ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2012
Predictors of highly active antiretroviral therapy utilization for behaviorally HIV-1-infected youth: impact of adult versus pediatric clinical care site.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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Who cites it
18 citing papers in PubMed, 28 citations in OpenAlex.
- PEERNaija-a mobile health platform incentivizing medication adherence among youth living with HIV in Nigeria: study protocol for a randomized controlled trial.Pilot and feasibility studies · 2023Article
- Article
- Poor retention and care-related sex disparities among youth living with HIV in rural Mozambique.PloS one · 2021Article
- Higher Acuity Resource Utilization With Older Age and Poorer HIV Control in Adolescents and Young Adults in the HIV Research Network.Journal of acquired immune deficiency syndromes (1999) · 2020Article
- Outcomes of a Comprehensive Retention Strategy for Youth With HIV After Transfer to Adult Care in the United States.The Pediatric infectious disease journal · 2019Article
- Impact of a Youth-Focused Care Model on Retention and Virologic Suppression Among Young Adults With HIV Cared for in an Adult HIV Clinic.Journal of acquired immune deficiency syndromes (1999) · 2019Article
- High Medication Possession Ratios Associated With Greater Risk of Virologic Failure Among Youth Compared With Adults in a Nigerian Cohort.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Caring for youth living with HIV across the continuum: turning gaps into opportunities.AIDS care · 2017Review
- Association of Risk of Viremia, Immunosuppression, Serious Clinical Events, and Mortality With Increasing Age in Perinatally Human Immunodeficiency Virus-Infected Youth.JAMA pediatrics · 2017Article
- The Challenge of and Opportunities for Transitioning and Maintaining a Continuum of Care Among Adolescents and Young Adults Living with HIV in Resource Limited Settings.Current tropical medicine reports · 2016Article
- Age Matters: Increased Risk of Inconsistent HIV Care and Viremia Among Adolescents and Young Adults on Antiretroviral Therapy in Nigeria.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Article
- The status of adolescent medicine: building a global adolescent workforce.International journal of adolescent medicine and health · 2016Review
- HIV-1 infection and pregnancy in young women in Brazil: socioeconomic and drug resistance profiles in a cross-sectional study.BMJ open · 2016Article
- The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth.AIDS patient care and STDs · 2016Article
- Aging and loss to follow-up among youth living with human immunodeficiency virus in the HIV Research Network.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2015Article
- Factors informing HIV providers' decisions to start antiretroviral therapy for young people living with behaviorally acquired HIV.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2014Article
- The adolescent and young adult HIV cascade of care in the United States: exaggerated health disparities.AIDS patient care and STDs · 2014Review
- Perceptions of Strategies and Intervention Approaches for HIV Self-Management among Ugandan Adolescents: A Qualitative Study.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
10 authors at 9 institutions in 1 country.
Funding
Abstract
objectivesWe evaluated highly active antiretroviral therapy (HAART) utilization in youth infected with HIV through risk behaviors who met treatment criteria for HAART. We assessed the impact of receiving care at an adult or pediatric HIV clinical site on initiation and discontinuation of the first HAART regimen in behaviorally infected youth (BIY).
methodsThis was a retrospective analysis of treatment-naive BIY, aged 12-24 years, who enrolled in the HIV Research Network between 2002 and 2008 and who met criteria for HAART. The outcomes were time from meeting criteria to initiation of HAART and time to discontinuation of the first HAART regimen. Analyses were conducted using Cox proportional hazards regression.
resultsOf 287 treatment-eligible youth, 198 (69%) received HAART; of these 198 youth, 58 (29.3%) subsequently discontinued HAART. In multivariable analyses, there was no significant difference in the time between meeting treatment criteria and initiating HAART for BIY followed at adult or pediatric HIV clinical sites. However, BIY followed at adult sites discontinued HAART sooner than BIY followed at pediatric HIV clinical sites (adjusted hazard ratio [AHR]: 3.19 [1.26-8.06]).
conclusionsTwo-thirds of treatment-eligible BIY in the HIV Research Network cohort initiated HAART; however, one-third who initiated HAART discontinued it during the study period. Identifying factors associated with earlier HAART initiation and sustainability can inform interventions to enhance HAART utilization among treatment-eligible youth. The finding of earlier HAART discontinuation for youth at adult care sites deserves further study.
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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 OpenQuestion graph.