Table 2.
Number of articles citing the specific reasons caregivers offer for disclosing a child’s HIV status to the child.
| Rationale for telling a child his or her HIV status | Number (%) of articles in which mentioned (N = 13) | Countries represented | Reference |
|---|---|---|---|
| Maintain the caregiver–child and other relationships | |||
| Be the one to tell | 6 (46.2) | Uganda | Atwiine et al. (23) |
| Thailand | Boon-Yasidhi et al. (26) | ||
| India | Bhattacharya et al. (25) | ||
| S. Africa | Mahloko and Madiba (33) | ||
| Zambia | Mweemba et al. (34) | ||
| DRC | Vaz et al. (38) | ||
| Keep an honest relationship | 4 (30.8) | Thailand | Boon-Yasidhi et al. (26) |
| USA | Lester et al. (32) | ||
| Zambia | Mweemba et al. (34) | ||
| DRC | Vaz et al. (38) | ||
| Prepare child for disclosure of others’ HIV | 1 (7.7) | USA | Lester et al. (32) |
| Child-related reasons | |||
| Child’s questioning/curiosity | 9 (69.2) | Uganda | Atwiine et al. (23) |
| Thailand | Boon-Yasidhi et al. (26) | ||
| Nigeria | Brown et al. (27) | ||
| Ghana | Kallem et al. (30) | ||
| USA | Lester et al. (32) | ||
| S. Africa | Mahloko and Madiba (33) | ||
| Zambia | Mweemba et al. (34) | ||
| S. Africa | Naidoo and McKerrow (35) | ||
| DRC | Vaz et al. (38) | ||
| Child’s age/maturity | 6 (46.2) | Uganda | Atwiine et al. (23) |
| Thailand | Boon-Yasidhi et al. (26) | ||
| Nigeria | Brown et al. (27) | ||
| Ghana | Kallem et al. (30) | ||
| S. Africa | Mahloko and Madiba (33) | ||
| DRC | Vaz et al. (38) | ||
| Child’s right to know | 5 (38.5) | Uganda | Atwiine et al. (23) |
| Thailand | Boon-Yasidhi et al. (26) | ||
| Nigeria | Brown et al. (27) | ||
| USA | Lester et al. (32) | ||
| S. Africa | Naidoo and McKerrow (35) | ||
| Social | |||
| Explain discrimination/stigmatization | 2 (15.4) | Thailand | Boon-Yasidhi et al. (26) |
| Thailand | Oberdorfer et al. (36) | ||
| Prevention | |||
| Reduce risks to self and others | 6 (46.2) | Uganda | Atwiine et al. (23) |
| Thailand | Boon-Yasidhi et al. (26) | ||
| USA | Lester et al. (32) | ||
| S. Africa | Mahloko and Madiba (33) | ||
| DRC | Vaz et al. (38) | ||
| DRC | Vaz et al. (39) | ||
| Illness-related explanations and events | |||
| Improve adherence | 8 (61.5) | Uganda | Atwiine et al. (23) |
| Nigeria | Brown et al. (27) | ||
| DRC | Fetzer et al. (28) | ||
| USA | Lester et al. (32) | ||
| S. Africa | Mahloko and Madiba (33) | ||
| Zambia | Mweemba et al. (34) | ||
| DRC | Vaz et al. (38) | ||
| DRC | Vaz et al. (39) | ||
| Promote self-care and general health | 5 (38.5) | Nigeria | Brown et al. (27) |
| India | Bhattacharya et al. (25) | ||
| Ghana | Kallem et al. (30) | ||
| USA | Lester et al. (32) | ||
| DRC | Vaz et al. (38) | ||
| Disease progression/symptoms | 4 (30.8) | Uganda | Atwiine et al. (23) |
| S. Africa | Mahloko and Madiba (33) | ||
| Thailand | Oberdorfer et al. (36) | ||
| DRC | Vaz et al. (38) | ||
| Start medication | 2 (15.4) | Thailand | Oberdorfer et al. (36) |
| DRC | Vaz et al. (39) | ||