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Disclosure to HIV-seropositive children in rural Zambia

Overview of attention for article published in BMC Pediatrics, August 2018
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  • Above-average Attention Score compared to outputs of the same age (53rd percentile)

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Title
Disclosure to HIV-seropositive children in rural Zambia
Published in
BMC Pediatrics, August 2018
DOI 10.1186/s12887-018-1252-2
Pubmed ID
Authors

Shinya Tsuzuki, Naoko Ishikawa, Hideki Miyamoto, Christopher Dube, Nangana Kayama, Janet Watala, Albert Mwango

Abstract

Care of children living with HIV comprises various issues, some considered challenging. One of the challenging areas is the serostatus disclosure to HIV-positive children. This study describes the current situation of HIV disclosure among rural children in Zambia and examines the socio-demographic factors promoting disclosure. We used a mixed method approach applying both quantitative and qualitative methods to obtain comprehensive picture of HIV serostatus disclosure for children. Data were collected in Mumbwa district, Zambia (2010-2012), included 57 clinical records of children older than 5 years old. We examined children's age, gender, and cohabitation status with their parents, caregivers' level of education and income, and the relation between children and caregivers. Logistic regression model was applied to examine associations between disclosure and socio-demographic characteristics. Semi-structured interviews with 50 caregivers and 22 HIV-positive children were conducted to qualitatively investigate attitude towards disclosure and support needed. Full disclosure was completed in 17 out of 57 (29.8%) patients. Median ages of patients in disclosed group and non-disclosed group were 10 and 9, respectively (IQR 8.0-13.0, 7.0-11.25). In univariate analyses, older age and male gender has positive relation to the completion of serostatus disclosure. In logistic regression models, cohabitation status with patients' mothers showed positive correlation to the completion of serostatus disclosure. In the interviews with caregivers, all caregivers said that disclosure of serostatus is a necessary process and good for their children, while actual serostatus disclosure rate was low. Serostatus disclosure to HIV-seropositive children is not prevalent in Rural Zambia. Although further researches would be desirable, increased support to caregivers would be beneficial.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 6 15%
Student > Bachelor 5 13%
Student > Master 3 8%
Lecturer 2 5%
Student > Doctoral Student 2 5%
Other 5 13%
Unknown 16 41%
Readers by discipline Count As %
Nursing and Health Professions 8 21%
Medicine and Dentistry 3 8%
Agricultural and Biological Sciences 2 5%
Psychology 2 5%
Social Sciences 2 5%
Other 5 13%
Unknown 17 44%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 September 2018.
All research outputs
#12,790,651
of 23,100,534 outputs
Outputs from BMC Pediatrics
#1,509
of 3,053 outputs
Outputs of similar age
#153,015
of 333,324 outputs
Outputs of similar age from BMC Pediatrics
#59
of 78 outputs
Altmetric has tracked 23,100,534 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,053 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.8. This one has gotten more attention than average, scoring higher than 50% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 333,324 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 78 others from the same source and published within six weeks on either side of this one. This one is in the 24th percentile – i.e., 24% of its contemporaries scored the same or lower than it.