ART Adherence Among Malawian Youth Enrolled in Teen Clubs: A Retrospective Chart Review
| Autor: | Julie Parent, Kathryn Dovel, James B Mwambene, Risa M Hoffman, Eric Lungu, Mackenzie Chivwala, Kondwani Mmanga, Kaitlyn McBride, Corrina Moucheraud, Mike Nyirenda, Kelvin Balakasi, Alan Schooley |
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| Rok vydání: | 2019 |
| Předmět: |
Counseling
Male medicine.medical_specialty Malawi Social Psychology Adolescent Anti-HIV Agents education HIV Infections Logistic regression Odds Medication Adherence 03 medical and health sciences Young Adult 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Antiretroviral Therapy Highly Active HIV Seropositivity Medicine Humans 030212 general & internal medicine Child Retrospective Studies 030505 public health business.industry Medical record Public health Public Health Environmental and Occupational Health Attendance medicine.disease Health psychology Infectious Diseases Female Club 0305 other medical science business Demography |
| Zdroj: | AIDS and behavior. 23(9) |
| ISSN: | 1573-3254 |
| Popis: | To improve outcomes among HIV-positive adolescents, the Malawi Ministry of Health is supporting scale-up of “Teen Clubs,” a facility-based antiretroviral treatment (ART) delivery model. Teen Clubs are monthly ART clinics for adolescents (10–19 years old) that provide clinical services and peer psychosocial support. This paper assesses ART adherence among Teen Club attendees in Malawi. We performed a retrospective analysis of medical records and Teen Club attendance data on 589 HIV-positive adolescents at 16 Partners in Hope (PIH)—Extending Quality Improvement for HIV/AIDS in Malawi (EQUIP) supported facilities across Malawi, from January to June of 2017, who attended at least two Teen Club sessions. Multi-level logistic regression models were used to examine the role of gender and age on optimal ART adherence (≥ 95% based on pill count) among HIV-positive adolescents enrolled in Teen Clubs. The median age of adolescents in this sample was 14 years, and 47% were male. Older adolescent males (15–19 years) were 64% more likely to achieve ≥ 95% ART adherence (aOR 1.64, 95% CI 1.16–2.31, p |
| Databáze: | OpenAIRE |
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