期刊
AIDS PATIENT CARE AND STDS
卷 30, 期 4, 页码 170-177出版社
MARY ANN LIEBERT, INC
DOI: 10.1089/apc.2015.0263
关键词
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资金
- Agency for Healthcare Research and Quality [HHSA290201100007C]
- Health Resources and Services Administration [HHS H250201200008C]
- National Institutes of Health [U01 DA036945, P30 AI094189]
- Clinical Investigation and Biostatistics Core of the UC San Diego Center for AIDS Research [AI036214]
- National Institute of Child Health Development [T32HD052459]
- National Institutes of Health/National Institutes of Mental Health [K23-MH097647]
- National Institutes of Allergy and Infectious Diseases [1K23 AI084549]
Limited data exist on how structures of care impact retention among youth living with HIV (YLHIV). We describe the availability of youth-friendly structures of care within HIV Research Network (HIVRN) clinics and examine their association with retention in HIV care. Data from 680 15- to 24-year-old YLHIV receiving care at 7 adult and 5 pediatric clinics in 2011 were included in the analysis. The primary outcome was retention in care, defined as completing >= 2 primary HIV care visits >= 90 days apart in a 12-month period. Sites were surveyed to assess the availability of clinic structures defined a priori as 'youth-friendly'. Univariate and multivariable logistic regression models assessed structures associated with retention in care. Among 680 YLHIV, 85% were retained. Nearly half (48%) of the 680 YLHIV attended clinics with youth-friendly waiting areas, 36% attended clinics with evening hours, 73% attended clinics with adolescent health-trained providers, 87% could email or text message providers, and 73% could schedule a routine appointment within 2 weeks. Adjusting for demographic and clinical factors, YLHIV were more likely to be retained in care at clinics with a youth-friendly waiting area (AOR 2.47, 95% CI [1.11-5.52]), evening clinic hours (AOR 1.94; 95% CI [1.13-3.33]), and providers with adolescent health training (AOR 1.98; 95% CI [1.01-3.86]). Youth-friendly structures of care impact retention in care among YLHIV. Further investigations are needed to determine how to effectively implement youth-friendly strategies across clinical settings where YLHIV receive care.
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