Long-Term Post-Transition Outcomes of Adolescents and Young Adults Living With Perinatally and Non-perinatally Acquired HIV in Southeast Asia

Autor: Annette H, Sohn, Thida, Singtoroj, Kulkanya, Chokephaibulkit, Pagakrong, Lumbiganon, Rawiwan, Hansudewechakul, Yasmin Mohamed, Gani, Lam, Van Nguyen, Montida, Auayporn, Stephen, Kerr
Rok vydání: 2023
Předmět:
Zdroj: Journal of Adolescent Health. 72:471-479
ISSN: 1054-139X
Popis: We assessed factors associated with clinical, social, and behavioral outcomes of adolescents and young adults with HIV (AYHIV) in Southeast Asia after transition from pediatric to adult HIV care.AYHIV in Malaysia, Thailand, and Vietnam were prospectively followed through annual clinical assessments and laboratory testing. Data were described descriptively and a generalized estimating equation was used to calculate independent predictors for HIV viremia (40 copies/mL).A total of 93 AYHIV were followed until February 2019: 60% female, 94% acquired HIV perinatally, 81% Thai, median age 20 (interquartile range, 18-21) years. The median follow-up time was 94 (91-100) weeks; 88% completed the study. At week 96, median CD4 was 557 cells/mmAfter transition to adult HIV care, there were indications of social isolation and mental health problems that could prevent these AYHIV from maintaining control over their HIV infection and hinder progress toward social independence.
Databáze: OpenAIRE