ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2019
Disclosure and Clinical Outcomes Among Young Adolescents Living With HIV in Kenya.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Factors associated with caregiver compliance to an HIV disclosure intervention and its effect on HIV and mental health outcomes among children living with HIV:Frontiers in public health · 2023Trial
- Transition to independent care for youth living with HIV: a cluster randomised clinical trial.The lancet. HIV · 2022Trial
- Disclosure of HIV status and its association with quality of life and depressive symptoms among children with HIV in North-Eastern Tanzania.AIDS research and therapy · 2026Article
- Long-term effect of antiretroviral therapy on mortality among HIV-positive children and adolescents in China.Heliyon · 2024Article
- Lived Experiences of Adolescents with HIV in Rwanda: A Phenomenology Study.Rwanda journal of medicine and health sciences · 2024Article
- Experiences of adolescents and youth with HIV testing and linkage to care through the Red Carpet Program (RCP) in Kenya.PloS one · 2024Article
- A qualitative analysis of self-management needs of adolescents and young adults living with perinatally acquired HIV in rural, southwestern Uganda.PLOS global public health · 2024Article
- Psychosocial and mental health challenges facing perinatally HIV-infected adolescents along the Kenyan coast: a qualitative inquiry using the socioecological model.Frontiers in public health · 2024Article
- Creating a data collection and management platform to support measurement of adolescent HIV care transition processes within low- and middle-income countries: The GRADUATE project.PLOS global public health · 2024Article
- Disclosure of HIV status and associated clinical outcomes of children and adolescents living with HIV in Asia.AIDS care · 2023Article
- Article
- Development of a transition readiness score for adolescents living with perinatally-acquired HIV and transitioning to adult care.AIDS and behavior · 2022Article
- "Your status cannot hinder you": the importance of resilience among adolescents engaged in HIV care in Kenya.BMC public health · 2022Article
- "I have never talked to anyone to free my mind" - challenges surrounding status disclosure to adolescents contribute to their disengagement from HIV care: a qualitative study in western Kenya.BMC public health · 2022Article
- Predictors and consequences of HIV status disclosure to adolescents living with HIV in Eastern Cape, South Africa: a prospective cohort study.Journal of the International AIDS Society · 2022Article
- Experiences of Caring for Adolescents Living with HIV (ALHIV): A Qualitative Interview with Caregivers.HIV/AIDS (Auckland, N.Z.) · 2022Article
- Clinical outcomes among adolescents living with HIV in Kenya following initiation on antiretroviral treatment.PLOS global public health · 2022Article
- Development and validation of the HIV adolescent readiness for transition scale (HARTS) in South Africa.Journal of the International AIDS Society · 2021Article
- Disclosure, Social Support, and Mental Health are Modifiable Factors Affecting Engagement in Care of Perinatally-HIV Infected Adolescents: A Qualitative Dyadic Analysis.AIDS and behavior · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
purposeInforming adolescents of their own HIV infection is critical as the number of adolescents living with HIV increases. We assessed the association between HIV disclosure and retention in care and mortality among adolescents aged 10-14 years in Kenya's national program.
methodsWe abstracted routinely collected patient-level data for adolescents enrolled into HIV care in 50 health facilities from November 1, 2004, through March 31, 2010. We defined disclosure as any documentation that the adolescent had been fully or partially made aware of his or her HIV status. We compared weighted proportions for categorical variables using χ2 and weighted logistic regression to identify predictors of HIV disclosure; we estimated the probability of LTFU using Kaplan-Meier methods and dying using Cox regression-based test for equality of survival curves.
resultsOf the 710 adolescents aged 10-14 years analyzed; 51.3% had severe immunosuppression, 60.3% were in WHO stage 3 or 4, and 36.6% were aware of their HIV status. Adolescents with HIV-infected parents, histories of opportunistic infections (OIs), and enrolled in support groups were more likely to be disclosed to. At 36 months, disclosure was associated with lower mortality [1.5% (95% CI .6%-4.1%) versus 5.4% (95% CI 3.6.6%-8.0%, p < .001)] and lower LTFU [6.2% (95% CI 3.0%-12.6%) versus 33.9% (95% CI 27.3%-41.1%) p < .001].
conclusionsOnly one third of HIV-infected Kenyan adolescents in treatment programs had been told they were infected, and knowing their HIV status was associated with reduced LTFU and mortality. The disclosure process should be systematically encouraged and organized for HIV-infected adolescents.
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