Comparing Different Measures of Retention in Care Among a Cohort of Adolescents and Young Adults Living with Behaviorally-Acquired HIV.

TitleComparing Different Measures of Retention in Care Among a Cohort of Adolescents and Young Adults Living with Behaviorally-Acquired HIV.
Publication TypeJournal Article
Year of Publication2019
AuthorsSayegh CS, Wood SM, Belzer M, Dowshen NL
JournalAIDS Behav
Date Published2019 Aug 19
ISSN1573-3254
Abstract

Young people living with HIV (YLWH) have some of the lowest rates of retention in HIV care, putting them at risk for negative health outcomes. To better understand retention in care in this age group, we conducted a retrospective cohort analysis of YLWH initiating care at a multidisciplinary, adolescent-focused HIV clinic (N = 344). Retention was calculated using a variety of definitions, and relationships between different definitions were assessed. During the 1-year study period, on average YLWH missed two scheduled appointments, and attended 80% of appointments, usually at least once every 3 months. About one-quarter experienced a 6-month gap in care and about two-thirds met the Health Resources and Services Administration's retention criteria. Although most retention definitions were significantly correlated, not all were. Researchers, clinicians, and policymakers should consider the impact of varying definitions of retention, in order to optimally measure this outcome in YLWH, a key vulnerable population.

DOI10.1007/s10461-019-02568-8
Alternate JournalAIDS Behav
PubMed ID31429029
Grant ListMH111341 / MH / NIMH NIH HHS / United States
MH102128 / MH / NIMH NIH HHS / United States
P30 AI 045008 / / Penn Center for AIDS Research /