The Outcomes of Transition from Pediatrics to Adult Care among Adolescents and Young Adults with HIV at a Tertiary Care Center in Bangkok.
J Int Assoc Provid AIDS Care
; 21: 23259582221143673, 2022.
Article
in En
| MEDLINE
| ID: mdl-36474457
ABSTRACT
Background:
Adolescents and young adults with HIV (AYHIV) are at high-risk of loss to follow up and virologic failure, particularly during transition from pediatric to adult clinics.Methods:
We reviewed the medical records of AYHIV to characterize retention and virologic suppression following their transition.Results:
101 AYHIV, 97% perinatally infected, were transferred at the median age of 20 (IQR 19-21) years. At 1-year post-transition, 92.1% were retained in care and 73.3% had viral suppression and at 2-years the retention and viral suppression were 87.1% and 76.7%, respectively. Factors associated with viral suppression were transition at ≥ 20 years of age (aOR 4.38, 95% CI 1.41-13.65) and receiving first-line ART regimen, compared to second- or third-line regimens, at transition (aOR 6.05, 95% CI 1.55-23.58).Conclusion:
Transition outcomes of AYHIV in our setting were suboptimal. There is a need for interventions to support AYHIV transition during this vulnerable period.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
HIV Infections
Limits:
Adolescent
/
Adult
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
J Int Assoc Provid AIDS Care
Year:
2022
Document type:
Article
Affiliation country:
Tailandia