Educational delays among children living with perinatally-acquired HIV in Johannesburg, South Africa

Stephanie Shiau, Stephen M. Arpadi, Megan Burke, Afaaf Liberty, Cara Thurman, Faeezah Patel, Renate Strehlau, Elaine J. Abrams, Ashraf Coovadia, Avy Violari, Louise Kuhn

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Little is known about how growing up with HIV impacts educational outcomes in sub-Saharan African children. We evaluated if South African children living with HIV (CLWH) were in the appropriate school grade-for-age compared to uninfected control children. We observed higher rates of not being in the correct grade-for-age in CLWH compared with controls (OR 3.32, 95% CI: 2.07-5.34), adjusted for study site, sex, whether the child’s biological father was alive, and caregiver education. Initiation of ART before 6 months of age reduced but did not eliminate this association. Whether these associations are due to biological factors or other social and environmental determinants, and how best to support CLWH to achieve educational goals, warrants further investigation.

Original languageEnglish (US)
Pages (from-to)438-444
Number of pages7
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Issue number4
StatePublished - Apr 2 2020
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


  • children
  • disclosure
  • education
  • HIV
  • pediatrics


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