de Sá CDSC1, Corrêa FR2
1Federal São Paulo University, Human Movement Science, São Paulo, Brazil, 2Federal São Paulo University, São Paulo, Brazil
Background: The development of HIV-exposed infants due to contact with the virus and / or antiretroviral therapy during pregnancy and postnatal is a very discussed topic, since is from the intrauterine to the infant phase that occurs a critical period of brain development that may suffer external interference (of environmental order by the physical environment or received stimulus), and internal (of biologic order). Studies shows that the environment has direct influence on the infant development, regardless of presenting a risk factor, however, it shows even more influence if there is a factor present.
Purpose: To identify and compare Affordances in the Home Environment to the development of HIV-exposed and non exposed infants.
Methods: A cross-sectional study was carried out at a referral service in Santos - Brazil, in which evaluations were performed on 38 infants, children of HIV-exposed mothers, of both sexes at the following ages: 4, 8, 12 and 18 months. For the control group, 32 infants, children of HIV-non exposed mothers were evaluated in the same age group. The infants were evaluated through the AHEMD questionnaire addressed to parents and / or guardians about the environment and home stimulation; and through Bayle. Descriptive analysis was performed for each domain studied in the groups and ages, in addition, inferential analysis, using the model of variance analysis with two fixed factors and the Tukey multiple comparison method and Pearson's linear correlation coefficient.
Results: The HIV-exposed infants had higher values in the cognitive domain, in addition to higher values for the Gross Motor, Fine Motor and Total Scale AHEMD scores. Also were found differences AHEMD variables between ages independent of the group. In addition, correlations were found for the motor and language domains with the AHEMD Scale Total Score.
Conclusion(s): It is concluded that infants exposed to HIV do not present delay in motor, language and cognitive development in relation to non-exposed infants. On the contrary, they may have equal or even greater development depending on the home environment and the stimulations received by their caregivers. It is also concluded that the environment is an important factor in motor, cognitive and language development for both exposed infants and non-exposed infants, since our non-exposed infants presented some minor developmental and home environment scores.
Implications: Early identification of factors that can alter neuromotor development is fundamental for taking appropriate and timely intervention measures to reduce the risk of injury. Among these risk factors, it is known that exposure of infants to the HIV virus is a factor that must be closely monitored.
Keywords: Child development, HIV, enviroment
Funding acknowledgements: FAPESP - Fundação de apoio a pesquisa do estado de São Paulo
Purpose: To identify and compare Affordances in the Home Environment to the development of HIV-exposed and non exposed infants.
Methods: A cross-sectional study was carried out at a referral service in Santos - Brazil, in which evaluations were performed on 38 infants, children of HIV-exposed mothers, of both sexes at the following ages: 4, 8, 12 and 18 months. For the control group, 32 infants, children of HIV-non exposed mothers were evaluated in the same age group. The infants were evaluated through the AHEMD questionnaire addressed to parents and / or guardians about the environment and home stimulation; and through Bayle. Descriptive analysis was performed for each domain studied in the groups and ages, in addition, inferential analysis, using the model of variance analysis with two fixed factors and the Tukey multiple comparison method and Pearson's linear correlation coefficient.
Results: The HIV-exposed infants had higher values in the cognitive domain, in addition to higher values for the Gross Motor, Fine Motor and Total Scale AHEMD scores. Also were found differences AHEMD variables between ages independent of the group. In addition, correlations were found for the motor and language domains with the AHEMD Scale Total Score.
Conclusion(s): It is concluded that infants exposed to HIV do not present delay in motor, language and cognitive development in relation to non-exposed infants. On the contrary, they may have equal or even greater development depending on the home environment and the stimulations received by their caregivers. It is also concluded that the environment is an important factor in motor, cognitive and language development for both exposed infants and non-exposed infants, since our non-exposed infants presented some minor developmental and home environment scores.
Implications: Early identification of factors that can alter neuromotor development is fundamental for taking appropriate and timely intervention measures to reduce the risk of injury. Among these risk factors, it is known that exposure of infants to the HIV virus is a factor that must be closely monitored.
Keywords: Child development, HIV, enviroment
Funding acknowledgements: FAPESP - Fundação de apoio a pesquisa do estado de São Paulo
Topic: Oncology, HIV & palliative care; Paediatrics
Ethics approval required: Yes
Institution: Federal São Paulo University
Ethics committee: Federal São Paulo University
Ethics number: 1486/2016
All authors, affiliations and abstracts have been published as submitted.
