Preliminary study on HIV status disclosure to perinatal infected children: retrospective analysis of administrative records from a pediatric HIV clinic in the southern United States
Abstract Objective The World Health Organization recommends disclosing HIV-status between 6 and 12 years; American Academy of Pediatrics recommends that children are informed at “school age.” Neither suggests an optimal age when children should learn of their status to improve viral load suppression...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | BMC Research Notes |
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| Online Access: | http://link.springer.com/article/10.1186/s13104-020-05097-z |
| _version_ | 1818119011539353600 |
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| author | Henna Budhwani Lori Mills Lauren E. B. Marefka Sequoya Eady Van T. Nghiem Tina Simpson |
| author_facet | Henna Budhwani Lori Mills Lauren E. B. Marefka Sequoya Eady Van T. Nghiem Tina Simpson |
| author_sort | Henna Budhwani |
| collection | DOAJ |
| description | Abstract Objective The World Health Organization recommends disclosing HIV-status between 6 and 12 years; American Academy of Pediatrics recommends that children are informed at “school age.” Neither suggests an optimal age when children should learn of their status to improve viral load suppression. Considering that virally suppressed people do not transmit HIV and that interrupting the transmission cycle is critical to ending the HIV epidemic, our objective is to examine the relationship between age of disclosure and viral load suppression by evaluating data from a pediatric HIV clinic in the southern United States. Records from perinatal infected patients seen between 2008 and 2018 were analyzed (N = 61). Results Longitudinal suppression was low across all groups when benchmarked against the UNAIDS 90% global target; black patients were less likely to achieve suppression compared to white patients (41% vs. 75%, p = 0.04). Adopted children were more likely to achieve suppression than children living with biological family (71% vs. 44%, p < 0.05). Children who learned of their status between 10 and 12 had the highest rate of suppression (65%) compared to peers who learned of their status younger (56%) or older (38%). Our preliminary study is designed to spark research on refining the current recommendations on HIV-status disclosure to perinatal infected children. |
| first_indexed | 2024-12-11T05:03:25Z |
| format | Article |
| id | doaj.art-0d510b5bbdc5439786d2fd043f9f0732 |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-12-11T05:03:25Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-0d510b5bbdc5439786d2fd043f9f07322022-12-22T01:20:05ZengBMCBMC Research Notes1756-05002020-05-011311410.1186/s13104-020-05097-zPreliminary study on HIV status disclosure to perinatal infected children: retrospective analysis of administrative records from a pediatric HIV clinic in the southern United StatesHenna Budhwani0Lori Mills1Lauren E. B. Marefka2Sequoya Eady3Van T. Nghiem4Tina Simpson5Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham (UAB)Department of Pediatrics, School of Medicine, University of Alabama at Birmingham (UAB)Department of Pediatrics, School of Medicine, University of Alabama at Birmingham (UAB)Department of Pediatrics, School of Medicine, University of Alabama at Birmingham (UAB)Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham (UAB)Department of Pediatrics, School of Medicine, University of Alabama at Birmingham (UAB)Abstract Objective The World Health Organization recommends disclosing HIV-status between 6 and 12 years; American Academy of Pediatrics recommends that children are informed at “school age.” Neither suggests an optimal age when children should learn of their status to improve viral load suppression. Considering that virally suppressed people do not transmit HIV and that interrupting the transmission cycle is critical to ending the HIV epidemic, our objective is to examine the relationship between age of disclosure and viral load suppression by evaluating data from a pediatric HIV clinic in the southern United States. Records from perinatal infected patients seen between 2008 and 2018 were analyzed (N = 61). Results Longitudinal suppression was low across all groups when benchmarked against the UNAIDS 90% global target; black patients were less likely to achieve suppression compared to white patients (41% vs. 75%, p = 0.04). Adopted children were more likely to achieve suppression than children living with biological family (71% vs. 44%, p < 0.05). Children who learned of their status between 10 and 12 had the highest rate of suppression (65%) compared to peers who learned of their status younger (56%) or older (38%). Our preliminary study is designed to spark research on refining the current recommendations on HIV-status disclosure to perinatal infected children.http://link.springer.com/article/10.1186/s13104-020-05097-zHIVDisclosureViral loadAdolescentsChildrenPeople living with HIV |
| spellingShingle | Henna Budhwani Lori Mills Lauren E. B. Marefka Sequoya Eady Van T. Nghiem Tina Simpson Preliminary study on HIV status disclosure to perinatal infected children: retrospective analysis of administrative records from a pediatric HIV clinic in the southern United States BMC Research Notes HIV Disclosure Viral load Adolescents Children People living with HIV |
| title | Preliminary study on HIV status disclosure to perinatal infected children: retrospective analysis of administrative records from a pediatric HIV clinic in the southern United States |
| title_full | Preliminary study on HIV status disclosure to perinatal infected children: retrospective analysis of administrative records from a pediatric HIV clinic in the southern United States |
| title_fullStr | Preliminary study on HIV status disclosure to perinatal infected children: retrospective analysis of administrative records from a pediatric HIV clinic in the southern United States |
| title_full_unstemmed | Preliminary study on HIV status disclosure to perinatal infected children: retrospective analysis of administrative records from a pediatric HIV clinic in the southern United States |
| title_short | Preliminary study on HIV status disclosure to perinatal infected children: retrospective analysis of administrative records from a pediatric HIV clinic in the southern United States |
| title_sort | preliminary study on hiv status disclosure to perinatal infected children retrospective analysis of administrative records from a pediatric hiv clinic in the southern united states |
| topic | HIV Disclosure Viral load Adolescents Children People living with HIV |
| url | http://link.springer.com/article/10.1186/s13104-020-05097-z |
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