title: Orphanhood predicts delayed access to care in Ugandan children.
abstract: We aimed to determine patient characteristics, treatment challenges, and adherence outcomes according to orphanhood status in a prospective cohort of 101 HIV+ children in rural Uganda. Orphans were older at antiretroviral initiation (P = 0.0008) and more likely to be WHO stage-4 (P = 0.03) than nonorphans. More attention to improving access to antiretrovirals in pediatric populations, especially orphans, is needed.
authors.affiliation: Joint Clinical Research Centre, Mbale, Uganda.
authors.forename: Henry
authors.initials: H
authors.lastname: Ntanda
authors.forename: Peter
authors.initials: P
authors.lastname: Olupot-Olupot
authors.forename: Peter
authors.initials: P
authors.lastname: Mugyenyi
authors.forename: Cissy
authors.initials: C
authors.lastname: Kityo
authors.forename: Rebecca
authors.initials: R
authors.lastname: Lowes
authors.forename: Curtis
authors.initials: C
authors.lastname: Cooper
authors.forename: Viviane
authors.initials: V
authors.lastname: Lima
authors.forename: Edward
authors.initials: E
authors.lastname: Mills
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D002648:Child; D054540:Child, Orphaned; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy*; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D013997:Time Factors; D014454:Uganda
chemical_list: D044966:Anti-Retroviral Agents