Investigating the relationship between Adverse Childhood Experiences (ACE) and attention skills in children living with HIV

Abstract

Background: While persons living with HIV (PWH) have benefited from significant advances in antiretroviral (ARV) treatment, neurocognitive deficits sequent HIV, remain elevated in this population. Notwithstanding HIV, adverse childhood experiences (ACEs) have been implicated in compromised neurocognitive outcomes in children living with HIV. There however, continues to be a dearth of research, investigating the intertwined nature of HIV, ACEs, and neurocognition in pediatric and adolescent HIV. Objectives: This study investigated the relationship between ACEs (High vs Low) and attention outcomes, in children and adolescents, living with HIV, a residing at HIV care shelters in South Africa. Methods: A non-experimental quantitative research design, inclusive of 42 participants (n = 22 males; n = 20 females), was employed to answer the research questions pertinent to the study. Measures of neurocognition were assessed using the NEPSY-II. Adverse childhood experiences were assessed using the ACE CYW-Qs. Independent Sample t-test and Hierarchical regression analysis were conducted to answer research goals, using jamovi 2.3.21 statistical software. Results: The study found that participants who reported a high number of ACEs also performed poorly on attention measures. There were inconclusive findings on the effect of biological sex and age, on attention outcomes. Conclusion: Higher levels of childhood adversities are associated with poorer outcomes in attention scores among children living with HIV.