Patterns of Diagnosis Disclosure and its Correlates in HIV-Infected North Indian Children
Patterns of Diagnosis Disclosure and its Correlates in HIV-Infected North Indian Children
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DOI：
10.1093/tropej/fmq115
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发表时间：
2011-12-01
影响因子：
2
通讯作者：
Sharma, Mahesh
中科院分区：
文献类型：
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作者：
Bhattacharya, Malobika;Dubey, Anand Prakash;Sharma, Mahesh
这项以设施为基础的横断面研究是为了确定145名5岁以上印度儿童艾滋病毒阳性血清状态的披露模式。只有60名（41.4%）儿童知道自己的艾滋病毒阳性状况。最常由父母[51/60（85%）]在平均年龄9.1 ± 1.4岁时披露。不准确披露率较高[64/85（75.3%）]。85名儿童中有21名（24.7%）未获得有关其疾病的信息。最常见的原因是孩子太小[79/85（92.9%）]。有利于披露的因素是自诊断HIV感染以来持续时间的增加[比值比（OR）= 1.46; 95%置信区间（CI）1.11-1.93]，非围产期传播方式（OR = 6.14; 95% CI 2.01-15.80），开始ART治疗（OR = 3.05; 95%CI 1.33-7.01），入学率（OR = 3.52; 95% CI 1.44-7.57）和护理人员教育程度超过五年级（OR = 2.69; 95%置信区间1.21-5.96）。需要制定详细的披露准则，重点关注学龄儿童-未接受抗逆转录病毒治疗的围产期感染者和教育程度低的照顾者。
This facility-based cross-sectional study was conducted to determine the patterns of disclosure of HIV positive serostatus among 145 Indian children aged >5 years. Only 60 (41.4%) children were aware of their HIV-positive status. Disclosure was most frequently done by parents [51/60 (85%)] at a mean age of 9.1 +/- 1.4 years. The rate of inaccurate disclosure was high [64/85 (75.3%)]. No information regarding their illness was given to 21/85 (24.7%) children. The most common reason for non-disclosure was that the child is too young [79/85 (92.9%)]. The factors favoring disclosure were increasing duration since diagnosis of HIV infection [odds ratio (OR) = 1.46; 95% confidence interval (CI) 1.11-1.93], non-perinatal mode of transmission (OR = 6.14; 95% CI 2.01-15.80), ART initiation (OR = 3.05; 95% CI 1.33-7.01), school enrolment (OR = 3.52; 95% CI 1.44-7.57) and caregiver educated beyond fifth grade (OR = 2.69; 95% CI 1.21-5.96).Detailed guidelines on disclosure are required focusing on children of school-going age with perinatal infection who are not on ART and with caregivers of low educational status.