Elizabeth Brackis?Cott|Ezer Kang|Curtis Dolezal|Elaine J. Abrams|Claude A. Mellins
The Impact of Perinatal HIV Infection on Older School-Aged Children's and Adolescents' Receptive Language and Word Recognition Skills
New York Psychoanalytic Society and Institute|Columbia University|Harlem Hospital Center|Columbia University|New York Psychoanalytic Society and Institute|Columbia University|Harlem Hospital Center|Columbia University|New York Psychoanalytic Society and Institute|Columbia University
perinatally hivinfected youths reaching adolescence large numbers little known cognitive functioning study aims describe compare receptive language ability word recognition skills school functioning older schoolaged children adolescents perinatally hiv infected hivpositive perinatally hivexposed uninfected seroreverters hivnegative participants included 340 youths 206 hivpositive 134 hivnegative 916 years old caregivers youths completed peabody picture vocabulary test third edition ppvtiii reading subtest wide range achievement test third edition wrat3 caregivers interviewed regarding demographic characteristics school placement youths medical information abstracted medical charts groups youths scored poorly ppvtiii wrat3 one third youths scoring less 10th percentile hivpositive youths scored lower seroreverters 838 versus 876 221 p 0028 ppvtiii wrat3 882 versus 938 269 p 0008 among hivpositive youths neither cd4 cell count hiv rna viral load centers disease control prevention cdc classification significantly associated either ppvtiii wrat3 scores however youths taking antiretroviral medication lower wrat3 scores youths taking medication 9503 versus 8689 238 p 0018 hiv status remained significantly associated ppvtiii wrat3 standard scores adjusting demographic variables many youths retained school attended special education classes findings highlight poor language ability among youths infected affected hiv importance educational interventions address emerging need