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DIAGNOSIS DISCLOSURE RATE AND ITS ASSOCIATIONS AMONG ADOLESCENTS LIVING WITH HUMAN IMMUNODEFICIENCY VIRUS IN GOMBE
G E Daniel1, I Jalo1, W E Isaac1
1Department of Paediatrics, Federal Teaching Hospital, Gombe.
West African Journal of Medicine
|November 16, 2023
Summary
Disclosure of Human Immunodeficiency Virus (HIV) status is a challenge for children and adolescents living with HIV (CALHIV). A study in Gombe Metropolis found a high disclosure rate among adolescents, with older age and higher education linked to disclosure.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Disclosure of Human Immunodeficiency Virus (HIV) status is critical for managing children and adolescents living with HIV (CALHIV).
- Increasing numbers of adolescents living with HIV (ALHIV) necessitate local data on disclosure practices.
- Adolescent developmental stage presents unique challenges for HIV status disclosure.
Framework:
- Cross-sectional descriptive study design.
- Utilized a pre-tested semi-structured questionnaire for data collection.
- Involved both adolescents and their caregivers in assessing disclosure.
Implementation:
- Study conducted among 130 ALHIV aged 12-18 years in Gombe Metropolis.
- Participants recruited from Antiretroviral Therapy (ART) clinics over 10 months.
- Data collected via caregiver and adolescent self-reports.
Implications:
- Prevalence of HIV status disclosure was 66.2% (caregiver report) and 63.1% (self-report).
- Older age and higher education significantly associated with disclosure (p < 0.05).
- Mothers and healthcare workers were key in disclosure processes; early disclosure by caregivers is recommended.
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