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Cognitive and physical development in HIV-positive children in South Africa and Malawi: A community-based follow-up comparison study

Sherr, L; Hensels, IS; Tomlinson, M; Skeen, S; Macedo, A; (2018) Cognitive and physical development in HIV-positive children in South Africa and Malawi: A community-based follow-up comparison study. Child: Care, Health and Development , 44 (1) pp. 89-98. 10.1111/cch.12533. Green open access

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Abstract

Background: Child development is negatively impacted by HIV with children that are infected and affected by HIV performing worse than their peers in cognitive assessments. // Methods: We conducted a descriptive follow‐up comparison study (n=989) in South Africa and Malawi. We tracked child development in 135 HIV‐positive children compared to 854 uninfected children aged 4–13 years attending community‐based organizations at baseline and again 12–15 months later. // Results: Children with HIV were more often stunted (58.8% vs. 27.4%) and underweight (18.7% vs. 7.1%). They also had significantly poorer general physical functioning (M=93.37 vs. M=97.00). HIV‐positive children scored significantly lower on digit span and the draw‐a‐person task. // Conclusions: These data clearly show that HIV infection poses a serious risk for child development and that there is a need for scaled up interventions. Community‐based services may be ideally placed to accommodate such provision and deliver urgently needed support to these children.

Type: Article
Title: Cognitive and physical development in HIV-positive children in South Africa and Malawi: A community-based follow-up comparison study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/cch.12533
Publisher version: https://doi.org/10.1111/cch.12533
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: cognitive development, HIV/AIDS, Malawi, physical functioning, quality of life, South Africa
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10076606
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