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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV and child mental health: A case-control study in Rwanda
Pediatrics, Volume 134, No. 2, Year 2014
Notification
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Description
BACKGROUND: The global HIV/AIDS response has advanced in addressing the health and well-being of HIV-positive children. Although attention has been paid to children orphaned by parental AIDS, children who live with HIV-positive caregivers have received less attention. This study compares mental health problems and risk and protective factors in HIV-positive, HIV-affected (due to caregiver HIV), and HIV-unaffected children in Rwanda. METHODS: A case-control design assessed mental health, risk, and protective factors among 683 children aged 10 to 17 years at different levels of HIV exposure. A stratified random sampling strategy based on electronic medical records identified all known HIV-positive children in this age range in 2 districts in Rwanda. Lists of all same-age children in villages with an HIV-positive child were then collected and split by HIV status (HIV-positive, HIV-affected, and HIV-unaffected). One child was randomly sampled from the latter 2 groups to compare with each HIV-positive child per village. RESULTS: HIV-affected and HIV-positive children demonstrated higher levels of depression, anxiety, conduct problems, and functional impairment compared with HIV-unaffected children. HIV-affected children had significantly higher odds of depression (1.68: 95% confidence interval [CI] 1.15-2.44), anxiety (1.77: 95% CI 1.14-2.75), and conduct problems (1.59: 95% CI 1.04-2.45) compared with HIV-unaffected children, and rates of these mental health conditions were similar to HIV-positive children. These results remained significant after controlling for contextual variables. CONCLUSIONS: The mental health of HIV-affected children requires policy and programmatic responses comparable to HIV-positive children. Copyright © 2014 by the American Academy of Pediatrics.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC4187226/bin/supp_134_2_e464__index.html
https://efashare.b-cdn.net/share/pmc/articles/PMC4187226/bin/peds.2013-2734_peds.2013-2734SupplementaryData.pdf
Authors & Co-Authors
Betancourt, Theresa Stichick
United States, Boston
Harvard T.h. Chan School of Public Health
Scorza, Pamela
United States, New York
Vagelos College of Physicians and Surgeons
Kanyanganzi, Fredrick
United States, Boston
Partners in Health
Smith-Fawzi, Mary Catherine
United States, Boston
Harvard Medical School
United States, Boston
Partners in Health
Sezibera, Vincent
Rwanda, Butare
University of Rwanda
Rwabukwisi, Felix Cyamatare
United States, Boston
Partners in Health
Beardslee, William R.
United States, Boston
Boston Children's Hospital
Stulac, Sara N.
United States, Boston
Partners in Health
Bizimana, Justin I.
Rwanda
Rwinkwavu Hospital
Stevenson, Anne
United States, Cambridge
Harvard University
Kayiteshonga, Yvonne
Rwanda, Kigali
Rwanda Biomedical Centre
Statistics
Citations: 75
Authors: 11
Affiliations: 9
Identifiers
Doi:
10.1542/peds.2013-2734
ISSN:
00314005
e-ISSN:
10984275
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Mental Health
Study Design
Case-Control Study
Study Locations
Rwanda