The effects of prenatal HIV exposure on language functioning in Kenyan children: establishing an evaluative framework
- PMID: 27733206
- PMCID: PMC5062875
- DOI: 10.1186/s13104-016-2264-3
The effects of prenatal HIV exposure on language functioning in Kenyan children: establishing an evaluative framework
Abstract
Background: HIV infection has been associated with impaired language development in prenatally exposed children. Although most of the burden of HIV occurs in sub-Saharan Africa, there have not been any comprehensive studies of HIV exposure on multiple aspects of language development using instruments appropriate for the population.
Methods: We compared language development in children exposed to HIV in utero to community controls (N = 262, 8-30 months) in rural Kenya, using locally adapted and validated communicative development inventories.
Results: The mean score of the younger HIV-exposed uninfected infants (8-15 months) was not significantly below that of the controls; however older HIV-exposed uninfected children had significantly poorer language scores, with HIV positive children scoring more poorly than community controls, on several measures.
Conclusions: Our preliminary data indicates that HIV infection is associated with impaired early language development, and that the methodology developed would be responsive to a more detailed investigation of the variability in outcome amongst children exposed to HIV, irrespective of their infection status.
Keywords: Africa; Children; HIV; Language.
References
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- Msellati P, Lepage P, Hitimana DG, Van Goethem C, Van de Perre P, Dabis F. Neurodevelopmental testing of children born to human immunodeficiency virus type 1 seropositive and seronegative mothers: a prospective cohort study in Kigali, Rwanda. Pediatrics. 1993;92(6):843–848. - PubMed
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- Thal DJ, Tobias S, Morrison D. Language and gesture in late talkers: a 1-year follow-up. J Speech Hear Res. 1991;604–612:34. - PubMed
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