Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis
Introduction HIV-positive status disclosure for children is challenging for family members, guardians, and healthcare professionals. Disclosure is very challenging, particularly for children, yet no systematic synthesis of evidence accurately measures HIV-positive status disclosure in children. This...
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| Natura: | Articolo |
| Lingua: | English |
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PeerJ Inc.
2022-08-01
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| Serie: | PeerJ |
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| Accesso online: | https://peerj.com/articles/13896.pdf |
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| author | Getaneh Mulualem Belay Fikadu Ambaw Yehualashet Amare Wondim Ewunetie Kendalem Asmare Atalell |
| author_facet | Getaneh Mulualem Belay Fikadu Ambaw Yehualashet Amare Wondim Ewunetie Kendalem Asmare Atalell |
| author_sort | Getaneh Mulualem Belay |
| collection | DOAJ |
| description | Introduction HIV-positive status disclosure for children is challenging for family members, guardians, and healthcare professionals. Disclosure is very challenging, particularly for children, yet no systematic synthesis of evidence accurately measures HIV-positive status disclosure in children. This systematic review and meta-analysis study aimed to quantify the national prevalence of pediatric HIV-positive status disclosure in Ethiopia and identify factors associated with HIV-positive status disclosure. Method We systematically searched PubMed, EMBASE, Web of Science databases, and google scholar for relevant published studies. Studies published in the English language and conducted with cohort, case-control, and cross-sectional designs were eligible for the review. The primary and secondary outcomes of the study were HIV-positive status disclosure and factors associated with HIV-positive status disclosure, respectively. The quality of the included studies was assessed using the Joanna Briggs Institute critical appraisal tools. A random effect- model was used to estimate the pooled prevalence of HIV-positive status disclosure. Heterogeneity and publication bias of included studies was determined using I2 and Egger’s test, respectively. Result From 601 records screened, nine relevant studies consisting of 2,442 HIV-positive children were included in the analysis. The overall pooled prevalence of HIV-positive status disclosure among children living with HIV/AIDS in Ethiopia was 31.2% (95% CI [23.9–38.5]). HIV-negative status of caregivers (AOR: 2.01; 95% CI [1.28–3.18]), long duration on ART (greater than 5 years) (AOR: 3.2; 95% CI [1.77–5.78]) and older age of the child (>10 years) (AOR: 7.2; 95% CI [4.37–11.88]) were significantly associated with HIV-positive status disclosure. Conclusion Low prevalence of pediatric HIV-positive status disclosure was observed in Ethiopia. The longer duration of ART, the HIV-negative status of the caregiver, and older age greater than 10 years were the predictors of pediatric HIV-positive status disclosure. Health system leaders and policymakers shall design training and counseling programs for healthcare professionals and caregivers to enhance their awareness about HIV-positive status disclosure. Trial registration This review was registered under PROSPERO and received a unique registration number, CRD42019119049. |
| first_indexed | 2024-03-09T05:12:25Z |
| format | Article |
| id | doaj.art-e0c9ee17cbb94f48b01c93606b32b3a6 |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T05:12:25Z |
| publishDate | 2022-08-01 |
| publisher | PeerJ Inc. |
| record_format | Article |
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| spelling | doaj.art-e0c9ee17cbb94f48b01c93606b32b3a62023-12-03T12:48:39ZengPeerJ Inc.PeerJ2167-83592022-08-0110e1389610.7717/peerj.13896Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysisGetaneh Mulualem Belay0Fikadu Ambaw Yehualashet1Amare Wondim Ewunetie2Kendalem Asmare Atalell3Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara, EthiopiaDepartment of Community Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara, EthiopiaDepartment of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara, EthiopiaDepartment of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara, EthiopiaIntroduction HIV-positive status disclosure for children is challenging for family members, guardians, and healthcare professionals. Disclosure is very challenging, particularly for children, yet no systematic synthesis of evidence accurately measures HIV-positive status disclosure in children. This systematic review and meta-analysis study aimed to quantify the national prevalence of pediatric HIV-positive status disclosure in Ethiopia and identify factors associated with HIV-positive status disclosure. Method We systematically searched PubMed, EMBASE, Web of Science databases, and google scholar for relevant published studies. Studies published in the English language and conducted with cohort, case-control, and cross-sectional designs were eligible for the review. The primary and secondary outcomes of the study were HIV-positive status disclosure and factors associated with HIV-positive status disclosure, respectively. The quality of the included studies was assessed using the Joanna Briggs Institute critical appraisal tools. A random effect- model was used to estimate the pooled prevalence of HIV-positive status disclosure. Heterogeneity and publication bias of included studies was determined using I2 and Egger’s test, respectively. Result From 601 records screened, nine relevant studies consisting of 2,442 HIV-positive children were included in the analysis. The overall pooled prevalence of HIV-positive status disclosure among children living with HIV/AIDS in Ethiopia was 31.2% (95% CI [23.9–38.5]). HIV-negative status of caregivers (AOR: 2.01; 95% CI [1.28–3.18]), long duration on ART (greater than 5 years) (AOR: 3.2; 95% CI [1.77–5.78]) and older age of the child (>10 years) (AOR: 7.2; 95% CI [4.37–11.88]) were significantly associated with HIV-positive status disclosure. Conclusion Low prevalence of pediatric HIV-positive status disclosure was observed in Ethiopia. The longer duration of ART, the HIV-negative status of the caregiver, and older age greater than 10 years were the predictors of pediatric HIV-positive status disclosure. Health system leaders and policymakers shall design training and counseling programs for healthcare professionals and caregivers to enhance their awareness about HIV-positive status disclosure. Trial registration This review was registered under PROSPERO and received a unique registration number, CRD42019119049.https://peerj.com/articles/13896.pdfChildrenDisclosure statusEthiopiaHIV/AIDSAntiretroviral therapy |
| spellingShingle | Getaneh Mulualem Belay Fikadu Ambaw Yehualashet Amare Wondim Ewunetie Kendalem Asmare Atalell Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis PeerJ Children Disclosure status Ethiopia HIV/AIDS Antiretroviral therapy |
| title | Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis |
| title_full | Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis |
| title_short | Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis |
| title_sort | pediatrics hiv positive status disclosure and its predictors in ethiopia a systematic review and meta analysis |
| topic | Children Disclosure status Ethiopia HIV/AIDS Antiretroviral therapy |
| url | https://peerj.com/articles/13896.pdf |
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