Of 285 participants (mean age=19.5 years, age range 0.8-66 years; 129 female; 106 children, 72 adolescents, 107 adults), there was an average of 4.2 seizures in the prior month. 64% were regularly taking AEDs.

In models for each age stratum, higher seizure frequency in the past month was associated with: older age in adults (p=0.015); a head of household education less than high school level in adolescents and children (p=0.028; p=0.026); and being male (p=0.009) in children.

No variables predicted whether adults regularly took AEDs. Adolescents were more likely to take AEDs when they had a head of household with at least a high school education (p=0.004) and came from wealthier households (p=0.046). Boys were more likely to regularly take AEDs than girls (p=0.047).

The clinical presentations of children/adolescents were independently associated with the highest household educational level and wealth. Future interventions should target households with lower levels of education and wealth to help ensure optimized care of young PLWE in Guinea.