The global epidemiology of adolescents living with HIV

作者: Amy L. Slogrove , Annette H. Sohn

DOI: 10.1097/COH.0000000000000449

关键词: MEDLINEAdolescent healthHealth outcomesEnvironmental healthViral loadPopulationEpidemiologyMedicineHuman immunodeficiency virus (HIV)Mental healthImmunologyOncology(nursing)OncologyVirologyInfectious DiseasesHematology

摘要: Purpose of review The aim this study was to summarize recent evidence on the global epidemiology adolescents (age 10-19 years) living with HIV (ALHIV), burden health and HIV-associated mortality. Recent findings In 2016, there were an estimated 2.1 million (uncertainty bound 1.4-2.7 million) ALHIV; 770 000 younger 10-14 1.03 older 15-19 ALHIV, 84% in sub-Saharan Africa. population ALHIV is increasing, as more peri/postnatally infected survive into ages; 35% female infected, compared 57% male ALHIV. Although numbers deaths are declining, among have remained static since peaking 2012. 2015, mortality eighth leading cause adolescent death globally fourth African low middle-income countries. Summary Needed investments characterizing improving HIV-related outcomes include strengthening systems for nationally disaggregated data by age, sex mode infection; collecting granular within routine programmes identify structural, social mental challenges accessing testing care; prioritizing viral load monitoring adolescent-focused differentiated models care.

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