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HIV knowledge, stigma, and illness beliefs among pediatric caregivers in Ghana who have not disclosed their child's HIV status

机译：加纳尚未发现孩子艾滋病毒状况的儿科护理人员中的艾滋病毒知识，污名和疾病信念

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The majority of HIV-infected children in sub-Saharan Africa have not been informed of their HIV status. Caregivers are reluctant to disclose HIV status to their children because of concern about the child's ability to understand, parental sense of guilt, and fear of social rejection and isolation. We hypothesized that the low prevalence of pediatric HIV disclosure in Ghana is due to lack of accurate HIV information and high HIV stigma among caregivers. This is a preliminary analysis of baseline data of an HIV pediatric disclosure intervention study in Ghana (Sankofa). Sankofa - is a two-arm randomized controlled clinical trial comparing disclosure intervention plus usual care (intervention arm) vs usual care (control arm) at Korle-Bu Teaching Hospital (KBTH; control arm) and Komfo-Anokye Teaching Hospital (KATH; intervention arm). We enrolled HIV-infected children, ages 7-18 years who do not know their HIV status, and their caregivers. Baseline data of caregivers included demographic characteristics; Brief HIV Knowledge Questionnaire (HIV-KQ-18); Brief Illness Perception Questionnaire; and HIV Stigma Scale. Simple and multivariable linear regression analyses were used to assess the relationship between caregiver characteristics and HIV knowledge, stigma, and illness perception. Two hundred and ninety-eight caregivers were enrolled between January 2013 and July 2014 at the two study sites; KBTH (n = 167) and KATH (n = 131). The median age of caregivers was 41 years; 80.5% of them were female and about 60% of caregivers were HIV-positive. Seventy-eight percent of caregivers were self-employed with low household income. In both unadjusted and adjusted analyses, HIV negative status and lower level of education were associated with poor scores on HIV-KQ. HIV positive status remained significant for higher level of stigma in the adjusted analyses. None of the caregiver's characteristics predicted caregiver's illness perception. Intensification of HIV education in schools and targeted community campaigns are needed.
机译：撒哈拉以南非洲地区大多数被艾滋病毒感染的儿童尚未得知其艾滋病毒状况。由于担心孩子的理解能力，父母的内sense感以及对社会排斥和孤立的恐惧，看护者不愿向孩子透露艾滋病毒的状况。我们假设加纳的儿科HIV感染率较低是由于缺乏准确的HIV信息以及看护者中HIV的污名化程度较高。这是在加纳（Sankofa）进行的HIV儿科信息披露干预研究的基线数据的初步分析。 Sankofa-是一项两臂随机对照临床试验，比较了Korle-Bu教学医院（KBTH;对照组）和Komfo-Anokye教学医院（KATH;干预组）的信息披露干预加上常规护理（干预组）与常规护理（对照组）臂）。我们招募了不知道其HIV状况的7-18岁的HIV感染儿童及其护理人员。照顾者的基线数据包括人口统计学特征;简短的艾滋病毒知识调查表（HIV-KQ-18）;简短的疾病知觉问卷;和艾滋病毒耻辱量表。简单和多变量线性回归分析用于评估看护者特征与艾滋病毒知识，污名和疾病感知之间的关系。 2013年1月至2014年7月在这两个研究地点招募了298名看护者; KBTH（n = 167）和KATH（n = 131）。照顾者的平均年龄为41岁;其中80.5％是女性，大约60％的护理人员是HIV阳性。百分之七十八的看护者是个体经营者，家庭收入较低。在未经调整和经过调整的分析中，HIV阴性状态和较低的教育水平均与HIV-KQ评分低有关。在调整后的分析中，对于较高的污名，HIV阳性状态仍然很重要。照料者的任何特征都不能预测照料者的疾病感知。需要在学校加强艾滋病毒教育并开展有针对性的社区运动。

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