Transitioning young adults from paediatric to adult care and the HIV care continuum in Atlanta, Georgia, USA: a retrospective cohort study

摘要: Introduction : The transition from paediatric to adult HIV care is a particularly high-risk time for disengagement among young adults; however, empirical data are lacking. Methods We reviewed medical records of 72 youth seen in both the and clinics Grady Infectious Disease Program Atlanta, Georgia, USA, 2004 2014. abstracted clinical on linkage, retention virologic suppression last two years clinic through first clinic. Results Of patients with at least one visit scheduled clinic, 97% were eventually by an provider (median between = 10 months, interquartile range 2–18 months). Half enrolled immediately prior transition, while other half experienced gap re-enrolled as adults. A total 89% retained (at visits three months apart) year 56% second after transition. Patients who within their more likely be virologically suppressed than those took longer (Relative risk (RR): 1.76; 95% confidence interval (CI): 1.07–2.9;  p  = 0.03). (HIV-1 RNA below level detection assay) also most recent (RR: 2.3; CI: 1.34–3.9;  0.002). Conclusions Retention rates once care, though high initially, declined significantly Pre-transition viral shorter linkage associated better outcomes post-transition. Optimizing will require intensive support not controlled, well beyond setting. Keywords  adolescent; transition; HIV; engagement; continuum; (Published: 1 September 2017) Hussen SA et al.  Journal International AIDS Society  2017,  20 :21848 http://www.jiasociety.org/index.php/jias/article/view/21848  |  http://dx.doi.org/10.7448/IAS.20.1.21848