Carl Britto|Kayur Mehta|Rwituja Thomas|Anita Shet
Prevalence and Correlates of HIV Disclosure Among Children and Adolescents in Low- and Middle-Income Countries: A Systematic Review
St.John's Medical College Hospital|St.John's Medical College Hospital|St.John's Medical College Hospital|St.John's Medical College Hospital|Karolinska Institutet
disclosure hiv status among children adolescents living hiv beneficial challenging aspects address existing knowledge gaps update literature childhood disclosure conducted systematic review caregivers perceptions practices hiv disclosure low middleincome countries lmicsstandard databases searched studies conducted lmics published english 2004 2015 excluded articles reviews case reports reporting childhood disclosure data regarding prevalence correlates impact disclosure presented frequenciestwo authors independently screened 982 articles applying eligibility criteria 22 articles representing 12 countries 2843 children reviewed proportion fully disclosed children ranged 17 410 495 children provided deflected information use nonhivrelated reason explaining illness health care visits factors associated full disclosure included antiretroviral treatment initiation caregivers felt need maintaining optimal adherence barriers disclosure included fear negative psychological reactions inadvertent disclosure others caregivers perceived strong need active participation health care providers aid process disclosurefull disclosure hiv status common among children adolescents lmics practice deflected disclosure prominent caregivers perceived need support health care providers disclosure process evidencebased guidelines incorporating developmental status child locally prevalent cultures caregiver perceptions prerequisite enhancing disclosure settings