The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth.
Publication/Presentation Date
4-1-2016
Abstract
Limited data exist on how structures of care impact retention among youth living with HIV (YLHIV). We describe the availability of youth-friendly structures of care within HIV Research Network (HIVRN) clinics and examine their association with retention in HIV care. Data from 680 15- to 24-year-old YLHIV receiving care at 7 adult and 5 pediatric clinics in 2011 were included in the analysis. The primary outcome was retention in care, defined as completing ≥2 primary HIV care visits ≥90 days apart in a 12-month period. Sites were surveyed to assess the availability of clinic structures defined a priori as 'youth-friendly'. Univariate and multivariable logistic regression models assessed structures associated with retention in care. Among 680 YLHIV, 85% were retained. Nearly half (48%) of the 680 YLHIV attended clinics with youth-friendly waiting areas, 36% attended clinics with evening hours, 73% attended clinics with adolescent health-trained providers, 87% could email or text message providers, and 73% could schedule a routine appointment within 2 weeks. Adjusting for demographic and clinical factors, YLHIV were more likely to be retained in care at clinics with a youth-friendly waiting area (AOR 2.47, 95% CI [1.11-5.52]), evening clinic hours (AOR 1.94; 95% CI [1.13-3.33]), and providers with adolescent health training (AOR 1.98; 95% CI [1.01-3.86]). Youth-friendly structures of care impact retention in care among YLHIV. Further investigations are needed to determine how to effectively implement youth-friendly strategies across clinical settings where YLHIV receive care.
Volume
30
Issue
4
First Page
170
Last Page
177
ISSN
1557-7449
Published In/Presented At
Lee, L., Yehia, B. R., Gaur, A. H., Rutstein, R., Gebo, K., Keruly, J. C., Moore, R. D., Nijhawan, A. E., Agwu, A. L., & HIV Research Network (2016). The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth. AIDS patient care and STDs, 30(4), 170–177. https://doi.org/10.1089/apc.2015.0263
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
26983056
Department(s)
Administration and Leadership
Document Type
Article