ArticlePloS one2021
Social, economic, and health effects of the COVID-19 pandemic on adolescents retained in or recently disengaged from HIV care in Kenya.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Longitudinal challenges faced by perinatally-infected young people with HIV in Kenya during the COVID-19 pandemic.AIDS (London, England) · 2026Article
- Impacts of the COVID-19 pandemic on the lives of adolescents living with HIV aged 10-15 years and their families in Vietnam.BMC public health · 2026Article
- Healthcare access difficulty due to fear of COVID-19 infection among women of reproductive age: multilevel mixed-effects logistic regression analysis.African health sciences · 2026Article
- Generalized and COVID-19 related anxiety among Tanzanian adolescents with HIV and association with HIV outcomes during the COVID-19 pandemic.BMC public health · 2025Article
- Challenges Faced by Perinatally-Infected Kenyan Adolescents and Youth Living with HIV During the COVID-19 Pandemic.AIDS and behavior · 2025Article
- Effects of Alcohol Use on Patient Retention in HIV Care in East Africa.AIDS and behavior · 2024Article
- Describing the effect of COVID-19 on sexual and healthcare-seeking behaviours of men who have sex with men in three counties in Kenya: a cross-sectional study.Sexually transmitted infections · 2024Article
- Illustrations of Coping and Mental Well-Being of Adolescents Living with HIV in Cape Town, South Africa During COVID: A Photovoice Study.International journal of environmental research and public health · 2024Article
- Impacts of the COVID-19 pandemic on HIV care and treatment services among adolescents attending a tertiary hospital in Dar es Salaam, Tanzania: a qualitative study.BMJ public health · 2024Article
- Article
- Perceived impact of the COVID-19 pandemic and government restrictions on the lives of young adults living with HIV in Kisumu, Kenya.PLOS global public health · 2024Article
- Assessing the health, social, educational and economic impact of the COVID-19 pandemic on adolescents in low- and middle-income countries: a rapid review of the literature.Sexual and reproductive health matters · 2023Review
- Impact of COVID-19 on Adolescent HIV Prevention and Treatment Services in the AHISA Network.AIDS and behavior · 2023Article
- Longitudinal impacts of the COVID-19 pandemic on adolescents living with HIV in New York City.AIDS care · 2023Article
- The impact of the COVID-19 pandemic on mental health, associated factors and coping strategies in people living with HIV: a scoping review.Journal of the International AIDS Society · 2023Article
- The impact of COVID-19 on HIV treatment of adolescents in sub-Saharan Africa: A scoping review.Health SA = SA Gesondheid · 2023Article
- Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya.PLOS global public health · 2023Article
- The impact of COVID-19 non-pharmaceutical interventions on HIV care continuum in China: An interrupted time series analysis.The Lancet regional health. Western Pacific · 2022Article
- Substantial Increase in Transactional Sex and HIV Risk Among Adolescents During the COVID-19 Pandemic: Results From a Repeated Cross-Sectional Study in Botswana.AIDS education and prevention : official publication of the International Society for AIDS Education · 2022Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
introductionAdolescents living with HIV (ALHIV, ages 10-19) experience complex challenges to adhere to antiretroviral therapy (ART) and remain in care, and may be vulnerable to wide-scale disruptions during the COVID-19 pandemic. We assessed for a range of effects of the pandemic on ALHIV in western Kenya, and whether effects were greater for ALHIV with recent histories of being lost to program (LTP).
methodsALHIV were recruited from an ongoing prospective study at 3 sites in western Kenya. The parent study enrolled participants from February 2019-September 2020, into groups of ALHIV either 1) retained in care or 2) LTP and traced in the community. Phone interviews from July 2020-January 2021 assessed effects of the pandemic on financial and food security, healthcare access and behaviors, and mental health. Responses were compared among the parent study groups.
resultsPhone surveys were completed with 334 ALHIV or their caregivers, including 275/308 (89.3%) in the retained group and 59/70 (84.3%) among those LTP at initial enrollment. During the pandemic, a greater proportion of LTP adolescents were no longer engaged in school (45.8% vs. 36.4%, p = 0.017). Over a third (120, 35.9%) of adolescents reported lost income for someone they relied on. In total, 135 (40.4%) did not have enough food either some (121, 36.2%) or most (14, 4.2%) of the time. More LTP adolescents (4/59, 6.8% vs. 2/275, 0.7%, p = 0.010) reported increased difficulties refilling ART. Adolescent PHQ-2 and GAD-2 scores were ≥3 for 5.6% and 5.2%, respectively.
conclusionsThe COVID-19 pandemic has had devastating socioeconomic effects for Kenyan ALHIV and their households. ALHIV with recent care disengagement may be especially vulnerable. Meanwhile, sustained ART access and adherence potentially signal resilience and strengths of ALHIV and their care programs. Findings from this survey indicate the critical need for support to ALHIV during this crisis.
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