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

PeerJ

article

Getaneh Mulualem Belay¹  Fikadu Ambaw Yehualashet²  Amare Wondim Ewunetie¹  Kendalem Asmare Atalell¹ 

[1] Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar;Department of Community Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar

关键词: Children;    Disclosure status;    Ethiopia;    HIV/AIDS;    Antiretroviral therapy;   

DOI  :  10.7717/peerj.13896

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

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.Result10 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.

【 授权许可】

CC BY