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首页> 外文期刊>AIDS care. >Engagement in care among youth living with parenterally-acquired HIV infection in Romania
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Engagement in care among youth living with parenterally-acquired HIV infection in Romania

机译：在罗马尼亚肠胃外艾滋病毒感染的青年中关心的关注

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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/mu l 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.
机译：从青少年到成人护理的过渡可能是艾滋病病毒的青少年挑战。我们在1985年至1993年间出生的青年队进行了一项队列研究，并在胃肠前肠胃感染了HIV，其次是15岁或第一次诊所访问的同一医疗团队，直到2016年年龄25岁或30岁至25岁或30岁。建造纵向关注的纵向关注，将个人的每个月的人的状态分类为：从事护理（EIC）;不在乎（NIC：过去一年内没有诊所访问）;丢失的跟进（LTFU：NIC，没有返回诊所）;或死亡。遵循五百四十五个人（52％的男性）4775人。在15岁时，92％的EIC，25岁及74％的EIC减少至74％。在那些EIC中，随着年龄的增长：79％和52％的艾滋病毒成果具有CD4> = 200细胞/μl和vl 15岁以下<400 cps / ml; 25岁及87％和80％的岁月增加到86％和73％，我们得出结论，在幼儿早期感染的青年倾向于脱离护理，即使是在漫长的一段时间内。对于那些从事照顾的人，艾滋病毒相关的结果从青春期通过成年期改善。

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