无法保持自我诊断和对儿童的心理伤害的恐惧。加纳卫生局有必要与加纳艾滋病委员会和国家艾滋病控制方案一道，制定全面的基于具体情况的披露准则。
Globally there are about 3.3million children under the age of 15 years living with HIV. Of this number, 88% live in sub-Saharan Africa. In Ghana, an estimated 33,000 children were said to be living with the HIV infection in 2012. Lack of disclosure adversely affects the well-being of the child, including access to paediatric HIV treatment and care and adherence to treatment. However, the greatest psychosocial challenges that parents and caregivers of HIV-infected children face is disclosure of HIV status to their infected children. This study sought to determine the prevalence of and the barriers to the disclosure of HIV status to infected children and adolescents in Lower Manya-Krobo District in Ghana. A cross sectional study with a sample of 118 caregivers of HIV infected children and adolescents aged 4–19 years attending three HIV clinics in the Lower Manya Krobo District, and 10 key informants comprising of healthcare workers and HIV volunteer workers involved in the provision of care to infected children and their families. The prevalence of disclosure was higher. Main barriers to disclosure identified in this study included age of child, perceived cause of HIV, stigma attached to HIV, child’s inability to keep diagnosis to self and fear of psychological harm to child. There is the need for the Ghana Health Service in conjunction with the Ghana Aids Commission and the National Aids Control Programme to develop comprehensive context-based disclosure guidelines.