Evidence map›Paper›PMID 29985263›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2018

Trends Over Time for Adolescents Enrolling in HIV Care in Kenya, Tanzania, and Uganda From 2001-2014.

Edith Apondi, John M Humphrey, Edwin Sang, Ann Mwangi, Alfred Keter, Beverly S Musick, Fred K Nalugoda, John Ssali, Elizabeth Bukusi, Constantin T Yiannoutsos and 2 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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

12 authors at 6 institutions in 3 countries.

Edith ApondiDepartment of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.
John M HumphreyDepartment of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.
Edwin SangAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Ann MwangiDepartment of Behavioral Sciences, Moi University College of Health Sciences, Eldoret, Kenya.
Alfred KeterAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Beverly S MusickAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Fred K NalugodaRakai Health Sciences Program, Kalisizo-Station, Kalisizo, Rakai, Uganda.
John SsaliMasaka Regional Referral Hospital, AHF-Uganda Cares Masaka, Uganda.
Elizabeth BukusiFamily Aids Care and Education Services (FACES), a Collaboration Between the Kenya Medical Research Institute and the University of California San Francisco, Kisumu, Kenya.
Constantin T YiannoutsosDepartment of Biostatistics, Indiana University Fairbanks School of Public Health, Indianapolis, IN.
Kara Wools-KaloustianAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Samuel AyayaDepartment of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.
AMPATH · KEIndiana University – Purdue University Indianapolis · USKenya Medical Research Institute · KEMasaka Hospital · UGMoi University · KERakai Health Sciences Program · UG

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Leslie Anne Enane, AGGREY SEMWENDERO SEMEERE · 2006 to 2026
$57.7M
NIAID NIH HHS U01 AI069911
6 · The paper itself

Abstract

backgroundThe data needed to understand the characteristics and outcomes, over time, of adolescents enrolling in HIV care in East Africa are limited.

settingSix HIV care programs in Kenya, Tanzania, and Uganda.

methodsThis retrospective cohort study included individuals enrolling in HIV care as younger adolescents (10-14 years) and older adolescents (15-19 years) from 2001-2014. Descriptive statistics were used to compare groups at enrollment and antiretroviral therapy (ART) initiation over time. The proportion of adolescents was compared with the total number of individuals aged 10 years and older enrolling over time. Competing-risk analysis was used to estimate 12-month attrition after enrollment/pre-ART initiation; post-ART attrition was estimated by Kaplan-Meier method.

resultsA total of 6344 adolescents enrolled between 2001 and 2014. The proportion of adolescents enrolling among all individuals increased from 2.5% (2001-2004) to 3.9% (2013-2014, P < 0.0001). At enrollment, median CD4 counts in 2001-2004 compared with 2013-2014 increased for younger (188 vs. 379 cells/mm, P < 0.0001) and older (225 vs. 427 cells/mm, P < 0.0001) adolescents. At ART initiation, CD4 counts increased for younger (140 vs. 233 cells/mm, P < 0.0001) and older (64 vs. 323 cells/mm, P < 0.0001) adolescents. Twelve-month attrition also increased for all adolescents both after enrollment/pre-ART initiation (4.7% vs. 12.0%, P < 0.001) and post-ART initiation (18.7% vs. 31.2%, P < 0.001).

conclusionsExpanding HIV services and ART coverage was likely associated with earlier adolescent enrollment and ART initiation but also with higher attrition rates before and after ART initiation. Interventions are needed to promote retention in care among adolescents.

Indexed as

AdolescentAnti-HIV AgentsChildFemaleHIV InfectionsHumansKenyaMaleProspective StudiesRetrospective StudiesTanzaniaUgandaYoung AdultAnti-HIV Agents

Identifiers

PMID29985263
PMCPMC6396029
OpenAlexW2834029287

What OpenQuestion holds

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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.