Evidence map›Paper›PMID 22179050›Full record

ArticleJournal of developmental and behavioral pediatrics : JDBP2012

Language impairment in children perinatally infected with HIV compared to children who were HIV-exposed and uninfected.

Mabel L Rice, Ashley L Buchanan, George K Siberry, Kathleen M Malee, Bret Zeldow, Toni Frederick, Murli U Purswani, Howard J Hoffman, Patricia A Sirois, Renee Smith and 3 more

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Journal of developmental and behavioral pediatrics : JDBP, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01418014 (Adolescent Master Protocol), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01418014 completednot on this map

Adolescent Master Protocol

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2007 to 2021Enrolled678ConditionsHIV/AIDS
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 1 country.

Mabel L RiceDepartment of Speech, Language, Hearing, University of Kansas, Lawrence, KS 66045, USA. mabel@ku.edu
Ashley L Buchanan
George K Siberry
Kathleen M Malee
Bret Zeldow
Toni Frederick
Murli U Purswani
Howard J Hoffman
Patricia A Sirois
Renee Smith
Peter Torre
Susannah M Allison
Paige L Williams
National Institutes of Health · USCancer Research And Biostatistics · USUniversity of Illinois Chicago · USUniversity of Kansas · USAlbert Einstein College of Medicine · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USKeck Hospital of USC · USNorthwestern Memorial Hospital · US

Funding

PHACS - Data and Operations CenterU01HD052102 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WILLIAMS, PAIGE L · 2005 to 2019
$242.7M
Pediatric HIV/AIDS Cohort Study (PHACS): Understanding Maternal HIV Disease through Pregnancy and the Postpartum Period and its Role in Child Health OutcomesU01HD052104 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI VAN DYKE, RUSSELL B. · 2005 to 2019
$15.7M
MORPHOSYNTACTIC ABILITIES OF SLI PROBANDS AND FAMILIESR01DC001803 · NIDCD · UNIVERSITY OF KANSAS LAWRENCE · PI RICE, MABEL L · 1993 to 2022
$10.9M
Twins and Singletons with Specific Language ImpairmentR01DC005226 · NIDCD · UNIVERSITY OF KANSAS LAWRENCE · PI RICE, MABEL L · 2002 to 2016
$8.3M
NICHD NIH HHS HD052102NICHD NIH HHS HD052104NICHD NIH HHS U01 HD052102NICHD NIH HHS U01 HD052104NIDCD NIH HHS R01 DC001803NIDCD NIH HHS R01 DC005226
6 · The paper itself

Abstract

objectiveTo investigate the risk for language impairment (LI) in children perinatally infected or exposed to HIV.

methodsWe evaluated the prevalence of LI in 7- to 16-year-old children with perinatal HIV infection (HIV+) compared with HIV-exposed and uninfected children, using a comprehensive standardized language test (Clinical Evaluation of Language Functioning-Fourth Edition [CELF-4]). LI was classified as primary LI (Pri-LI) (monolingual English exposure and no cognitive or hearing impairment), concurrent LI (Con-LI) (cognitive or hearing impairment), or no LI. Associations of demographic, caregiver, HIV disease, and antiretroviral treatment factors with LI category were evaluated using univariate and multivariable logistic regression models.

resultsOf the 468 children with language assessments, 184 (39%) had LI. No difference was observed by HIV infection status for overall LI or for Pri-LI or Con-LI; mean (SD) CELF-4 scores were 88.5 (18.4) for HIV+ versus 87.5 (17.9) for HIV-exposed and uninfected children. After adjustment, black children had higher odds of Pri-LI versus no LI (adjusted odds ratio [aOR] = 2.43, p = .03). Children who were black, Hispanic, had a caregiver with low education or low intelligence quotient, or a nonbiological parent as caregiver had higher odds of Con-LI versus no LI. Among HIV+ children, viral load >400 copies/mL (aOR = 3.04, p < .001), Centers for Disease Control and Prevention Class C (aOR = 2.19, p = .02), and antiretroviral treatment initiation <6 months of age (aOR = 2.12, p = .02) were associated with higher odds of Con-LI versus no LI.

conclusionsChildren perinatally exposed to HIV are at high risk for LI, but such risk was not increased for youth with HIV. Risk factors differed for Pri-LI and Con-LI.

Indexed as

HIVInfectious Disease Transmission, VerticalLanguage TestsAdolescentBlack or African AmericanChildFemaleHispanic or LatinoHIV InfectionsHumansLanguage DisordersMalePrevalenceRisk FactorsSeverity of Illness Index

Identifiers

PMID22179050
PMCPMC3310927
OpenAlexW138676007

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.