Disclosure of their status to youth with human immunodeficiency virus infection in the Dominican Republic: a mixed-methods study.
AIDS Behav
; 19(2): 302-10, 2015 Feb.
Article
en En
| MEDLINE
| ID: mdl-25186784
A mixed-methods study was conducted to determine the proportion of HIV-infected children who knew their status, identify characteristics associated with children's knowledge of their status, and describe caregivers' and adolescents' experiences relevant to disclosure in the Dominican Republic (DR). Of 327 patients aged 6-18 years treated in the principal DR pediatric HIV facilities, 74 (22.6 %) knew their status. Patients aged 13 years or older and/or who had participated in non-clinical activities for HIV-infected children were more likely to know their status. Caregivers who had disclosed cited healthcare providers' advice, children's desire to know and concerns that children might initiate sexual activity before knowing or discover their status by accidental or malicious disclosure. Non-disclosing caregivers worried that children would be traumatized by disclosure and/or stigmatized if they revealed it to others. Adolescents supported disclosure by 10-12 years of age, considered withholding of children's HIV diagnosis ill-advised, and recommended a disclosure process focused initially on promoting non-stigmatizing attitudes about HIV.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Revelación de la Verdad
/
Infecciones por VIH
/
Cuidadores
/
Personal de Salud
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
País/Región como asunto:
Caribe ingles
/
Dominica
/
Republica dominicana
Idioma:
En
Revista:
AIDS Behav
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
/
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Año:
2015
Tipo del documento:
Article
Pais de publicación:
Estados Unidos