Evidence map›Paper›PMID 41217403›Full record

ArticleAIDS (London, England)2026

Lower working memory and processing speed among children and youth exposed to HIV.

Maryjane I Okhagbuzo, Irene Njuguna, Maureen King'e, Hellen Moraa, Marion Muranda, Beryl Tala, Wenwen Jiang, Megan S Mchenry, Dalton Wamalwa, Grace John-Stewart and 1 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Maryjane I OkhagbuzoDepartment of Global Health, University of Washington, Seattle, WA.
Irene NjugunaDepartment of Global Health, University of Washington, Seattle, WA.
Maureen King'eDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Hellen MoraaDepartment of Global Health, University of Washington, Seattle, WA.
Marion MurandaKenyatta National Hospital, Department of Medical Research, Nairobi, Kenya.
Beryl TalaKenyatta National Hospital, Department of Medical Research, Nairobi, Kenya.
Wenwen JiangDepartment of Global Health, University of Washington, Seattle, WA.
Megan S MchenryRyan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine, Indianapolis, IN, USA.
Dalton WamalwaDepartment of Pediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
Grace John-StewartDepartment of Global Health, University of Washington, Seattle, WA.
Sarah Benki-NugentDepartment of Global Health, University of Washington, Seattle, WA.

Funding

HEU outcomes: population-evaluation and screening strategies (HOPE)R33HD103079 · NICHD · UNIVERSITY OF WASHINGTON · PI JOHN-STEWART, GRACE C. · 2022 to 2024
$2.6M
HEU outcomes: population-evaluation and screening strategies (HOPE)R61HD103079 · NICHD · UNIVERSITY OF WASHINGTON · PI JOHN-STEWART, GRACE C. · 2020 to 2021
$780k
NICHD NIH HHS R33 HD103079NICHD NIH HHS R61 HD103079
6 · The paper itself

Abstract

objectivesTo compare cognitive function and identify correlates of lower cognitive functioning among children and youth exposed to HIV (CHEU) aged 7-18 years and peers unexposed to HIV (CHU).

designCross sectional survey.

methodsUsing the NIH Toolbox African Languages cognitive battery, we assessed working memory, attention and inhibitory control, episodic memory, cognitive flexibility, and processing speed. We compared domain scores between HIV exposure groups and determined correlates using multivariable linear regression adjusted for age and potential confounders.

resultsAmong 185 CHEU and 187 CHU assessed, median age was 12 years (interquartile range [IQR]: 10, 14) for CHEU and 13 (IQR: 10, 15) for CHU. CHEU were more likely to be orphaned and had older, less educated mothers. Among CHEU, 54.1% mothers started antiretroviral treatment prepregnancy. Compared to CHU, CHEU had significantly lower scores in working memory (adjusted β -1.2, 95% CI -2.0, -0.5, P  = 0.002) and processing speed (adjusted β -4.9, 95% CI -7.3, -2.5, P  < 0.001).Among CHEU, maternal combination ART in pregnancy was associated with better working memory; food insecurity was associated with poorer processing speed. In both groups, maternal education and child male sex were associated with better cognitive outcomes.

conclusionsCHEU experienced deficits in working memory and processing speed compared to CHU. Discerning mechanisms for CHEU could inform interventions. Ensuring maternal ART and addressing food insecurity among CHEU may enhance cognitive outcomes.

Indexed as

HIV InfectionsMemory, Short-TermAdolescentChildCross-Sectional StudiesFemaleHumansMaleProcessing SpeedadolescentchildcognitionHIVmemoryprocessing speed

Identifiers

PMID41217403
PMCPMC13171152

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.