Evidence map›Paper›PMID 28991884›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2018

HIV Continuum of Care for Youth in the United States.

Michelle A Lally, Jacob J van den Berg, Andrew O Westfall, Bret J Rudy, Sybil G Hosek, J Dennis Fortenberry, Dina Monte, Mary R Tanney, Elizabeth J McFarland, Jiahong Xu and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 5% of its field
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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
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  19. Lessons Learned in Centering Youth Voices in HIV Prevention: The Adolescent Health Working Group.Progress in community health partnerships : research, education, and action · 2022
    Article
  20. Cost-effectiveness of Frequent HIV Screening Among High-risk Young Men Who Have Sex With Men in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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

13 authors at 9 institutions in 1 country.

Michelle A LallyDepartment of Medicine, Lifespan Hospital Systems, Alpert Medical School of Brown University, VA Medical Center, Providence, RI.
Jacob J van den BergDepartment of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI.
Andrew O WestfallDepartment of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, AL.
Bret J RudyDepartment of Pediatrics, New York University School of Medicine, New York, NY.
Sybil G HosekDepartment of Psychiatry, John Stroger Hospital of Cook County, Chicago, IL.
J Dennis FortenberryDepartment of Pediatrics, Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, IN.
Dina MonteHealth Studies Sector, Westat, Rockville, MD.
Mary R TanneyDepartment of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.
Elizabeth J McFarlandDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
Jiahong XuHealth Studies Sector, Westat, Rockville, MD.
Bill G KapogiannisEunice Kennedy Shriver National Institute of Child Health and Human Development/Maternal and Pediatric Infectious Disease Branch, Bethesda, MD.
Craig M WilsonDepartment of Epidemiology, University of Alabama at Birmingham School of Public Health, Birmingham, AL.
Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN)
Brown University · USUniversity of Alabama at Birmingham · USWestat (United States) · USChildren's Hospital of Philadelphia · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USIndiana University – Purdue University Indianapolis · USJohn H. Stroger, Jr. Hospital of Cook County · USNew York University · USUniversity of Colorado Denver · US

Funding

Adol. Medicine Trials Network for HIV/AIDS InterventionsU01HD040474 · NICHD · WESTAT, INC. · PI HARRIS, DONALD ROBERT · 2001 to 2016
$114.4M
LEADERSHIP GROUP FOR ADOLESCENT MEDICINE TRIALS NETWORKU01HD040533 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILSON, CRAIG M · 2001 to 2016
$76.4M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
NIAID NIH HHS P30 AI042853NICHD NIH HHS U01 HD040474NICHD NIH HHS U01 HD040533NIGMS NIH HHS U54 GM115677
6 · The paper itself

Abstract

backgroundBeneficial HIV treatment outcomes require success at multiple steps along the HIV Continuum of Care. Youth living with HIV are a key population, and sites in the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) are known for modeling optimum HIV adolescent care.

methodsA longitudinal cohort study conducted at 14 network sites across the United States assessed how the later steps of the Continuum of Care were achieved among the youth: engagement, treatment, and viral load (VL) suppression. Youth aged 13-24 who were behaviorally infected with HIV and linked to care at an ATN-affiliated site were eligible to participate.

resultsA total of 467 youth were enrolled and had 1 year of available data. Most were aged 22-24 (57%), male (79%), and black/non-Hispanic (71%). Most used alcohol (81%) and marijuana (61%) in the 3 months before enrollment, and 40% had a history of incarceration. Among this cohort of youth, 86% met criteria for care engagement; among these, 98% were prescribed antiretroviral therapy and 89% achieved VL suppression. Sustained VL suppression at all measured time points was found among 59% with initial suppression. Site characteristics were notable for the prevalence of adherence counseling (100%), case management (100%), clinic-based mental health (93%), and substance use (64%) treatment.

conclusionsYouth living with HIV in the United States can be successfully treated at health care sites with experience, excellence, and important resources and services. Sustained VL suppression may be an important step to add to the Continuum of Care for youth.

Indexed as

Continuity of Patient CareAdolescentCase ManagementCohort StudiesCounselingFemaleHIV InfectionsHumansMalePatient ComplianceSexual and Gender MinoritiesUnited StatesYoung Adult

Identifiers

PMID28991884
PMCPMC5774627
OpenAlexW2764202206

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.