dc.contributor.author | Wang, Jiayu | |
dc.contributor.author | Mugo, Cyrus | |
dc.contributor.author | Omondi, Vincent O | |
dc.contributor.author | Njuguna, Irene N | |
dc.contributor.author | Maleche-Obimbo, Elizabeth | |
dc.contributor.author | Inwani, Irene | |
dc.contributor.author | Hughes, James P | |
dc.contributor.author | Slyker, Jennifer A | |
dc.contributor.author | John-Stewart, Grace | |
dc.contributor.author | Wamalwa, Dalto | |
dc.contributor.author | Wagner, Anjuli D | |
dc.date.accessioned | 2022-08-02T11:49:27Z | |
dc.date.available | 2022-08-02T11:49:27Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Wang J, Mugo C, Omondi VO, Njuguna IN, Maleche-Obimbo E, Inwani I, Hughes JP, Slyker JA, John-Stewart G, Wamalwa D, Wagner AD. Home-based HIV Testing for Children: A Useful Complement for Caregivers with More Children, Who are Male, and with an HIV Negative Partner. AIDS Behav. 2022 Mar 19. doi: 10.1007/s10461-022-03643-3. Epub ahead of print. PMID: 35306611. | en_US |
dc.identifier.uri | https://pubmed.ncbi.nlm.nih.gov/35306611/ | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/161303 | |
dc.description.abstract | Expanding index and family-based testing (HBT) is a priority for identifying children living with HIV. Our study characterizes predictors that drive testing location choice for children of parents living with HIV. Kenyan adults living with HIV were offered a choice of HBT or clinic-based testing (CBT) for any of their children (0-12 years) of unknown HIV status. Multilevel generalized linear models were used to identify correlates of choosing HBT or CBT for children and testing all versus some children within a family, including caregiver demographics, HIV history, social support, cost, and child demographics and HIV prevention history. Among 244 caregivers living with HIV and their children of unknown HIV status, most (72%) caregivers tested children using CBT. In multivariate analysis, female caregivers [aRR 0.52 (95% CI 0.34-0.80)] were less likely to choose HBT than male caregivers. Caregivers with more children requiring testing [aRR 1.23 (95% CI 1.05-1.44)] were more likely to choose HBT than those with fewer children requiring testing. In subgroup univariate analysis, female caregivers with a known HIV negative spouse were significantly more likely to choose HBT over CBT than those with a known HIV positive spouse [RR 2.57 (95% CI 1.28-5.14), p = 0.008], no association was found for male caregivers. Child demographics and clinical history was not associated with study outcomes. Caregiver-specific factors were more influential than child-specific factors in caregiver choice of pediatric HIV testing location. Home-based testing may be preferable to families with higher child care needs and may encourage pediatric HIV testing if offered as an alternative to clinic testing. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Family testing; HIV testing; Index case testing; Pediatrics; Prevention of mother-to-child transmission. | en_US |
dc.title | Home-based Hiv Testing for Children: a Useful Complement for Caregivers With More Children, Who Are Male, and With an Hiv Negative Partner | en_US |
dc.type | Article | en_US |