Elijah Paintsil|Lorna Renner|Sampson Antwi|Joycelyn Assimeng Dame|Anthony Enimil|Angela Ofori-Atta|Amina Alhassan|Irene Pokuaa Ofori|Xiangyu Cong|Tassos C. Kyriakides|Nancy Reynolds
HIV knowledge, stigma, and illness beliefs among pediatric caregivers in Ghana who have not disclosed their child's HIV status
Yale University|University of Ghana|Korle Bu Teaching Hospital|Kwame Nkrumah University of Science and Technology|Komfo Anokye Teaching Hospital|University of Ghana|Korle Bu Teaching Hospital|Kwame Nkrumah University of Science and Technology|Komfo Anokye Teaching Hospital|University of Ghana|Korle Bu Teaching Hospital|Kwame Nkrumah University of Science and Technology|Komfo Anokye Teaching Hospital|Kwame Nkrumah University of Science and Technology|Komfo Anokye Teaching Hospital|Yale University
majority hivinfected children subsaharan africa informed hiv status caregivers reluctant disclose hiv status children concern childs ability understand parental sense guilt fear social rejection isolation hypothesized low prevalence pediatric hiv disclosure ghana due lack accurate hiv information high hiv stigma among caregivers preliminary analysis baseline data hiv pediatric disclosure intervention study ghana sankofa sankofa twoarm randomized controlled clinical trial comparing disclosure intervention plus usual care intervention arm vs usual care control arm korlebu teaching hospital kbth control arm komfoanokye teaching hospital kath intervention arm enrolled hivinfected children ages 718 years know hiv status caregivers baseline data caregivers included demographic characteristics brief hiv knowledge questionnaire hivkq18 brief illness perception questionnaire hiv stigma scale simple multivariable linear regression analyses used assess relationship caregiver characteristics hiv knowledge stigma illness perception two hundred ninetyeight caregivers enrolled january 2013 july 2014 two study sites kbth n 167 kath n 131 median age caregivers 41 years 805 female 60 caregivers hivpositive seventyeight percent caregivers selfemployed low household income unadjusted adjusted analyses hiv negative status lower level education associated poor scores hivkq hiv positive status remained significant higher level stigma adjusted analyses none caregivers characteristics predicted caregivers illness perception intensification hiv education schools targeted community campaigns needed