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Engagement in care among youth living with parenterally-acquired HIV infection in Romania.

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Title: Engagement in care among youth living with parenterally-acquired HIV infection in Romania.
Authors: Gingaras, Cosmina, Smith, Colette, Radoi, Roxana, Sima, Diana, Youle, Mike, Ene, Luminita
Source: AIDS Care. Oct2019, Vol. 31 Issue 10, p1290-1296. 7p. 2 Charts, 1 Graph.
Subjects: HIV prevention, HIV infection risk factors, Age distribution, Continuum of care, Health care teams, Health status indicators, HIV infections, Psychology of HIV-positive persons, Intravenous therapy, Longitudinal method, Medical appointments, Medical care, Patient participation
Geographic Terms: Romania
Abstract: Transition from adolescent to adult care can be challenging for youth living with HIV. We conducted a cohort study of youth born between 1985 and 1993 and infected with HIV parenterally, followed by the same medical team from age 15 years or first clinic visit until age 25 years or 30 November 2016. A longitudinal continuum-of-care was constructed, categorizing individuals' status for each month of follow-up as: engaged in care (EIC); not in care (NIC: no clinic visits within past year); lost-to-follow-up (LTFU: NIC and did not return to clinic); or died. Five hundred and forty-five individuals (52% male) were followed for 4775 person-years. At age 15, 92% were EIC, decreasing to 84% at age 20 and 74% at age 25. Of those EIC, HIV outcomes improved with age: 79% and 52% had a CD4 ≥200 cells/µl and VL <400 cps/ml at age 15; increasing to 86% and 73% at age 20 and 87% and 80% at age 25. We conclude that youth infected during early childhood tended to disengage from care, even when followed by the same medical team for a lengthy period of time. For those that did engage in care, HIV-related outcomes improved from adolescence through adulthood. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Engagement in care among youth living with parenterally-acquired HIV infection in Romania.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Oct2019, Vol. 31 Issue 10, p1290-1296. 7p. 2 Charts, 1 Graph.
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  Data: Transition from adolescent to adult care can be challenging for youth living with HIV. We conducted a cohort study of youth born between 1985 and 1993 and infected with HIV parenterally, followed by the same medical team from age 15 years or first clinic visit until age 25 years or 30 November 2016. A longitudinal continuum-of-care was constructed, categorizing individuals&#39; status for each month of follow-up as: engaged in care (EIC); not in care (NIC: no clinic visits within past year); lost-to-follow-up (LTFU: NIC and did not return to clinic); or died. Five hundred and forty-five individuals (52% male) were followed for 4775 person-years. At age 15, 92% were EIC, decreasing to 84% at age 20 and 74% at age 25. Of those EIC, HIV outcomes improved with age: 79% and 52% had a CD4 ≥200 cells/&#181;l and VL &lt;400 cps/ml at age 15; increasing to 86% and 73% at age 20 and 87% and 80% at age 25. We conclude that youth infected during early childhood tended to disengage from care, even when followed by the same medical team for a lengthy period of time. For those that did engage in care, HIV-related outcomes improved from adolescence through adulthood. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=137774422
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2019.1612010
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 1290
    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Continuum of care
        Type: general
      – SubjectFull: Health care teams
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Intravenous therapy
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Medical appointments
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Patient participation
        Type: general
      – SubjectFull: Romania
        Type: general
    Titles:
      – TitleFull: Engagement in care among youth living with parenterally-acquired HIV infection in Romania.
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            NameFull: Gingaras, Cosmina
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            NameFull: Smith, Colette
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            NameFull: Radoi, Roxana
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            NameFull: Sima, Diana
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            NameFull: Youle, Mike
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            – D: 01
              M: 10
              Text: Oct2019
              Type: published
              Y: 2019
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              Value: 31
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              Value: 10
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