Challenges to HIV management among youth engaged in HIV care
Bibliographic Data
| ID | 19440717 |
|---|---|
| Authors | Enbal Shacham (0000-0003-4634-491X, Saint Louis University, corresponding author), Amy L Estlund, Amy Estlund (Saint Louis University), Amanda E Tanner (0000-0003-4488-7160, University of North Carolina at Greensboro), Rachel M Presti (0000-0002-5469-0727, Washington University in St. Louis), Rachel Presti |
| Year | 2017 |
| Volume | 29 |
| Issue | 2 |
| Pages | 189-196 |
| Publication date | 2017-02-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2016.1204422 |
| PMID | 27397139 |
| OpenAlex | W2473688045 |
| Language | EN |
| Citations received | 4 |
| References cited | 29 |
Regardless of medical advancements, new HIV infections persist. Young adults are most often newly infected, thus research is needed to assess medication adherence barriers specific to young adults with HIV. The data were abstracted from medical charts to include both self-reported behavioral and psychological distress data and HIV parameters in 2013 among patients aged 18-30 years. Descriptive and logistic regression analyses were conducted to identify factors related to viral suppression and sexually transmitted infection (STI) status. A total of 335 individuals presented for care during a 12-month period at a single clinic. The majority were African American and had a mean age of 25.6 years. Nearly all had current prescriptions of antiretroviral therapy (ART). Among those receiving ART, almost three-quarters were virally suppressed, as measured by 200 copies/mL. STI tests are conducted annually and by assessed need; 30% of this sample had at least 1 bacterial STI diagnosis within the last year. Psychological distress symptoms were more common among individuals who were not virally suppressed, compared to those who were virally suppressed. Women and individuals with moderate to severe symptoms of depression had higher odds of having unsuppressed viral loads. The independent factors associated with having any STIs were being African American or other minorities and having two or more sex partners. Our findings related to how young adults are managing their HIV care suggest that increased efforts aimed to prevent additional STIs and manage psychological distress will likely reduce transmission risks
Distress · Family medicine · Logistic regression · Medical prescription · Odds · Odds ratio · Psychiatry · Viral load · Young adult · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Gerontology · Internal Medicine
Social Capital, Depressive Symptoms, and HIV Viral Suppression Among Young Black, Gay, Bisexual and Other Men Who Have Sex with Men Living with HIV
Characterizing the Role of Neighborhood Disadvantage in a Digital PrEP Intervention for Young Sexual and Gender Minority Men
Identifying Spatial Variation Along the HIV Care Continuum
Days
The Spectrum of Engagement in HIV Care and its Relevance to Test-and-Treat Strategies for Prevention of HIV Infection
A Brief Measure for Assessing Generalized Anxiety Disorder
Validation and Utility of a Self-report Version of PRIME-MD The PHQ Primary Care Study
Prevention of HIV-1 Infection with Early Antiretroviral Therapy
The initial feasibility of a computer-based motivational intervention for adherence for youth newly recommended to start antiretroviral treatment
Pharmacy-refill measure of adherence to efavirenz can predict maintenance of HIV viral suppression
“Youth friendly” clinics
Linking HIV-positive adolescents to care in 15 different clinics across the United States
Association of ongoing drug and alcohol use with non-adherence to antiretroviral therapy and higher risk of Aids and death
Assessing HIV care and unmet need
Alcohol Consumption is Associated with Poor Health in HIV Clinic Patient Population
Factors Affecting Linkage to Care and Engagement in Care for Newly Diagnosed HIV-Positive Adolescents Within Fifteen Adolescent Medicine Clinics in the United States
A Syndemic of Psychosocial Health Disparities and Associations With Risk for Attempting Suicide Among Young Sexual Minority Men
| Citations per year | 0.5 |
|---|---|
| Citation span | 2018 - 2025 (8) |
| Highly cited | No |