Outcomes of a Comprehensive Retention Strategy for Youth With HIV After Transfer to Adult Care in the United States.

摘要: BACKGROUND The retention of youth living with HIV (YLHIV) in adult care after transfer from pediatric the United States is a challenge. A targeted comprehensive strategy (CRS) may improve among YLHIV. METHODS retrospective cohort study YLHIV to for patients at least 1 visit 2 urban programs employing CRSs internal medicine/pediatrics-trained providers, peer navigators, social workers and mental health resources. Primary outcomes were successful (≥2 provider visits clinic ≥90 days apart within year transfer) transition (successful plus stable viral load (VL) defined as VL that was less than or equal obtained immediately before transfer). Logistic regression assessed factors associated transition. subgroup analysis performed examine rates linkage clinics (attending transition). RESULTS Of 89 included study, 79 (89%) had 53 (60%) program. Factors non-African American race [adjusted odds ratio (aOR) = 11.26, 95% confidence interval (CI): 1.32-95.51], perinatal (aOR 8.00, CI: 1.39-46.02) CD4 count > 500 cells/mm 5.22, 1.54-17.70). those who retained, 53/79 (67%) improved virologic control In analysis, 54/56 (96%) successfully linked care. CONCLUSIONS Overall, engaged CRS program appear have high but suboptimal