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School-related issues among HIV-infected children
J Cohen1, C Reddington, D Jacobs
1Massachusetts Department of Public Health, Jamaica Plain, MA 02130, USA.
Pediatrics
|July 1, 1997
Summary
Most school-aged children with human immunodeficiency virus (HIV) can attend school, but many are unaware of their diagnosis. Schools and healthcare providers must collaborate to support HIV-infected children
Area of Science:
- Pediatric Infectious Diseases
- Public Health
- Pediatric HIV/AIDS Management
Background:
- Increasing survival rates for children with human immunodeficiency virus (HIV) mean more children are reaching school age.
- This demographic shift necessitates understanding the challenges faced by HIV-infected children in educational settings.
Purpose of the Study:
- To describe school attendance patterns and HIV infection disclosure among school-aged children with HIV.
- To identify factors influencing disclosure and school notification.
Main Methods:
- Utilized a statewide pediatric HIV surveillance system for data collection.
- Conducted a cross-sectional survey with HIV clinic nurses regarding school-related issues during the 1993-1994 school year.
Main Results:
- Only 3% of HIV-infected children were too ill for school; most attended public schools.
- 25% of attendees had severe HIV symptoms; absence varied, with 12% missing over 8 weeks.
- Disclosure of HIV status was low, especially in younger children (ages 5-10).
- School personnel were informed in only 47% of cases, most often school nurses.
Conclusions:
- The majority of school-aged children with HIV are able to attend school.
- Effective collaboration between healthcare providers, educators, and families is crucial for supporting these children's education.
- Future efforts should focus on improving disclosure and informing school personnel to ensure appropriate support.