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. 2020 Apr;32(4):438-444.
doi: 10.1080/09540121.2019.1640854. Epub 2019 Jul 9.

Educational delays among children living with perinatally-acquired HIV in Johannesburg, South Africa

Stephanie Shiau  1   2   3 , Stephen M Arpadi  1   2   3   4   5 , Megan Burke  3 , Afaaf Liberty  6 , Cara Thurman  1 , Faeezah Patel  3 , Renate Strehlau  3 , Elaine J Abrams  2   3   4   5 , Ashraf Coovadia  3 , Avy Violari  6 , Louise Kuhn  1   2   3
Affiliations

Educational delays among children living with perinatally-acquired HIV in Johannesburg, South Africa

Stephanie Shiau et al. AIDS Care. 2020 Apr.

Abstract

Little is known about how growing up with HIV impacts educational outcomes in sub-Saharan African children. We evaluated if South African children living with HIV (CLWH) were in the appropriate school grade-for-age compared to uninfected control children. We observed higher rates of not being in the correct grade-for-age in CLWH compared with controls (OR 3.32, 95% CI: 2.07-5.34), adjusted for study site, sex, whether the child's biological father was alive, and caregiver education. Initiation of ART before 6 months of age reduced but did not eliminate this association. Whether these associations are due to biological factors or other social and environmental determinants, and how best to support CLWH to achieve educational goals, warrants further investigation.

Keywords: HIV; children; disclosure; education; pediatrics.

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Conflict of interest statement

Disclosure of Interest Statement:

The authors have no conflicts of interest to report.

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