Child Disclosure Research Articles

Understanding "Childhood Poly-Victimization" to help uncover abuse during child investigative interviewing: a systematic review.

It is well established that child victims are some of the most challenging populations to interview. Indeed, children tend to feel ashamed, scared or in denial, leading to difficulties for law enforcement when gathering information, and subsequently with prosecuting offenders. Moreover, with crimes against children increasing, it is common for interviewed victims to have experienced several abuses (poly-victimization). Thus, the main goals of this study are to (1) identify the facets that are included in poly-victimization, in order to (2) provide a clear definition that can be used by law enforcement during child interviews, which could lead to (3) a better identification of cases of abuse to maximize safeguarding and protect children. A systematic review was used to establish the differences in conceptualizations of poly-victimization as well as the measurements chosen by research to measure this concept. The current systematic review included research articles on childhood poly-victimization using a quantitative measuring instrument published as of 2007, that focused on populations under 18 years of age. The findings were divided into (1) conceptual dimensions, (2) characteristics of studies' populations and (3) measures and psychometrics properties. It was found that research used various terms for poly-victimization, yet with numerous definitions implying differences in number of abuses, time frame, and mental health aspects to be considered in the identification of poly-victimization. The included papers (n = 6) were from Europe, Asia, and the United States. Over half of the studies used the Juvenile Victimization Questionnaire (JVQ) but adapted either (i) to the study's population, (ii) possible answers, (iii) wording of questions, or (iv) by the removal of questions. Our findings highlight the need for a more theoretically coherent definition of childhood poly-victimization. Questions regarding number of abuses, time consideration (past year vs. lifetime), mental health and severity of abuse should be addressed to develop a unified definition of poly-victimization. Rapport-based interviews should be the focus to uncover the truth and to avoid a secondary trauma in the crisis of a child's disclosure of abuse. A new definition of "Childhood Poly-Victimization" is proposed by the authors as well as a "Decision Tree for Identifying Childhood Poly-Victimization" designed to be used by law enforcement during child investigative interviews.

Experiences of Caregivers in Disclosing HIV Status to Children Infected with HIV in Mopani District, South Africa

Background Caregivers are confronted with difficulties in determining the ideal period to initiate HIV disclosure to the child infected with HIV. Moreover, caregivers are uncertain about how to facilitate the HIV disclosure process, and opportunities to start the discussion are frequently missed until a later stage. Caregivers often fear that the child will be affected psychologically and have poor cognitive ability to comprehend the nature of the illness. Objective The objective of the study is to explore and describe the experiences of primary caregivers regarding HIV disclosure to children infected with HIV. Methods A qualitative, explorative, and descriptive study was conducted at 4 selected ART facilities in the Mopani district. Where face-to-face semi-structured interviews were conducted until data saturation with 16 primary caregivers. Data was analysed and coded using the ATLAS.ti 9 program, according to the thematic method of analysis. Results Analysis of data identified three main themes that described the experience of caregivers regarding HIV disclosure in children, which are cues to disclose HIV status to children, experiences of the event of HIV status disclosure to children, and caregiver’s experiences of healthcare providers’ role in HIV disclosure process. Conclusion Caregivers revealed that they initiated the HIV disclosure process to the children because of their personal and child-related factors. However, they perceived HIV disclosure as a difficult process to initiate, because of lack of skills, knowledge, and support from healthcare providers. Caregivers perceived children as too young to receive HIV disclosure information and they feared that the child would react negatively.

Does implying peer knowledge during an interview promote truthful disclosures from peer disclosure recipients and witnesses?

We tested a novel implied peer knowledge paradigm in which both child witnesses and child recipients (children who previously received a disclosure from a witness) were able to infer, with varying degrees of saliency, the likelihood that an adult interviewer would hear about a negative transgression from a peer and adjust their disclosure strategy accordingly. We tracked children’s disclosures (N = 418; aged 6-12 years; Mage = 8.91 years, SD = 1.37) across two interviews and found that providing a verbal notice of implied knowledge to child disclosure recipients (not child witnesses) that a peer who had previously disclosed to them would also be talking to an adult increased their disclosure rates. This study adds to a small body of work examining patterns of disclosure transmissions from witnesses to peers to adults, which is frequently observed in situations of child sexual abuse.

Mother-child dynamics: Examining reciprocal relations between parental knowledge, child disclosure, parental legitimacy beliefs, and adolescent alcohol use.

Early adolescent alcohol use is associated with adverse developmental and health outcomes. Parental knowledge can prevent or delay substance use, while youth behaviors may concurrently influence parenting. More research is needed to examine the role of youth's perceptions of legitimacy of parental authority. This multi-informant study examined prospective bidirectional effects between parental knowledge and child disclosure alongside youth-reported alcohol use and perceived legitimacy of parental authority. Data were analyzed across three waves in a community sample of 304 mother-child dyads. A cross-lagged panel model was estimated using repeated measures of adolescent alcohol use, perceived legitimacy of parental authority, parental knowledge, and child disclosure. Positive reciprocal associations were found in early adolescence between child disclosure and both parental knowledge and perceived legitimacy of parental authority. Legitimacy of parental authority negatively predicted alcohol use across adolescence. Child alcohol use also negatively predicted parental knowledge among mothers in later adolescence. Effects were not reciprocated nor sustained. Novel findings demonstrate that the parental legitimacy beliefs predict reduced alcohol use and have a reciprocal association with child disclosure. Clinical implications to mitigate youth alcohol use initiation, by enhancing parental self-efficacy and positive parenting, are discussed.

Encouraging honesty: Developmental differences in the influence of honesty promotion techniques.

Given the value placed on honesty and the negative consequences of lying, encouraging children's truth-telling is important. The present investigation assessed honesty promotion techniques for encouraging 3-8-year-old Canadian children's (Study 1: n = 301, 54% female; Study 2: n = 229, 50% female from predominantly White middle-class samples) disclosure of a transgression and whether they varied by age. Study 1 examined promising to tell the truth, inducing self-awareness, and the combination of both promising and self-awareness. Study 2 assessed modeling honesty, positive consequences of honesty, and the combination of modeling and consequences. Some individual techniques worked for specific age groups: Self-awareness only increased 3-4-year-olds' and promising only increased 7-8-year-olds' honesty. However, the combination of modeling and consequences increased honesty for all age groups. Findings suggest that different motivational factors may encourage children's honesty across childhood. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Juridical Analysis: Digital Identity of Children from Stelse International Mixed Marriages

The importance of having self-identity by every individual is a necessity, including the identity of a newborn child. Identity is the right of every citizen, and the state has an obligation to carry out services, procurement, and spending as part of the legitimacy and legality of identity owned by each citizen. Developments in technology, modernization, and globalization, as well as the era of digitalization, can encourage and assist the process of having a digital self-identity of children from birth. This will be very influential in reducing acts of exploitation, such as trafficking, violence, exile, neglect, and other criminal acts. Therefore, the researcher takes a legal analysis approach to all applicable regulations in Indonesia related to access policies, and processes to disclosure of children’s identities. The results of the analysis carried out included, among other things, the enforcement of the provisions of the 1945 Constitution Article 28, Law Number 12 of 2006 concerning Citizenship, Law Number 23 of 2006 Population Administration, and Law Number 23 of 2014 concerning the ratification of Child Protection can become a legal umbrella for child ownership. In addition, the identity ownership of children from mixed marriages will be influenced by the validity of the marriage of their parents or the application for legalization through consanguine marriage in accordance with Law No. 1 of 1974. The process of owning a child’s digital identity will involve 3 institutions and or related agencies, including hospitals or maternity clinics as agencies that issue birth certificates, the Ministry of Religion as an institution that issues legal marriage certificates, and the Ministry of Home Affairs that issues valid personal identities in the form of temporary E-KTP and immigration passports.
 Keywords: digital identity, birth certificate, mixed marriage

Who's Keeping an Eye on the Kids? Changes in Monitoring During Emerging Adulthood.

Previous research indicates that parental monitoring protects adolescents from delinquency. While, emerging adults spend increasing amounts of time outside the family setting, they often remain in or return to reside in the parental home, possibly prolonging the period of parental monitoring. We examine whether parental monitoring, differentiating between child disclosure, parental solicitation, and parental control, is a protective factor for delinquency for emerging adults. We also examine whether monitoring occurs in educational settings, by the partner or in employment settings, and whether this monitoring is associated with delinquency. We use data from a longitudinal survey of 970 Dutch emerging adults (18-24 years), to examine monitoring, using instruments based on Stattin and Kerr's parental monitoring scale. Results indicate that parental monitoring is not associated with delinquency in emerging adulthood. Furthermore, we find no evidence of the protective role of monitoring in educational settings, by the partner or in employment settings. However, the negative relationship between monitoring of the self, self-control, delinquency during emerging adulthood increases in strength.

The Relationship Between Parental Knowledge and Adolescent Delinquency: a Longitudinal Study

The purpose of the present study was to test the direction of effect in the relationship between parents’ sources of knowledge (parental monitoring and child disclosure) and adolescents’ delinquency. The participants were 157 8th and 9th grade students and their mothers, randomly selected from urban and rural areas in Cyprus. A six-month, two-timepoint longitudinal design was used in which adolescents completed the delinquency scale while mothers completed the parental knowledge questionnaire. The results of this study showed that child disclosure at Time 1 predicted a decrease in both major and minor delinquency at Time 2 whereas adolescent major delinquency at Time 1 predicted a decrease in child disclosure and parental monitoring at Time 2. Contrary to previous wide-held assumption, parental monitoring at Time 1 did not significantly predict a decrease in delinquency at Time 2.

THE IMPORTANCE OF ORGANIZED LEISURE FOR THE SOCIALIZATION OF CHILDREN WITH DISABILITIES

The article reveals the peculiarities of social work with children with disabilities through leisure activities, focusing on the educational and recreational potential of leisure communication. The purpose of the article and the views of representatives of the scientific research school on the importance of the role of leisure in a child’s life, in adapting children to a new environment through inclusion in leisure activities and communication by interests are defined. The author of the article highlights and analyzes the problem of the importance of organized leisure, organized leisure activities in the development of social activity and creative potential of a child with a disability. The role of the leisure sphere in the socialization of children with disabilities is determined, which is based on the principles of taking into account and satisfying the interests of visitors to leisure facilities. The role of state support and the importance of assisting children with disabilities in entering the environment and society is determined.The factor of leisure as a component of free time, which captures the child with positive opportunities and inherent cognitive activity of various activities that contribute to the development of the child's personality and his or her free entry into society, is indicated. Leisure is revealed as a factor that can help restore the physical, mental and psychological strength of a child with health complications.The article reveals the leading role of the organizer of leisure activities with children with disabilities, which are focused on the disclosure of children’s natural inclinations, development and stimulation of creative initiative of children themselves. Attention is drawn to and the use of leisure activities that ensure child development and contribute to the emotional enrichment of the child is substantiated: game activities, staging of works of children's literature, various types of artistic and applied activities. It has been determined that leisure and leisure activities are one of the essential resources for optimizing the social activity of children with disabilities, have the ability to stimulate the process of their socialization, inculturation and self-realization; create conditions for the realization of the interests and needs of children, the development of their activity, creative initiative, promote the formation of a desire to find new value orientations through free choice of leisure activities.

Parental accepting and rejecting behaviors: Experiences of South Asian gay and bisexual men in Canada

AbstractObjectiveThis article explored the coming out experiences of South Asian gay and bisexual young men at home.BackgroundIntersectionality theory suggests that lesbian, gay, and bisexual youth of color may experience double minority stress, due to facing the multiple stressors of sexual minority stigma and racism. Although family support has been identified as important social support for youth, little research has considered how well families support South Asian LGBTQ youth.MethodSemistructured interviews were conducted with 15 gay and bisexual South Asian young men. Data were systematically analyzed according to the principles of interpretive description.ResultsThree overarching themes were identified in the analysis including that (a) parents were very concerned about what others would think about their child's sexual orientation; (b) parents demonstrated a wide range of reactions to their child's disclosure, which most commonly included anger, denial, and avoidance; and (c) there are a lack of resources for South Asian sexual minority youth.ConclusionsThese findings suggest that because of traditional homophobic attitudes espoused by South Asian cultures, South Asian gay and bisexual youth find it very challenging to navigate coming out to their parents. For the same reasons, it makes it very difficult for South Asian parents to accept their child's sexual orientation.ImplicationsIt is important that interventions to increase parental support of South Asian gay and bisexual youth are culturally relevant.

Human immunodeficiency virus positive status disclosure among children in northwest Ethiopia: a cross-sectional study.

Human Immunodeficiency Virus positive status disclosure is an essential component of pediatric care and longterm disease management. However, one of the greatest challenges that caregiver/mothers and health care workers face is the disclosure of HIV positive status to children living with the virus. Therefore, the objective of this study was to assess HIV positive status disclosure and associated factors among HIV positive children in northwest Ethiopia. Institutional based cross-sectional study was conducted among 417 sampled HIV positive children attending pediatric ART clinics of public health facilities from February 01 to March 30 2020 in northwest Ethiopia. Simple random sampling technique was used to select study participants. A structured interviewer administered questionnaire was used for data collection and the collected data entered into Epi data software. Binary logistic regression analysis was done and variables with P-value <0.05 was considered as a significant predictors of HIV positive status disclosure of HIV positive children. From 417 sampled population, 390 were involved in this study making 93.5% response rate. The study revealed that 53.6% with 95% CI (0.486-0.586) of HIV positive children knew their HIV positive sero status. Caregiver/mothers who had greater than three family sizes (AOR=1.984, 95% CI=1.046-3.762), children whose ages greater than 10 years (AOR=6.679, 95% CI=3.372-13.227) and children on ART for more than 5 years (AOR=8.96, 95% CI=6.402-12.257) were predictors of HIV positive status disclosure. The HIV positive status disclosure was high in the study area relative to other studies. Family size, children age, and length of children on ART were predictors of HIV positive status disclosure for HIV positive children. Health care providers, especially those working at pediatrics ART clinics should keep these factors in mid while working with caregivers to encourage disclosure of HIV positive status.

The Influence of Different Dimensions of the Parent–Child Relationship in Childhood as Longitudinal Predictors of Substance Use in Late Adolescence. The Mediating Role of Self-Control

Abstract This study examined longitudinal links between several dimensions of parent–child relationship and adolescent substance use, and tested the role of self-control in mediating these. Data came from the Zurich Project on the Social Development from Childhood to Adulthood. Validated questionnaires were used to measure parent–child domains at age 11, self-control at age 13, and substance use at ages 13, 15, 17, and 20. Low positive parenting and parental supervision, as well as aversive parenting, correlated with substance use. Linear regression model revealed that aversive parenting, low child disclosure, low positive parenting, and low parental involvement at age 11 predicted substance use at different stages of adolescence. These associations were mediated by low self-control at age 13. Involving parents and increasing their knowledge about desirable parental practices and ways to help their children to develop adequate self-control could be an effective element in substance use prevention strategies.

Yes, no, maybe so: Caregiver autonomy support, conversation context, and children's memory performance.

The extant literature on the use of autonomy support during caregiver-child conversations has focused primarily on conversations about fun, shared experiences, with limited consideration of unshared experiences or attention toward the role of conversation context. The present study examined how autonomy support, conversation context, and child age interact to predict 3-to-5-year-old children's disclosure of accurate information when discussing an unshared past event with their caregiver and an experimenter. Dyads (N = 111) were recruited from two locations (Miami, Florida and Orange County, California) by research recruitment firms. Children completed a standardized activity alone and then discussed the activity with their caregiver. The context of the discussion was manipulated so that dyads focused on either accumulating facts (Fact condition) or having fun (Fun condition). Afterward, children discussed the activity with a neutral interviewer. Caregivers in the fact condition were less autonomy supportive when discussing the activity than those in the fun condition. During the caregiver-child interview, caregiver autonomy support was negatively associated with children's disclosure of correct event details for those in the fun condition only. Caregiver autonomy support was negatively associated with children's correct details during the experiment-child interview across both context conditions. While older children provided more correct details during both interviews, there were no other age-related effects. These results demonstrate that conversation context moderates the link between autonomy support and children's autobiographical memory performance. Past contradictory findings in the field are discussed in light of these results. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

What are the predictors of sexting behavior among adolescents? The positive youth development approach.

Research supporting adolescent sexual health and empowerment is needed. The study investigates sexting among adolescents using the resources that characterized the Positive Youth Development Approach (PYD) and considering the impact of parental monitoring. The study aims to describe sexting among three different groups of adolescents (i.e., Non Sexters [NS], Passive Sexters [PS], and Active Sexters [AS]) considering age and sex (first aim). It also seeks to identify predictors among the PYD's resources and parental monitoring that explain the probability of falling into the sexter or the non sexter groups (second aim) as well as the probability of falling into the active or the passive sexter groups (third aim). The national representative sample was composed of 1866 Italian adolescents: 980 girls and 886 boys aged between 13 and 19 years old (M = 16.26; SD = 1.49). Participants completed a questionnaire that measured sexting behavior, PYD resources, and parental monitoring scales. Chi-squared and multivariate logistic regressions were performed. Almost half of the participants (46.0%) were NS, 36.2% were PS, and 17.8% were AS. Results show that sex, age, Connection, and Child Disclosure are significant predictors of sexting behavior. Results highlighted that sexting can be seen as a relational activity that adolescents use to establish connections as part as their sexual exploration. A parenting approach that promotes disclosure may help adolescents explore safely their sexuality and be accountable. Results also indicate that parents need to build educational alliances with schools to promote sexual health and empowerment among teenagers while preventing risk of harm.

Developmental changes in mothers’ perception of knowledge, solicitation, and child disclosure during middle childhood

AbstractParents can actively seek knowledge (solicitation) or receive information provided willingly by the child (disclosure). In adolescence, disclosure is the main source of parental knowledge, but its importance may take root earlier in the course of development. We examined: 1) the factor structure of an instrument adapted for middle childhood measuring maternal perception of knowledge, solicitation, and children's self‐disclosure; 2) changes in these dimensions over middle childhood; and 3) the respective contribution of solicitation and disclosure to parental knowledge. The mothers of 793 elementary school students (61.5% boys, 80.2% Canadian‐born) completed a questionnaire annually from Grades 1 to 4. Multilevel confirmatory factor analysis confirmed the instrument's structure at all time points. Growth curve analyses showed that mothers’ perception of knowledge slightly declined from Grades 1 to 4. With respect to mothers’ perceived parental solicitation and child disclosure, gender interactions emerged. Solicitation declined for girls but remained stable for boys, while disclosure declined for girls but increased for boys over time. In addition, mothers' perception ofdisclosure and solicitation are both main sources of maternal knowledge regardless of age and gender in middle childhood.

South Korean adolescents' delinquency, disclosure, parental knowledge, parent-child closeness, and delinquent peer associations.

The present study sought to examine longitudinal associations among delinquency, children's disclosure to parents, parent-child relationship quality, and parental knowledge in a South Korean sample. Longitudinal research shows that in Western samples, delinquency is negatively associated with the latter three variables. We also sought to test whether the associations varied across gender. We found little evidence of significant reciprocal relationships among the variables and no differences in associations across gender. A second analysis revealed that adolescents' involvement with delinquent peers was a good predictor of subsequent delinquency for males and females. Implications of the findings for future research and practice are discussed.

Parent Perspectives on Adverse Childhood Experiences & Unmet Social Needs Screening in the Medical Home: A Qualitative Study.

To explore parental perspectives regarding disclosure of child and parental adverse childhood experiences (ACE) and family unmet social needs (USN) and to elicit parental recommendations for screening in the pediatric medical home. We conducted a qualitative study using a purposive sample of English- and Spanish-speaking parents in our urban academic community clinic. Between January 2018 and March 2019, each parent underwent one semistructured interview that was audiotaped, transcribed, and independently coded in Atlas.ti by 2 study team members. Data analysis was based in constructivist grounded theory methodology to identify common themes and subthemes. We interviewed 25 English-speaking and 15 Spanish-speaking parents who were mostly female, racial/ethnic minorities with ≥1 ACE. English-speaking subjects were more likely to have a high school degree and be single parents. Four themes were identified: 1) Pediatricians should ask about ACE and USN. 2) Disclosure is a longitudinal process, not a discrete event. 3) Barriers to disclosure are significant, involving concrete and emotional risks for the family. 4) Trauma-informed providers and practices support disclosure. Families support pediatricians addressing ACE and USN in the medical home despite significant barriers. Even if providers screen using trauma-informed principles, parents may prefer not to disclose ACE initially because they regard disclosure as a stepwise process. These findings contribute to a new conceptual framework for thinking of ACE screening not merely as a way to generate information, but as an interactive, therapeutic relationship-building activity irrespective of whether or when it produces disclosure.

The disclosure of children who exhibit problematic sexual behaviors

BackgroundPractitioners mandated to protect child development are sometimes dealing with children's inappropriate sexual behaviors. This set of behaviors presents a potential hindering impact on the child's development and important consequences for all children involved. Denial during the questioning of the child complicates the investigation of these cases. ObjectiveThe objective of this study was to explore and to identify the different contexts of questioning in which children disclose or deny having committed a sexual behavior that appears to be problematic for his/her development as well as identifying the individual and contextual variables that influence the outcome of the questioning. Participants and settingThe sample comprised of 120 instances of inappropriate sexual behavior exhibited by 85 children aged between 5 and 17 years old and reported to the Youth Protection Department at the Integrated Health and Social Services University Network in the province of Quebec, Canada. MethodsBivariate statistical analyses were performed to investigate the association between the outcome of disclosure or non-disclosure, and contextual factors (questioning person's role, parents' reaction to the child's behavior, the child's expression of remorse, presence of a witness, use of coercion during the sexual behavior). Logistical regression (GLMM) was then used to determine the strength of the association between the covariates and the outcome of the questioning. ResultsResults show that disclosure appears to be influenced by a combination of contextual variables, namely the role/status of the person questioning the child, expression of remorse reported by the child, and the presence of a witness to the behavior/s. ConclusionsOur findings point to the importance of developing more comprehensive and specialized knowledge about the questioning context that favors the disclosure of children who are thought to have exhibited inappropriate sexual behaviors.

Caregivers’ psychosocial assessment for identifying HIV-infected infants at risk of poor treatment adherence: an exploratory study in southern Mozambique

ABSTRACT Psychosocial support (PSS) to caregivers of HIV-infected infants on antiretroviral treatment (ART) is crucial to ensure ART adherence and sustained long-term viral suppression in children. A specific approach including tools to monitor and understand adherence behavior and risk factors that prevent optimal treatment compliance are urgently needed. This qualitative exploratory study, conducted in southern Mozambique, monitored the infants’ viral response trajectories during 18 months follow-up, as a measure of adherence, reviewed the caregiver’s PSS session notes and the answers to a study questionnaire, to analyze whether the standard PSS checklist applied to infants’ caregivers can identify barriers influencing their adherence. Only 9 of 31 infants had sustained virologic response. Reported factors affecting adherence were: difficulties in drugs administration, shared responsibility to administer treatment; disclosure of child’s HIV status to family members but lack of engagement; mother’s ART interruption and poor viral response. In conclusion, we found that the standard PSS approach alone, applied to caregivers, was lacking focus on many relevant matters that were identified by the study questionnaire. A comprehensive patient-centered PSS package of care, including an adherence risk factor monitoring tool, tailored to caregivers and their children must be developed.

Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis.

IntroductionHIV-positive status disclosure for children is challenging for family members, guardians, and healthcare professionals. Disclosure is very challenging, particularly for children, yet no systematic synthesis of evidence accurately measures HIV-positive status disclosure in children. This systematic review and meta-analysis study aimed to quantify the national prevalence of pediatric HIV-positive status disclosure in Ethiopia and identify factors associated with HIV-positive status disclosure.MethodWe systematically searched PubMed, EMBASE, Web of Science databases, and google scholar for relevant published studies. Studies published in the English language and conducted with cohort, case-control, and cross-sectional designs were eligible for the review. The primary and secondary outcomes of the study were HIV-positive status disclosure and factors associated with HIV-positive status disclosure, respectively. The quality of the included studies was assessed using the Joanna Briggs Institute critical appraisal tools. A random effect- model was used to estimate the pooled prevalence of HIV-positive status disclosure. Heterogeneity and publication bias of included studies was determined using I2 and Egger’s test, respectively.ResultFrom 601 records screened, nine relevant studies consisting of 2,442 HIV-positive children were included in the analysis. The overall pooled prevalence of HIV-positive status disclosure among children living with HIV/AIDS in Ethiopia was 31.2% (95% CI [23.9–38.5]). HIV-negative status of caregivers (AOR: 2.01; 95% CI [1.28–3.18]), long duration on ART (greater than 5 years) (AOR: 3.2; 95% CI [1.77–5.78]) and older age of the child (>10 years) (AOR: 7.2; 95% CI [4.37–11.88]) were significantly associated with HIV-positive status disclosure.ConclusionLow prevalence of pediatric HIV-positive status disclosure was observed in Ethiopia. The longer duration of ART, the HIV-negative status of the caregiver, and older age greater than 10 years were the predictors of pediatric HIV-positive status disclosure. Health system leaders and policymakers shall design training and counseling programs for healthcare professionals and caregivers to enhance their awareness about HIV-positive status disclosure.Trial registrationThis review was registered under PROSPERO and received a unique registration number, CRD42019119049.