Myer Landon, Moodley Keymanthri, Hendricks Fahad, Cotton Mark
Infectious Diseases Epidemiology Unit, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.
J Trop Pediatr. 2006 Aug;52(4):293-5. doi: 10.1093/tropej/fml004. Epub 2006 Mar 13.
The disclosure of HIV status to infected children has received relatively little attention to date in sub-Saharan Africa. We conducted 40 semi-structured interviews with healthcare providers working in a large paediatric HIV clinic in Cape Town, South Africa regarding attitudes and experiences around discussing HIV with infected children. Most providers felt that the optimal age for general discussions about an HIV-infected child's health should happen around age 6, but that specific discussions regarding HIV infection should be delayed to a median of 10 years. Though most providers said that primary caregivers were the most appropriate individuals to lead disclosure discussions, there were strong views that caregivers require support from healthcare providers. These findings indicate the complexities involved in the disclosure of HIV status to infected children, and point to the need for interventions to support caregivers and providers in disclosure discussions.
迄今为止，在撒哈拉以南非洲地区，向感染艾滋病毒的儿童披露其感染状况这一问题相对较少受到关注。我们对在南非开普敦一家大型儿科艾滋病毒诊所工作的医护人员进行了40次半结构化访谈，了解他们在与感染儿童讨论艾滋病毒方面的态度和经历。大多数医护人员认为，关于感染艾滋病毒儿童健康状况的一般性讨论的最佳年龄应在6岁左右，但关于艾滋病毒感染的具体讨论应推迟到中位数年龄10岁。尽管大多数医护人员表示，主要照顾者是进行披露讨论的最合适人选，但也有强烈观点认为照顾者需要医护人员的支持。这些发现表明了向感染儿童披露艾滋病毒感染状况所涉及的复杂性，并指出需要采取干预措施，以支持照顾者和医护人员进行披露讨论。
