RESUMO
Nineteen youth living with HIV (YLWH) opted for injectable cabotegravir and rilpivirine without oral lead in and without achieving an undetectable HIV viral load (VL) for the 3 months prior to initiation. All achieved undetectable status within 3 months (3 injections) and maintained an undetectable status through 6-12 months of therapy.
Assuntos
Infecções por HIV , Uso Off-Label , RNA Viral , Rilpivirina , Carga Viral , Humanos , Infecções por HIV/tratamento farmacológico , Masculino , Adolescente , Estudos Retrospectivos , Rilpivirina/uso terapêutico , Rilpivirina/administração & dosagem , Carga Viral/efeitos dos fármacos , Feminino , RNA Viral/sangue , Fármacos Anti-HIV/uso terapêutico , Fármacos Anti-HIV/administração & dosagem , Piridonas/uso terapêutico , Piridonas/administração & dosagem , Criança , Adulto Jovem , Injeções , DicetopiperazinasRESUMO
Social determinants of health (SDoH), including factors such as education level, housing, poverty, racism, and food insecurity and their impact on health outcomes have been well documented. The "Wayne Pediatrics Health and Nutrition Expo" held at Detroit's Eastern Market was an activity-based health and nutrition event addressing pediatric SDoH. Partnering with community organizations, the event had 10 stations addressing SDoH: access to a primary-care pediatrician; HIV-care and prevention; childhood literacy; clothing & winter coats; mental health and childhood development; nutrition; staying active; vaccination; and food insecurity. The free, public event featured a child-themed treasure hunt and map, music, giveaways, and live demonstrations, all in a family-friendly park atmosphere. While SDoH are considered "non-medical" factors that contribute to health and may be difficult to completely address for any individual child, our practice addressed several key SDoH at a single-day, hands-on, child-friendly community event based on the local needs of children.