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AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 32, 2020 - Issue 4
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Articles

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

Stephanie ShiauG.H. Sergievsky Center, Vagelos College of Physicians & Surgeons, Columbia University, New York, USA;Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA;Empilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaView further author information
,
Stephen M. ArpadiG.H. Sergievsky Center, Vagelos College of Physicians & Surgeons, Columbia University, New York, USA;Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA;Empilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;ICAP at Columbia University, Mailman School of Public Health, Columbia University, New York;Department of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York, USAView further author information
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Megan BurkeEmpilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaView further author information
,
Afaaf LibertyPerinatal HIV Research Unit, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg, South AfricaView further author information
,
Cara ThurmanG.H. Sergievsky Center, Vagelos College of Physicians & Surgeons, Columbia University, New York, USAView further author information
,
Faeezah PatelEmpilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaView further author information
,
Renate StrehlauEmpilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaView further author information
,
Elaine J. AbramsDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA;Empilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;ICAP at Columbia University, Mailman School of Public Health, Columbia University, New York;Department of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York, USAView further author information
,
Ashraf CoovadiaEmpilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaView further author information
,
Avy ViolariPerinatal HIV Research Unit, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg, South AfricaView further author information
&
Louise KuhnG.H. Sergievsky Center, Vagelos College of Physicians & Surgeons, Columbia University, New York, USA;Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA;Empilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaCorrespondence[email protected]
View further author information
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Pages 438-444 | Received 03 Apr 2019, Accepted 27 Jun 2019, Published online: 09 Jul 2019
 
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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.

Acknowledgments

This work was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development under Grant numbers HD 073977 and HD 073952.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by Eunice Kennedy Shriver National Institute of Child Health and Human Development: [Grant Number HD 073952,HD 073977].

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