Evidence map›Paper›PMID 41591214›Full record

ArticleTropical medicine and infectious disease2025

Analysis of Adolescent HIV Care Cascade Outcomes in PEPFAR-Supported Programs in Central America, October 2020-September 2024.

Lissette Raquel Chang, Cristine Gutierrez, Jose Rodas, Nancy Aitcheson, Nasim Farach, Carlos Castaneda, Andres Azmitia Rugg, Benjamin Ryan Phelps

Abstract read
In one paragraph

Article in Tropical medicine and infectious disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Lissette Raquel ChangCenters for Disease Control and Prevention (CDC), Division of Global HIV & TB, Panama City 0801, Panama.ORCID 0000-0001-5112-2006
Cristine GutierrezCenters for Disease Control and Prevention (CDC), Division of Global HIV & TB, Guatemala City 01016, Guatemala.ORCID 0000-0001-7759-7421
Jose RodasCenters for Disease Control and Prevention (CDC), Division of Global HIV & TB, Guatemala City 01016, Guatemala.
Nancy AitchesonCenters for Disease Control and Prevention (CDC), Division of Global HIV & TB, Atlanta, GA 30333, USA.ORCID 0000-0002-3592-1905
Nasim FarachCenters for Disease Control and Prevention (CDC), Division of Global HIV & TB, Tegucigalpa 11101, Honduras.ORCID 0000-0001-6821-9613
Carlos CastanedaCenters for Disease Control and Prevention (CDC), Division of Global HIV & TB, San Salvador 1101, El Salvador.
Andres Azmitia RuggCenters for Disease Control and Prevention (CDC), Division of Global HIV & TB, Guatemala City 01016, Guatemala.
Benjamin Ryan PhelpsCenters for Disease Control and Prevention (CDC), Division of Global HIV & TB, Guatemala City 01016, Guatemala.ORCID 0000-0001-6297-1222

Funding

U.S. Centers for Disease Control and Prevention Cooperative Agreement NU2GGH002262
6 · The paper itself

Abstract

To better understand recent adolescent (10-19 years) HIV trends in Central America, we analyzed routine data from countries supported by the United States President's Emergency Plan for AIDS Relief (PEPFAR): Guatemala, El Salvador, Honduras, Panama, and Nicaragua, over the period from October 2020 to September 2024. Key PEPFAR indicators included HIV testing, HIV positivity rates, new treatment initiations, advanced HIV disease (AHD) at diagnosis, viral load coverage (VLC), viral load suppression (VLS), and multi-month dispensing (MMD) uptake for children and adolescents living with HIV (CALHIV) from 10-19 years of age. Since October 2020, the number of HIV tests conducted among adolescents has increased; however, the positivity rate has remained stable at approximately 2%. The number of adolescents initiating treatment increased by 21%. At the same time, VLS has shown steady regional improvement (from 73% to 90%), though VLC is a persistent challenge (80%). Treatment interruption rates have been relatively stable, fluctuating between 2% and 3%. Advanced HIV is high in adolescents new to treatment (34%), especially among females (40%), though cluster of differentiation 4 (CD4) testing at diagnosis has only been collected recently and coverage is not complete. The high prevalence of AHD among adolescents underscores the need to reinforce earlier and more targeted interventions for adolescents, especially in countries with greater HIV prevalence such as Panama and Guatemala.

Indexed as

adolescentadvanced HIV diseaseHIVtreatmentviral load suppression

Identifiers

PMID41591214
PMCPMC12846695

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.