Prevalence and factors associated with human immunodeficiency virus disclosure status in children at Sanglah Hospital Denpasar

Abstract

A comprehensive management of human immunodeficiency virus (HIV) infection is necessary. Another important challenge is determining the HIV status understanding or disclosing HIV status which can further enhance the adherence to treatment and preventing secondary transmission.The aims of the study were to know the prevalence of HIV status disclosure and factors associated with HIV status disclosure in children.This was a cross-sectional study comprised of 44 caregivers of children with HIV infection at pediatrics outpatient Sanglah Hospital was conducted from February until May 2015. The study participants were caregivers of HIV-infected children age 5 to 12 years. Data analysis was using SPSS 22, statistics using Chi-square test and P-values ≤ 0.05 and 95% CI were considered significant. The prevalence was found 19 children (43.2%) who had partially disclosed their HIV status, with mean age was 7.7 (SD 2.33) years. In univariat analysis, the orphans were more likely to have their status disclosed compare to those who are not orphans (OR 0.28; 95% CI 0.077 to 1.02; P =0.049). There were no significant relations found between HIV clinical stage, nutritional status of the children, the caregiversage, educational status of the caregivers with HIV status disclosure. After multivariate analysis, only non-parent caregivers were associated with HIV disclosure status (OR: 15.6; 95% CI 1.48 to 164.3; P=0.022). Based on this study we conclude the prevalence of HIV disclosure status was 43.2% with partial disclosure status, non-parent caregivers was a factor associated to HIV disclosure status.