Evidence map›Paper›PMID 42045638›Full record

ArticleAIDS and behavior2026

The Relationship Between Financial Well-Being and Antiretroviral Therapy Adherence in Youth with HIV in the United States.

Marie C D Stoner, Isha Shrestha, Torsten B Neilands, Kristin Ming, Louis Smith, Celeste Balaban, Mallory O Johnson, Parya Saberi

Abstract read
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In one paragraph

Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Marie C D StonerRTI International, Research Triangle Park, NC, USA. mcstoner@rti.org.ORCID http://orcid.org/0000-0002-7189-8669
Isha ShresthaUniversity of Washington School of Medicine, Seattle, WA, USA.
Torsten B NeilandsCenter for AIDS Prevention Studies, University of California, San Francisco, CA, USA.
Kristin MingCenter for AIDS Prevention Studies, University of California, San Francisco, CA, USA.
Louis SmithCenter for AIDS Prevention Studies, University of California, San Francisco, CA, USA.
Celeste BalabanCenter for AIDS Prevention Studies, University of California, San Francisco, CA, USA.
Mallory O JohnsonCenter for AIDS Prevention Studies, University of California, San Francisco, CA, USA.
Parya SaberiCenter for AIDS Prevention Studies, University of California, San Francisco, CA, USA.

Funding

Comprehensive, tailored, technology-based intervention to improve virologic suppression among youth and young adults living with HIVR01MH131415 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Parya Saberi · 2022 to 2026
$4.5M
NIMH NIH HHS R01 MH131415NIMH NIH HHS R01MH131415
6 · The paper itself

Abstract

Youth and young adults experience high attrition across the HIV care continuum, including elevated risk of antiretroviral therapy (ART) nonadherence and virologic failure. This study examined how financial well-being relates to ART adherence among youth with HIV (YWH), including those using oral or LAI-based regimens. We analyzed baseline data from YWH aged 18-29 years in the United States enrolled between 2023 and 2025 in a randomized controlled trial addressing HIV care barriers, mental health, and substance use. Oral ART adherence was measured using a validated scale, with high adherence defined as a score ≥ 80%. For participants on LAI-ART, high adherence was defined as having no missed or delayed injection visits. We assessed the associations between financial well-being (i.e., unmet subsistence needs, overall financial situation, and mobile technology vulnerability) and adherence using descriptive statistics and adjusted prevalence ratios (PRs) estimated with log-Poisson models with robust standard errors. Among 201 participants, the median age was 27 years. Most (89.1%, n = 179) used oral ART, while 10.0% (n = 20) received LAI-ART. High adherence was achieved by 69.8% of oral ART users and 90% of LAI-ART users. Participants who reported they could "barely get by" financially had significantly lower adherence compared to those living comfortably (RR 0.70, 95% CI 0.52-0.95). Greater unmet subsistence needs were also associated with reduced adherence (RR 0.85, 95% CI 0.73-0.99). Financial well-being was linked to adherence among YWH using both oral and LAI-ART. Efforts to reduce financial hardship may support improved HIV treatment outcomes.

Indexed as

Antiretroviral therapy adherenceFinancial well-beingLong-acting injectablesSubsistence needsYouth with HIV

Identifiers

PMID42045638
PMCPMC13188839

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Registered trials

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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.