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首页> 外文期刊>JAIDS: Journal of acquired immune deficiency syndromes >HIV Continuum of Care for Youth in the United States
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HIV Continuum of Care for Youth in the United States

机译：艾滋病毒连续国在美国享受青年的关怀

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Background: Beneficial HIV treatment outcomes require success at multiple steps along the HIV Continuum of Care. Youth living with HIV are a key population, and sites in the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) are known for modeling optimum HIV adolescent care.Methods: A longitudinal cohort study conducted at 14 network sites across the United States assessed how the later steps of the Continuum of Care were achieved among the youth: engagement, treatment, and viral load (VL) suppression. Youth aged 13-24 who were behaviorally infected with HIV and linked to care at an ATN-affiliated site were eligible to participate.Results: A total of 467 youth were enrolled and had 1 year of available data. Most were aged 22-24 (57%), male (79%), and black/ non-Hispanic (71%). Most used alcohol (81%) and marijuana (61%) in the 3 months before enrollment, and 40% had a history of incarceration. Among this cohort of youth, 86% met criteria for care engagement; among these, 98% were prescribed antiretroviral therapy and 89% achieved VL suppression. Sustained VL suppression at all measured time points was found among 59% with initial suppression. Site characteristics were notable for the prevalence of adherence counseling (100%), case management (100%), clinic-based mental health (93%), and substance use (64%) treatment.Conclusions: Youth living with HIV in the United States can be successfully treated at health care sites with experience, excellence, and important resources and services. Sustained VL suppression may be an important step to add to the Continuum of Care for youth.
机译：背景：有益的HIV治疗结果需要在HIV持续护理的多个步骤上取得成功。艾滋病毒携带者青年是一个关键群体，艾滋病干预青少年医学试验网络（ATN）的网站以模拟最佳的艾滋病青少年护理而闻名。方法：在美国14个网络站点进行的一项纵向队列研究评估了在年轻人中如何实现连续护理的后续步骤：参与、治疗和病毒载量（VL）抑制。13-24岁的行为感染HIV并与ATN附属机构的护理有关的年轻人有资格参加。结果：共有467名年轻人登记，有1年的可用数据。大多数人年龄在22-24岁（57%）、男性（79%）和黑人/非西班牙裔（71%）。大多数人在入学前3个月内使用酒精（81%）和大麻（61%），40%有监禁史。在这一青年群体中，86%符合护理参与标准；其中，98%接受了抗逆转录病毒治疗，89%实现了VL抑制。在所有测量的时间点，59%的初始抑制患者的VL持续抑制。在坚持咨询（100%）、病例管理（100%）、基于临床的心理健康（93%）和药物使用（64%）治疗的流行率方面，现场特征是显著的。结论：在美国，感染艾滋病毒的年轻人可以在有经验、优秀、重要资源和服务的医疗保健场所成功地接受治疗。持续的VL抑制可能是增加对年轻人持续护理的一个重要步骤。

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