Educational delays among children living with perinatally-acquired HIV in Johannesburg, South Africa

被引:1
作者
Shiau, Stephanie [1 ,2 ,3 ]
Arpadi, Stephen M. [1 ,2 ,3 ,4 ,5 ]
Burke, Megan [3 ]
Liberty, Afaaf [6 ]
Thurman, Cara [1 ]
Patel, Faeezah [3 ]
Strehlau, Renate [3 ]
Abrams, Elaine J. [2 ,3 ,4 ,5 ]
Coovadia, Ashraf [3 ]
Violari, Avy [6 ]
Kuhn, Louise [1 ,2 ,3 ]
机构
[1] Columbia Univ, Vagelos Coll Phys & Surg, GH Sergievsky Ctr, New York, NY 10027 USA
[2] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA
[3] Univ Witwatersrand, Rahima Moosa Mother & Child Hosp, Dept Paediat & Child Hlth, Fac Hlth Sci,Empilweni Serv & Res Unit, Johannesburg, South Africa
[4] Columbia Univ, Mailman Sch Publ Hlth, ICAP, New York, NY USA
[5] Columbia Univ, Dept Pediat, Vagelos Coll Phys & Surg, New York, NY 10027 USA
[6] Univ Witwatersrand, Chris Hani Baragwanath Hosp, Perinatal HIV Res Unit, Johannesburg, South Africa
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2020年 / 32卷 / 04期
关键词
HIV; disclosure; education; children; pediatrics; EARLY ANTIRETROVIRAL THERAPY; INFECTED CHILDREN; INITIAL SUPPRESSION; PEDIATRIC HIV; NEVIRAPINE; OUTCOMES; IMPACT; AGE; NEURODEVELOPMENT; ENCEPHALOPATHY;
D O I
10.1080/09540121.2019.1640854
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Little is known about how growing up with HIV impacts educational outcomes in sub-Saharan African children. We evaluated if South African children living with HIV (CLWH) were in the appropriate school grade-for-age compared to uninfected control children. We observed higher rates of not being in the correct grade-for-age in CLWH compared with controls (OR 3.32, 95% CI: 2.07-5.34), adjusted for study site, sex, whether the child's biological father was alive, and caregiver education. Initiation of ART before 6 months of age reduced but did not eliminate this association. Whether these associations are due to biological factors or other social and environmental determinants, and how best to support CLWH to achieve educational goals, warrants further investigation.
引用
收藏
页码:438 / 444
页数:7
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