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Neurodevelopment of HIV-exposed uninfected children compared with HIV-unexposed uninfected children during early childhood

Bibliographic Data

ID9788733
AuthorsJulia M Young (0000-0003-4128-505X, Hospital for Sick Children, corresponding author), Ari Bitnun (0000-0001-5289-5430, Great Ormond Street Hospital), Stanley Read (0000-0001-7035-0282, Great Ormond Street Hospital), Mary Lou Smith (0000-0002-1937-1026, Hospital for Sick Children)
Year2022
Volume58
Issue3
Pages551-559
Publication date2022-03-01
Open AccessNo
TypeARTICLE
VenueDevelopmental Psychology (JOURNAL)
Journal identifiersISSN: 0012-1649 • E-ISSN: 1939-0599
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/dev0001319
PMID35286108
OpenAlexW4220789426
LanguageEN
Citations received2

HIV-exposed uninfected (HEU) children during the preschool and early school ages may be at-risk for neurodevelopmental challenges due to in utero and perinatal exposure to HIV and/or antiretroviral (ARV) medications. HEU children and HIV-unexposed uninfected (HUU) children from the community were recruited and tested at 3 to 4 and 5 to 6 years of age. Demographic information, HIV/ARV exposure and measures of intelligence, visuomotor skills, and adaptive functioning were obtained. Nonparametric tests assessed group differences and multiple regression analyses adjusted for demographic variables. Additional multiple regression analyses were performed within the HEU group to investigate associations between neurodevelopmental measures and variables of HIV/ARV exposure. At 3 to 4 years, 211 HEU children and 31 HUU children were assessed, and 144 HEU children and 58 HUU children were assessed at 5 to 6 years of age. At 3 to 4 years of age, HEU children scored significantly lower on measures of Full-Scale IQ, Performance IQ, visual motor integration, and adaptive functioning. At 5 to 6 years of age, HEU children scored significantly lower on all neurodevelopmental measures. At both ages, children who were female and those with mothers who were employed achieved higher scores on measures intellectual ability and/or adaptive functioning. Within the HEU group, no consistent associations were found between neurodevelopmental measures and HIV/ARV specific variables. HEU children demonstrated significantly lower scores on neurodevelopmental measures than HUU children during early childhood. Gaps in verbal intellectual abilities were identified with age, highlighting the importance of monitoring neurodevelopment in this population over time. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Child development · Cognition · Developmental psychology · Family medicine · Human immunodeficiency virus (HIV · Intelligence quotient · Psychiatry · HIV Research and Treatment · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Psychology · Pediatrics

  • Attention and neurodevelopment in young children who are HIV-exposed uninfected

    Julia M Young, Vanessa Chen et al.•AIDS Care•2024

  • Mental health and adaptive functioning among school-aged children living with HIV in Zambia

    Open Access•Lisa Kalungwana, Susan Malcolm-Smith et al.•Frontiers in Psychiatry•2022

Citations per year0.5
Citation span2022 - 2024 (3)
Highly citedNo

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