Evidence map›Paper›PMID 35188010›Full record

ArticlePsychology & health

Comparing fears about paediatric HIV disclosure to the lived experiences of parents and guardians: a prospective cohort study.

Eve S Puffer, Amy Finnegan, Katie Schenk, Lisa Langhaug, Simbarashe Rusakaniko, Yujung Choi, Simbarashe Mahaso, Ryan Simmons, Eric P Green

Abstract read
In one paragraph

Article in Psychology & health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Eve S PufferDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.ORCID 0000-0003-2281-821X
Amy FinneganDuke Global Health Institute, Duke University, Durham, NC, USA.ORCID 0000-0003-4940-6581
Katie SchenkDepartment of Global and Community Health, George Mason University, Washington, DC, USA.ORCID 0000-0003-4349-0049
Lisa LanghaugRegional Psychosocial Support Initiative, Harare, Zimbabwe.ORCID 0000-0002-9131-8158
Simbarashe RusakanikoFamily Medicine, Global and Public Health Unit, University of Zimbabwe, Harare, Zimbabwe.ORCID 0000-0002-3159-0205
Yujung ChoiDuke Global Health Institute, Duke University, Durham, NC, USA.ORCID 0000-0002-3213-8093
Simbarashe MahasoBatanai HIV & AIDS Service Organization, Masvingo, Zimbabwe.
Ryan SimmonsDuke Global Health Institute, Duke University, Durham, NC, USA.ORCID 0000-0003-0855-4334
Eric P GreenDuke Global Health Institute, Duke University, Durham, NC, USA.ORCID 0000-0003-2188-2244

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
Developing a measure of caregiver readiness to disclose HIV serostatus: a tool toR21HD076695 · NICHD · DUKE UNIVERSITY · PI GREEN, ERIC, SCHENK, KATIE · 2014 to 2015
$389k
NIAID NIH HHS P30 AI064518NICHD NIH HHS R21 HD076695
6 · The paper itself

Abstract

objectiveWe aimed to: (1) follow parents and guardians through the process of paediatric HIV disclosure to understand how often pre-disclosure worries are realised; and (2) estimate the effects of disclosure on child, caregiver, and family well-being.

designWe conducted a 12-month prospective cohort study in Zimbabwe with 123 primary caregivers of children ages 9 to 15 years who were HIV positive but did not know their serostatus at baseline. By the end of the study period 65 caregivers reported that their child learned his or her HIV-positive status.

main outcome measuresWe used three waves of data to compare caregivers' pre-disclosure worries to post-disclosure reports and to characterise associations between disclosure and well-being of the child (Strengths and Difficulties Questionnaire), caregiver (Patient Health Questionnaire-9), and family (Family Relationship Quality) over time.

resultsCaregivers' pre-disclosure worries and fears about how their child would react to disclosure of their HIV status largely went unrealised. Furthermore, we did not find strong evidence of clinically-important increases in problems on average following disclosure.

conclusionFindings support the call to identify supportive intervention strategies that address caregiver fears at the beginning of the disclosure process.

Indexed as

adolescentAfricadisclosureHIVmental healthparents

Identifiers

PMID35188010
PMCPMC9392813

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Registered trials

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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.