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首页> 外文期刊>Journal of Multidisciplinary Healthcare >HIV Positive Status Disclosure and Its Associated Factors Among Children on Antiretroviral Therapy in West Shoa Zone, Western Ethiopia, 2019: A Mixed Method Cross-Sectional Study
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HIV Positive Status Disclosure and Its Associated Factors Among Children on Antiretroviral Therapy in West Shoa Zone, Western Ethiopia, 2019: A Mixed Method Cross-Sectional Study

机译：艾滋病毒阳性地位披露及其在西部埃塞俄比亚西区抗逆转录病毒疗法中儿童相关因素及其相关因素，2019：混合方法横截面研究

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Background: Evidence from previous studies supports the idea that informing children about their HIV status has long-term positive implications in HIV disease management, children’s quality of life, and ART drug adherence. However, in sub-Saharan African Countries, the HIV status disclosure among children ranges from 0% to 69.2%. So it is important to investigate the up to date evidence that will help in designing contextualized approaches for disclosure. Therefore, this study aimed to assess the HIV status disclosure and its associated factors among children on ART in West Shoa Zone, Ethiopia. Materials and Methods: Institutional-based observational study was conducted from February to April 2019. Quantitative data were collected from a randomly selected sample of 247 HIV positive children on ART for the last six months, and the qualitative data were collected from caregivers and health care professionals. Results: The mean age of the children was 11.11±SD2.8, and 43.6%, (95% CI: 37, 50.9) of the children were fully disclosed. The average age at disclosure was 11±SD2.12. The main reasons for the disclosure were for drug adherence and better self-care while being underage was the commonest reason for non-disclosure. Compared to the age 10– 15 years, the child in the age 6– 9 was 97% [AOR: 0.027, 95% CI: 0.003, 0.22, P 0.001] less likely to be disclosed. Female children were 2.7 times more likely to be disclosed compared with male children [AOR: 2.73, 95% CI: 1.24, 6, P 0.013]. Conclusion: This finding reveals that HIV status disclosure is generally low, and the decision to disclose or not is affected by factors like child-related, caregivers, and health institution-related factors. This may affect the child’s drug adherence, treatment outcome, and disease transmission. Updating health care providers’ knowledge and skills and working on caregivers’ attitude are needed to manage disclosure and challenges following it.
机译：背景：来自以前研究的证据支持这些想法，即通知儿童艾滋病病毒病症的想法在艾滋病毒疾病管理，儿童的生活质量和艺术药物依从性中具有长期积极影响。然而，在撒哈拉以南非洲国家，儿童的艾滋病毒区披露范围为0％至69.2％。因此，重要的是要调查最新的证据，这将有助于为披露设计背景化方法。因此，本研究旨在评估埃塞俄比亚西区艺术儿童艾滋病毒状况披露及其相关因素。材料和方法：从2019年2月到4月进行的基于机构的观察研究。从过去六个月的247名艾滋病毒阳性儿童的随机选择样本中收集了定量数据，从看护人和医疗保健收集了定性数据专业人士。结果：儿童的平均年龄为11.11±SD2.8，43.6％（95％CI：37,50.9）完全披露。公开的平均年龄为11±SD2.12。披露的主要原因是药物依从性和更好的自我保健，而未成年是未披露的最常见原因。与年龄10-15岁相比，6-9岁的儿童为97％[AOR：0.027,95％CI：0.003,0.22，P <0.001]。与男性儿童相比，雌性儿童的持续可能泄露2.7倍[AOR：2.73,95％CI：1.24,6，P <0.013]。结论：这一发现揭示了艾滋病毒状态披露通常低，并且披露或不透露或未透露的决定受儿童相关，护理人员和健康机构相关因素的影响。这可能会影响孩子的药物依从性，治疗结果和疾病传播。更新医疗保健提供者的知识和技能，并履行护理人员的态度，以管理披露和挑战。

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