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Disclosure and Clinical Outcomes Among Young Adolescents Living With HIV in Kenya
- Source :
- The Journal of adolescent health : official publication of the Society for Adolescent Medicine, vol 64, iss 2
- Publication Year :
- 2019
- Publisher :
- eScholarship, University of California, 2019.
-
Abstract
- PURPOSE: Informing adolescents of their own HIV infection is critical as the number of adolescents living with HIV increases. We assessed the association between HIV disclosure and retention in care and mortality among adolescents aged 10–14 years in Kenya’s national program. METHODS: We abstracted routinely collected patient-level data for adolescents enrolled into HIV care in 50 health facilities from November 1, 2004, through March 31, 2010. We defined disclosure as any documentation that the adolescent had been fully or partially made aware of his or her HIV status. We compared weighted proportions for categorical variables using χ2 and weighted logistic regression to identify predictors of HIV disclosure; we estimated the probability of LTFU using Kaplan–Meier methods and dying using Cox regression-based test for equality of survival curves. RESULTS: Of the 710 adolescents aged 10–14 years analyzed; 51.3% had severe immunosuppression, 60.3% were in WHO stage 3 or 4, and 36.6% were aware of their HIV status. Adolescents with HIV-infected parents, histories of opportunistic infections (OIs), and enrolled in support groups were more likely to be disclosed to. At 36 months, disclosure was associated with lower mortality [1.5% (95% CI.6%–4.1%) versus 5.4% (95% CI 3.6.6%–8.0%, p
- Subjects :
- Male
Pediatric AIDS
Human immunodeficiency virus (HIV)
HIV Infections
Logistic regression
medicine.disease_cause
Adolescents
Medical and Health Sciences
Random Allocation
0302 clinical medicine
Medicine
030212 general & internal medicine
Child
Pediatric
Psychiatry and Mental health
Outcome and Process Assessment, Health Care
Infectious Diseases
Child, Preschool
HIV/AIDS
Female
Public Health
Infection
Lower mortality
Kenya
Adolescent
Hiv disclosure
Disclosure
Outcome and Process Assessment
Young adolescents
Article
Education
03 medical and health sciences
030225 pediatrics
Humans
Preschool
Survival analysis
Proportional Hazards Models
Retrospective Studies
Proportional hazards model
business.industry
Psychology and Cognitive Sciences
Public Health, Environmental and Occupational Health
HIV
Health Care
Good Health and Well Being
Case-Control Studies
Pediatrics, Perinatology and Child Health
business
Demography
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- The Journal of adolescent health : official publication of the Society for Adolescent Medicine, vol 64, iss 2
- Accession number :
- edsair.doi.dedup.....0d2ddd9a0bb561ff1653afb3a3691928