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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The process of HIV status disclosure to HIV-positive youth in Kinshasa, Democratic Republic of the Congo
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 20, No. 7, Year 2008
Notification
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Description
As access to HIV/AIDS treatment increases in sub-Saharan Africa, greater attention is being paid to HIV-infected youth. Little is known about how HIV-positive youth are informed of their HIV infection. As part of a larger formative study informing a treatment program in Kinshasa, Democratic Republic of the Congo, semi-structured interviews were conducted with 19 youth (10-21 years) who had previously been told their HIV status and 21 caregivers who had disclosed the youth's HIV status to the youth. Questions explored youth's and caregivers' experiences of and immediate reactions to disclosure. Youth's median age at disclosure was 15 years old, with a range of 10-18 years based on caregiver reports (n=21) and from 10-19 years based on youth reports (n=18). The most common reasons spontaneously given for disclosing were the child's adherence to their treatment regimen (5/16), the need of the child to protect her/himself or stay healthy (5/16), the child's increasing age (4/16) and so that the child would know why they are suffering (3/16). Most youth (16/19) were surprised to learn of their diagnosis; 50% (8/16) wondered about the infection's origins. A large majority felt that it is better for them to know their HIV status (88%; 15/17). HIV care and treatment programs must be prepared to address the psychosocial needs of youth and their caregivers during the disclosure process. © 2008 Taylor & Francis.
Authors & Co-Authors
Vaz, Lara M.E.
United States, Raleigh
The University of North Carolina System
Corneli, Amy L.
United States, Raleigh
The University of North Carolina System
United States, Durham
Fhi 360
Dulyx, Jennyfer
United States, Raleigh
The University of North Carolina System
Rennie, Stuart M.
United States, Raleigh
The University of North Carolina System
Omba, Serge
Democratic Republic Congo, Kinshasa
Universite de Kinshasa
Kitetele, Faustin Nd
Congo
Pediatric Hospital Kalembe Lembe
Badinga, T.
Unknown Affiliation
Kutumbakana, N.
Unknown Affiliation
Daiku, O.
Unknown Affiliation
Ilaka, M.
Unknown Affiliation
Kalengi Kukemfuka, J. S.
Unknown Affiliation
Kayumba Baye, J.
Unknown Affiliation
Callens, Steven F.J.
Unknown Affiliation
van Rie, Annelies
Unknown Affiliation
Okitolando, Emile W.
Unknown Affiliation
Behets, Frieda M.T.F.
United States, Raleigh
The University of North Carolina System
Statistics
Citations: 105
Authors: 16
Affiliations: 4
Identifiers
Doi:
10.1080/09540120701742276
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Exploratory Study
Study Locations
Congo