HIV knowledge, stigma, and illness beliefs among pediatric caregivers in Ghana who have not disclosed their child's HIV status.
Identifieur interne : 000226 ( PubMed/Checkpoint ); précédent : 000225; suivant : 000227HIV knowledge, stigma, and illness beliefs among pediatric caregivers in Ghana who have not disclosed their child's HIV status.
Auteurs : Elijah Paintsil [États-Unis] ; Lorna Renner [Ghana] ; Sampson Antwi [Ghana] ; Joycelyn Dame [Ghana] ; Anthony Enimil [Ghana] ; Angela Ofori-Atta [Ghana] ; Amina Alhassan [Ghana] ; Irene Pokuaa Ofori [Ghana] ; Xiangyu Cong [États-Unis] ; Tassos Kyriakides [États-Unis] ; Nancy R. Reynolds [États-Unis]Source :
- AIDS care [ 1360-0451 ] ; 2015.
Abstract
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.
DOI: 10.1080/09540121.2015.1007116
PubMed: 26616122
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wicri:step="PubMed">000198</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">HIV knowledge, stigma, and illness beliefs among pediatric caregivers in Ghana who have not disclosed their child's HIV status.</title><author><name sortKey="Paintsil, Elijah" sort="Paintsil, Elijah" uniqKey="Paintsil E" first="Elijah" last="Paintsil">Elijah Paintsil</name><affiliation wicri:level="2"><nlm:affiliation>a Departments of Pediatrics, Pharmacology & Public Health , Yale School of Medicine , New Haven , CT , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Departments of Pediatrics, Pharmacology & Public Health , Yale School of Medicine , New Haven , CT </wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Renner, Lorna" sort="Renner, Lorna" uniqKey="Renner L" first="Lorna" last="Renner">Lorna Renner</name><affiliation wicri:level="1"><nlm:affiliation>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra , Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra </wicri:regionArea><wicri:noRegion>Accra </wicri:noRegion></affiliation></author><author><name sortKey="Antwi, Sampson" sort="Antwi, Sampson" uniqKey="Antwi S" first="Sampson" last="Antwi">Sampson Antwi</name><affiliation wicri:level="1"><nlm:affiliation>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi </wicri:regionArea><wicri:noRegion>Kumasi </wicri:noRegion></affiliation></author><author><name sortKey="Dame, Joycelyn" sort="Dame, Joycelyn" uniqKey="Dame J" first="Joycelyn" last="Dame">Joycelyn Dame</name><affiliation wicri:level="1"><nlm:affiliation>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra , Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra </wicri:regionArea><wicri:noRegion>Accra </wicri:noRegion></affiliation></author><author><name sortKey="Enimil, Anthony" sort="Enimil, Anthony" uniqKey="Enimil A" first="Anthony" last="Enimil">Anthony Enimil</name><affiliation wicri:level="1"><nlm:affiliation>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi </wicri:regionArea><wicri:noRegion>Kumasi </wicri:noRegion></affiliation></author><author><name sortKey="Ofori Atta, Angela" sort="Ofori Atta, Angela" uniqKey="Ofori Atta A" first="Angela" last="Ofori-Atta">Angela Ofori-Atta</name><affiliation wicri:level="1"><nlm:affiliation>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra , Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra </wicri:regionArea><wicri:noRegion>Accra </wicri:noRegion></affiliation></author><author><name sortKey="Alhassan, Amina" sort="Alhassan, Amina" uniqKey="Alhassan A" first="Amina" last="Alhassan">Amina Alhassan</name><affiliation wicri:level="1"><nlm:affiliation>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi </wicri:regionArea><wicri:noRegion>Kumasi </wicri:noRegion></affiliation></author><author><name sortKey="Ofori, Irene Pokuaa" sort="Ofori, Irene Pokuaa" uniqKey="Ofori I" first="Irene Pokuaa" last="Ofori">Irene Pokuaa Ofori</name><affiliation wicri:level="1"><nlm:affiliation>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi </wicri:regionArea><wicri:noRegion>Kumasi </wicri:noRegion></affiliation></author><author><name sortKey="Cong, Xiangyu" sort="Cong, Xiangyu" uniqKey="Cong X" first="Xiangyu" last="Cong">Xiangyu Cong</name><affiliation wicri:level="2"><nlm:affiliation>f Yale Center for Analytical Sciences , Yale School of Public Health , New Haven , CT , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>f Yale Center for Analytical Sciences , Yale School of Public Health , New Haven , CT </wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Kyriakides, Tassos" sort="Kyriakides, Tassos" uniqKey="Kyriakides T" first="Tassos" last="Kyriakides">Tassos Kyriakides</name><affiliation wicri:level="2"><nlm:affiliation>f Yale Center for Analytical Sciences , Yale School of Public Health , New Haven , CT , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>f Yale Center for Analytical Sciences , Yale School of Public Health , New Haven , CT </wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Reynolds, Nancy R" sort="Reynolds, Nancy R" uniqKey="Reynolds N" first="Nancy R" last="Reynolds">Nancy R. Reynolds</name><affiliation wicri:level="2"><nlm:affiliation>g Yale School of Nursing , West Haven , CT , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>g Yale School of Nursing , West Haven , CT </wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="eISSN">1360-0451</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">26616122</PMID><DateCreated><Year>2015</Year><Month>11</Month><Day>30</Day></DateCreated><DateRevised><Year>2016</Year><Month>10</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1360-0451</ISSN><JournalIssue CitedMedium="Internet"><Volume>27 Suppl 1</Volume><PubDate><Year>2015</Year></PubDate></JournalIssue><Title>AIDS care</Title><ISOAbbreviation>AIDS Care</ISOAbbreviation></Journal><ArticleTitle>HIV knowledge, stigma, and illness beliefs among pediatric caregivers in Ghana who have not disclosed their child's HIV status.</ArticleTitle><Pagination><MedlinePgn>18-27</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/09540121.2015.1007116</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Paintsil</LastName><ForeName>Elijah</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>a Departments of Pediatrics, Pharmacology & Public Health , Yale School of Medicine , New Haven , CT , USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Renner</LastName><ForeName>Lorna</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra , Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>c Korle-Bu Teaching Hospital , Accra , Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Antwi</LastName><ForeName>Sampson</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>e Komfo Anokye Teaching Hospital , Kumasi , Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dame</LastName><ForeName>Joycelyn</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra , Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>c Korle-Bu Teaching Hospital , Accra , Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Enimil</LastName><ForeName>Anthony</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>e Komfo Anokye Teaching Hospital , Kumasi , Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ofori-Atta</LastName><ForeName>Angela</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>b Department of Child Health , University of Ghana School of Medicine and Dentistry , Accra , Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>c Korle-Bu Teaching Hospital , Accra , Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alhassan</LastName><ForeName>Amina</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>e Komfo Anokye Teaching Hospital , Kumasi , Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ofori</LastName><ForeName>Irene Pokuaa</ForeName><Initials>IP</Initials><AffiliationInfo><Affiliation>d Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>e Komfo Anokye Teaching Hospital , Kumasi , Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cong</LastName><ForeName>Xiangyu</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>f Yale Center for Analytical Sciences , Yale School of Public Health , New Haven , CT , USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kyriakides</LastName><ForeName>Tassos</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>f Yale Center for Analytical Sciences , Yale School of Public Health , New Haven , CT , USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reynolds</LastName><ForeName>Nancy R</ForeName><Initials>NR</Initials><AffiliationInfo><Affiliation>g Yale School of Nursing , West Haven , CT , USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P30 MH062294</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 HD074253</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01HD0742</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>AIDS Care</MedlineTA><NlmUniqueID>8915313</NlmUniqueID><ISSNLinking>0954-0121</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Evid Based Dent. 2005;6(4):102-3</RefSource><PMID 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Version="1">11114834</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pediatr Psychol. 2001 Sep;26(6):343-52</RefSource><PMID Version="1">11490035</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">NIHMS658183</OtherID><OtherID Source="NLM">PMC4665118</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">bioecological systems theory</Keyword><Keyword MajorTopicYN="N">disclosure</Keyword><Keyword MajorTopicYN="N">illness perception</Keyword><Keyword MajorTopicYN="N">knowledge</Keyword><Keyword MajorTopicYN="N">pediatric HIV</Keyword><Keyword MajorTopicYN="N">stigma</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>12</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>12</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>12</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26616122</ArticleId><ArticleId IdType="doi">10.1080/09540121.2015.1007116</ArticleId><ArticleId IdType="pmc">PMC4665118</ArticleId><ArticleId IdType="mid">NIHMS658183</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Connecticut</li></region></list><tree><country name="États-Unis"><region name="Connecticut"><name sortKey="Paintsil, Elijah" sort="Paintsil, Elijah" uniqKey="Paintsil E" first="Elijah" last="Paintsil">Elijah Paintsil</name></region><name sortKey="Cong, Xiangyu" sort="Cong, Xiangyu" uniqKey="Cong X" first="Xiangyu" last="Cong">Xiangyu Cong</name><name sortKey="Kyriakides, Tassos" sort="Kyriakides, Tassos" uniqKey="Kyriakides T" first="Tassos" last="Kyriakides">Tassos Kyriakides</name><name sortKey="Reynolds, Nancy R" sort="Reynolds, Nancy R" uniqKey="Reynolds N" first="Nancy R" last="Reynolds">Nancy R. Reynolds</name></country><country name="Ghana"><noRegion><name sortKey="Renner, Lorna" sort="Renner, Lorna" uniqKey="Renner L" first="Lorna" last="Renner">Lorna Renner</name></noRegion><name sortKey="Alhassan, Amina" sort="Alhassan, Amina" uniqKey="Alhassan A" first="Amina" last="Alhassan">Amina Alhassan</name><name sortKey="Antwi, Sampson" sort="Antwi, Sampson" uniqKey="Antwi S" first="Sampson" last="Antwi">Sampson Antwi</name><name sortKey="Dame, Joycelyn" sort="Dame, Joycelyn" uniqKey="Dame J" first="Joycelyn" last="Dame">Joycelyn Dame</name><name sortKey="Enimil, Anthony" sort="Enimil, Anthony" uniqKey="Enimil A" first="Anthony" last="Enimil">Anthony Enimil</name><name sortKey="Ofori Atta, Angela" sort="Ofori Atta, Angela" uniqKey="Ofori Atta A" first="Angela" last="Ofori-Atta">Angela Ofori-Atta</name><name sortKey="Ofori, Irene Pokuaa" sort="Ofori, Irene Pokuaa" uniqKey="Ofori I" first="Irene Pokuaa" last="Ofori">Irene Pokuaa Ofori</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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