Perinatally acquired HIV-positive status disclosure and associated factors in Dire Dawa and Harar, Eastern Ethiopia: a health facility-based cross-sectional study
Merid Mengesha, Melkamu LU
; Dessie, Yadeta
and Abrham Roba, Aklilu
LU
(2018)
In BMJ Open
8(8).
- Abstract
- Objectives The aim of this study was to assess the level and factors associated with caregivers’ disclosure of perinatally HIV-infected (PHIV+) children’s seropositive status.
Design We conducted a cross-sectional study in five public health facilities providing HIV treatment and care in Dire Dawa and Harar, Eastern Ethiopia. The data were collected from 310 caregivers through face-to-face interviews and record reviews. Data analyses were done using STATA V.14.2 and statistical significance was declared at p value Results The study revealed that the level of PHIV+ diagnosis disclosure was 49.4% (95% CI 43.8 to 54.9). Mean age at disclosure was 11.2 years. Disclosure level was higher among children who frequently asked about their... (More) - Objectives The aim of this study was to assess the level and factors associated with caregivers’ disclosure of perinatally HIV-infected (PHIV+) children’s seropositive status.
Design We conducted a cross-sectional study in five public health facilities providing HIV treatment and care in Dire Dawa and Harar, Eastern Ethiopia. The data were collected from 310 caregivers through face-to-face interviews and record reviews. Data analyses were done using STATA V.14.2 and statistical significance was declared at p value Results The study revealed that the level of PHIV+ diagnosis disclosure was 49.4% (95% CI 43.8 to 54.9). Mean age at disclosure was 11.2 years. Disclosure level was higher among children who frequently asked about their health status (aOR (adjusted OR) 2.04, 95% CI 1.04 to 4.03) and when caregivers knew other people who had a disclosure experience (aOR 2.49, 95% CI 1.17 to 5.32). Disclosure level was less among children of 12 years or below (aOR 0.04, 95% CI 0.02 to 0.09) and among caregivers practising deception about the children’s HIV positive status (aOR 0.38, 95% CI 0.19 to 0.74).
Conclusion Only half of the caregivers disclosed their child’s PHIV+ diagnosis. To facilitate disclosure, caregivers should be counselled about the appropriate age of disclosure and related misconceptions that hinder it. It is also apparent that caregivers need to be guided as to how to address children’s frequent questions about their health status. These interventions can be made in a one-on-one approach or through patient group counselling when they come to get healthcare services. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/cc80ada5-ab18-420e-bcdf-536a3959c0b9
- author
- Merid Mengesha, Melkamu
LU
; Dessie, Yadeta
and Abrham Roba, Aklilu
LU
- publishing date
- 2018-08-30
- type
- Contribution to journal
- publication status
- published
- subject
- in
- BMJ Open
- volume
- 8
- issue
- 8
- article number
- e019554
- publisher
- BMJ Publishing Group
- external identifiers
-
- scopus:85053149373
- ISSN
- 2044-6055
- DOI
- 10.1136/bmjopen-2017-019554
- language
- English
- LU publication?
- no
- id
- cc80ada5-ab18-420e-bcdf-536a3959c0b9
- date added to LUP
- 2023-06-04 21:16:38
- date last changed
- 2024-03-26 09:28:10
@article{cc80ada5-ab18-420e-bcdf-536a3959c0b9,
abstract = {{Objectives The aim of this study was to assess the level and factors associated with caregivers’ disclosure of perinatally HIV-infected (PHIV+) children’s seropositive status.<br/>Design We conducted a cross-sectional study in five public health facilities providing HIV treatment and care in Dire Dawa and Harar, Eastern Ethiopia. The data were collected from 310 caregivers through face-to-face interviews and record reviews. Data analyses were done using STATA V.14.2 and statistical significance was declared at p value Results The study revealed that the level of PHIV+ diagnosis disclosure was 49.4% (95% CI 43.8 to 54.9). Mean age at disclosure was 11.2 years. Disclosure level was higher among children who frequently asked about their health status (aOR (adjusted OR) 2.04, 95% CI 1.04 to 4.03) and when caregivers knew other people who had a disclosure experience (aOR 2.49, 95% CI 1.17 to 5.32). Disclosure level was less among children of 12 years or below (aOR 0.04, 95% CI 0.02 to 0.09) and among caregivers practising deception about the children’s HIV positive status (aOR 0.38, 95% CI 0.19 to 0.74).<br/>Conclusion Only half of the caregivers disclosed their child’s PHIV+ diagnosis. To facilitate disclosure, caregivers should be counselled about the appropriate age of disclosure and related misconceptions that hinder it. It is also apparent that caregivers need to be guided as to how to address children’s frequent questions about their health status. These interventions can be made in a one-on-one approach or through patient group counselling when they come to get healthcare services.}},
author = {{Merid Mengesha, Melkamu and Dessie, Yadeta and Abrham Roba, Aklilu}},
issn = {{2044-6055}},
language = {{eng}},
month = {{08}},
number = {{8}},
publisher = {{BMJ Publishing Group}},
series = {{BMJ Open}},
title = {{Perinatally acquired HIV-positive status disclosure and associated factors in Dire Dawa and Harar, Eastern Ethiopia: a health facility-based cross-sectional study}},
url = {{http://dx.doi.org/10.1136/bmjopen-2017-019554}},
doi = {{10.1136/bmjopen-2017-019554}},
volume = {{8}},
year = {{2018}},
}