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Adjustment of a Population of South African Children of Mothers Living With/and Without HIV Through Three Years Post-Birth

Overview of attention for article published in AIDS and Behavior, June 2016
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Title
Adjustment of a Population of South African Children of Mothers Living With/and Without HIV Through Three Years Post-Birth
Published in
AIDS and Behavior, June 2016
DOI 10.1007/s10461-016-1436-4
Pubmed ID
Authors

Mary Jane Rotheram-Borus, Mark Tomlinson, Aaron Scheffler, Danielle M. Harris, Sandahl Nelson

Abstract

Mothers living with HIV (MLH) and their children are typically studied to ensure that perinatal HIV transmission is blocked. Yet, HIV impacts MLH and their children lifelong. We examine child outcomes from pregnancy to 3 years post-birth among a peri-urban population of pregnant MLH and mothers without HIV (MWOH). Almost all pregnant women in 12 neighborhoods (98 %; N = 584) in Cape Town, South Africa were recruited and repeatedly assessed within 2 weeks of birth (92 %), at 6 months (88 %), 18 months (84 %), and 3 years post-birth (86 %). There were 186 MLH and 398 MWOH. Controlling for neighborhood and repeated measures, child and maternal outcomes were contrasted over time using longitudinal random effects regression analyses. For measures collected only at 3 years, outcomes were analyzed using multiple regressions. Compared to MWOH, MLH had less income, more informal housing and food insecurity, used alcohol more often during pregnancy, and were more depressed during pregnancy and over time. Only 4.8 % of MLH's children were seropositive; seropositive children were excluded from additional analyses. Children of MLH tended to have significantly lower weights (p < .10) over time (i.e., lower weight-for-age Z-scores) and were also hospitalized significantly more often than children of MWOH (p < .01). Children of MLH and MWOH died at similar rates (8.5 %) and were similar in social and behavioral adjustment, vocabulary, and executive functioning at 3 years post-birth. Despite living in households with fewer resources and having more depressed mothers, only the physical health of children of MLH is compromised, compared to children of MWOH. In township neighborhoods with extreme poverty, social, behavioral, language, and cognitive functioning appear similar over the first three years of life between children of MLH and MWOH.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 164 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 164 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 13%
Researcher 21 13%
Student > Ph. D. Student 21 13%
Student > Bachelor 13 8%
Student > Postgraduate 12 7%
Other 23 14%
Unknown 52 32%
Readers by discipline Count As %
Medicine and Dentistry 29 18%
Psychology 26 16%
Nursing and Health Professions 20 12%
Social Sciences 16 10%
Agricultural and Biological Sciences 3 2%
Other 12 7%
Unknown 58 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 June 2017.
All research outputs
#19,246,640
of 23,849,058 outputs
Outputs from AIDS and Behavior
#3,007
of 3,566 outputs
Outputs of similar age
#259,076
of 342,539 outputs
Outputs of similar age from AIDS and Behavior
#67
of 76 outputs
Altmetric has tracked 23,849,058 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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