DIAGNOSIS DISCLOSURE RATE AND ITS ASSOCIATIONS AMONG ADOLESCENTS LIVING WITH HUMAN IMMUNODEFICIENCY VIRUS IN GOMBE METROPOLIS, NIGERIA.

INTRODUCTION

Disclosure of Human Immunodeficiency Virus (HIV) status is one of the major challenges in the management of children and adolescents living with HIV (CALHIV). With the increasing number of adolescents living with HIV (ALHIV) and the peculiarities of the adolescent stage of development, there is a need for local data on the disclosure of HIV status among adolescents living with HIV in our area of practice.

OBJECTIVES

To determine the prevalence of disclosure of HIV status and its associated factors among Adolescents living with HIV in Gombe Metropolis.

METHODOLOGY

This was a cross-sectional descriptive study among 130 ALHIV aged 12-18 years, attending Antiretroviral Therapy (ART) clinics in Federal Teaching Hospital and State Specialist Hospital- Gombe who were recruited consecutively over 10 months. Disclosure of HIV status was assessed using a pre-tested semi-structured questionnaire in both the adolescents and their respective caregivers.

RESULTS

The prevalence of HIV status disclosure by caregivers' report and self-report was 66.2% and 63.1% respectively. Older adolescents' age and a higher level of education were significantly associated with disclosure (p value < 0.05). The commonest reason for disclosure was 'increasing curiosity' 23/130(26.7%) while 'being too young' was the commonest reason for non-disclosure 19/44(43.2%). About half 42/86(48.8%) of the disclosures were done by the mothers while 15/86(17.4%) disclosure processes were carried out by healthcare workers.

CONCLUSION

The disclosure rate was relatively high among ALHIV in the Gombe Metropolis. Caregivers should be encouraged on early disclosure.