HIV Testing, Care Referral, and Linkage to Care Intervals Affect Time to Engagement in Care for Newly Diagnosed HIV-Infected Adolescents in 15 Adolescent Medicine Clinics in the United States

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Morgan M PhilbinAdolescent Trials Network for HIVAIDS Interventions

Abstract

To examine how the time from HIV testing to care referral and from referral to care linkage influenced time to care engagement for newly diagnosed HIV-infected adolescents. We evaluated the Care Initiative, a care linkage and engagement program for HIV-infected adolescents in 15 US clinics. We analyzed client-level factors, provider type, and intervals from HIV testing to care referral and from referral to care linkage as predictors of care engagement. Engagement was defined as a second HIV-related medical visit within 16 weeks of initial HIV-related medical visit (linkage). At 32 months, 2143 youth had been referred. Of these, 866 were linked to care through the Care Initiative within 42 days and thus eligible for study inclusion. Of the linked youth, 90.8% were ultimately engaged in care. Time from HIV testing to referral (eg, ≤7 days versus >365 days) was associated with engagement [adjusted odds ratio = 2.91; 95% confidence interval (CI): 1.43 to 5.94] and shorter time to engagement (adjusted hazard ratio = 1.41; 95% CI: 1.11 to 1.79). Individuals with shorter care referral to linkage intervals (eg, ≤7 days versus 22-42 days) engaged in care faster (adjusted hazard ratio = 2.90; 95% CI: 2.34 to 3.60) and more successfully (...Continue Reading

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Citations

May 4, 2017·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Morgan M PhilbinUNKNOWN Adolescent Trials Network for HIV/AIDS Interventions
Feb 20, 2020·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Rogério M PintoMelanie M Wall
Jan 10, 2020·AIDS Research and Human Retroviruses·Nathan A SummersCarlos Del Rio
Apr 11, 2019·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Rogério M PintoMelanie Wall
Apr 9, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Bill G KapogiannisUNKNOWN Adolescent Medicine Trials Network for HIV/AIDS Interventions

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