Neighborhood-Based Socioeconomic Determinants of Cognitive Impairment in Zambian Children With HIV: A Quantitative Geographic Information Systems Approach,Journal of the Pediatric Infectious Diseases Society

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Neighborhood-Based Socioeconomic Determinants of Cognitive Impairment in Zambian Children With HIV: A Quantitative Geographic Information Systems Approach
Journal of the Pediatric Infectious Diseases Society ( IF 3.2 ) Pub Date : 2021-08-26 , DOI: 10.1093/jpids/piab076
Alexandra Buda ₁ , Owen Dean ₁ , Heather R Adams _{1,

2} , Sylvia Mwanza-Kabaghe ₃ , Michael J Potchen _{4,

5} , Esau G Mbewe ₃ , Pelekelo P Kabundula ₃ , Milimo Mweemba ₆ , Beauty Matoka ₆ , Manoj Mathews _{7,

8,

9} , J Anitha Menon ₁₀ , Bo Wang ₁₁ , Gretchen L Birbeck _{6,

7,

12} , David R Bearden _{2,

3}

Affiliation

University of Rochester School of Medicine, Rochester, New York, USA.
Department of Neurology, Division of Child Neurology, University of Rochester School of Medicine, Rochester, New York, USA.
Department of Educational Psychology, University of Zambia, Lusaka, Zambia.
Department of Imaging Sciences, University of Rochester School of Medicine, Rochester, New York, USA.
Lusaka Apex Medical University, Lusaka, Zambia.
Neurology Research Office, University Teaching Hospital, Lusaka, Zambia.
University of Zambia School of Medicine, Lusaka, Zambia.
University Teaching Hospital Children's Hospital, Lusaka, Zambia.
Directorate of Clinical Care & Diagnostics Services, Ministry of Health, Lusaka, Zambia.
Department of Psychology, University of Zambia, Lusaka, Zambia.
Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, US.
Department of Neurology, Division of Epilepsy, University of Rochester School of Medicine, Rochester, New York, USA.

Place-based inequalities, such as exposure to violence and access to nutritious food and clean water, may contribute to human immunodeficiency virus (HIV)-associated cognitive impairment. In this study, we investigated neighborhood effects on cognition in children and adolescents with HIV in Lusaka, Zambia.

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