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A rapid assessment of post-disclosure experiences of urban HIV-positive and HIV-negative school-aged children in Kenya.

Gachanja G - PeerJ (2015)

Bottom Line: There has been limited involvement of HIV-negative children in HIV disclosure studies; most studies conducted on the effects of disclosure on children have been with HIV-positive children and HIV-positive mother-child dyads.Many HIV-affected families have a combination of HIV-positive and negative siblings within the household.Pending further studies conducted with larger sample sizes, the results of this study should assist healthcare professionals to better facilitate disclosure between HIV-positive parents and their children of mixed HIV statuses.

View Article: PubMed Central - HTML - PubMed

Affiliation: College of Health Sciences, Walden University , Minneapolis, MN , USA.

ABSTRACT
There has been limited involvement of HIV-negative children in HIV disclosure studies; most studies conducted on the effects of disclosure on children have been with HIV-positive children and HIV-positive mother-child dyads. Seven HIV-positive and five HIV-negative children participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process in Kenya. In this study, the experiences of these 12 children after receiving disclosure of their own and their parents' illnesses respectively are presented. Each child underwent an in-depth qualitative semi-structured digitally recorded interview. The recorded interviews were transcribed and loaded into NVivo8 for phenomenological data analysis. Five themes emerged from the data, indicating that HIV-positive and negative children appear to have differing post-disclosure experiences revolving around acceptance of illness, stigma and discrimination, medication consumption, sexual awareness, and use of coping mechanisms. Following disclosure, HIV-negative children accepted their parents' illnesses within a few hours to a few weeks; HIV-positive children took weeks to months to accept their own illnesses. HIV-negative children knew of high levels of stigma and discrimination within the community; HIV-positive children reported experiencing indirect incidences of stigma and discrimination. HIV-negative children wanted their parents to take their medications, stay healthy, and pay their school fees so they could have a better life in the future; HIV-positive children viewed medication consumption as an ordeal necessary to keep them healthy. HIV-negative children wanted their parents to speak to them about sexual-related matters; HIV-positive children had lingering questions about relationships, use of condoms, marriage, and childbearing options. All but one preadolescent HIV-positive child had self-identified a person to speak with for social support. When feeling overwhelmed by their circumstances, the children self-withdrew and performed positive activities (e.g., praying, watching TV, listening to the radio, singing, dancing) to help themselves feel better. Many HIV-affected families have a combination of HIV-positive and negative siblings within the household. Pending further studies conducted with larger sample sizes, the results of this study should assist healthcare professionals to better facilitate disclosure between HIV-positive parents and their children of mixed HIV statuses.

No MeSH data available.


Related in: MedlinePlus

HIV-positive and HIV-negative children’s post-disclosure themes.
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fig-1: HIV-positive and HIV-negative children’s post-disclosure themes.

Mentions: The 12 children’s demographic characteristics are displayed in Table 1. Six HIV-positive children had full disclosure of their illnesses, and three HIV-negative children had full disclosure of their parents’ illnesses. All HIV-positive children were taking antiretroviral therapy, multivitamins, and cotrimoxazole; all HIV-negative children were aware that their parents consumed medications on a daily basis. The five themes which emerged from the data include acceptance of illness, stigma and discrimination, medication consumption, sexual awareness, and coping mechanisms; they are displayed in Fig. 1 and further described below. The key quotes from each theme are displayed in Table 2.


A rapid assessment of post-disclosure experiences of urban HIV-positive and HIV-negative school-aged children in Kenya.

Gachanja G - PeerJ (2015)

HIV-positive and HIV-negative children’s post-disclosure themes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4465943&req=5

fig-1: HIV-positive and HIV-negative children’s post-disclosure themes.
Mentions: The 12 children’s demographic characteristics are displayed in Table 1. Six HIV-positive children had full disclosure of their illnesses, and three HIV-negative children had full disclosure of their parents’ illnesses. All HIV-positive children were taking antiretroviral therapy, multivitamins, and cotrimoxazole; all HIV-negative children were aware that their parents consumed medications on a daily basis. The five themes which emerged from the data include acceptance of illness, stigma and discrimination, medication consumption, sexual awareness, and coping mechanisms; they are displayed in Fig. 1 and further described below. The key quotes from each theme are displayed in Table 2.

Bottom Line: There has been limited involvement of HIV-negative children in HIV disclosure studies; most studies conducted on the effects of disclosure on children have been with HIV-positive children and HIV-positive mother-child dyads.Many HIV-affected families have a combination of HIV-positive and negative siblings within the household.Pending further studies conducted with larger sample sizes, the results of this study should assist healthcare professionals to better facilitate disclosure between HIV-positive parents and their children of mixed HIV statuses.

View Article: PubMed Central - HTML - PubMed

Affiliation: College of Health Sciences, Walden University , Minneapolis, MN , USA.

ABSTRACT
There has been limited involvement of HIV-negative children in HIV disclosure studies; most studies conducted on the effects of disclosure on children have been with HIV-positive children and HIV-positive mother-child dyads. Seven HIV-positive and five HIV-negative children participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process in Kenya. In this study, the experiences of these 12 children after receiving disclosure of their own and their parents' illnesses respectively are presented. Each child underwent an in-depth qualitative semi-structured digitally recorded interview. The recorded interviews were transcribed and loaded into NVivo8 for phenomenological data analysis. Five themes emerged from the data, indicating that HIV-positive and negative children appear to have differing post-disclosure experiences revolving around acceptance of illness, stigma and discrimination, medication consumption, sexual awareness, and use of coping mechanisms. Following disclosure, HIV-negative children accepted their parents' illnesses within a few hours to a few weeks; HIV-positive children took weeks to months to accept their own illnesses. HIV-negative children knew of high levels of stigma and discrimination within the community; HIV-positive children reported experiencing indirect incidences of stigma and discrimination. HIV-negative children wanted their parents to take their medications, stay healthy, and pay their school fees so they could have a better life in the future; HIV-positive children viewed medication consumption as an ordeal necessary to keep them healthy. HIV-negative children wanted their parents to speak to them about sexual-related matters; HIV-positive children had lingering questions about relationships, use of condoms, marriage, and childbearing options. All but one preadolescent HIV-positive child had self-identified a person to speak with for social support. When feeling overwhelmed by their circumstances, the children self-withdrew and performed positive activities (e.g., praying, watching TV, listening to the radio, singing, dancing) to help themselves feel better. Many HIV-affected families have a combination of HIV-positive and negative siblings within the household. Pending further studies conducted with larger sample sizes, the results of this study should assist healthcare professionals to better facilitate disclosure between HIV-positive parents and their children of mixed HIV statuses.

No MeSH data available.


Related in: MedlinePlus