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Predictors of viral suppression among youth living with HIV in the southern United States
| Content Provider | Scilit |
|---|---|
| Author | Tarantino, Nicholas Whiteley, Laura Craker, Lacey Brown, Larry K. |
| Copyright Year | 2019 |
| Description | Youth living with HIV (YLH) in the United States (U.S.) face significant problems with achieving viral suppression, especially in the South. To examine this issue, YLH with a detectable viral load (N = 61) were recruited from the southern U.S and assessed over 16 weeks for health and treatment factors. Participants were part of a smartphone-based intervention trial. Analyses focused on predictors of viral suppression controlling for intervention effects. Fifty-three percent achieved suppression. In univariate models, YLH who engaged in condomless sex four to 16 weeks into the study (odds ratio [OR] = 4.00; compared to those who did not) and self-reported ≥ 90% antiretroviral adherence in the first four weeks of the study (OR = 25.00; compared to youth with <90%) had a higher likelihood of suppression. Shifts in adherence-related social support (OR = 4.98) and appointments kept (OR = 2.72) were also associated with suppression. YLH endorsing illicit drug use had a lower likelihood of suppression (OR = 0.16; compared to those without use). Effects (except drug use) remained significant or approached significance in a multivariate model. Adherence promotion efforts should consider this population's adherence-related social support, drug use, and risk for sexually transmitted infections. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085423/pdf |
| Ending Page | 920 |
| Page Count | 5 |
| Starting Page | 916 |
| ISSN | 09540121 |
| e-ISSN | 13600451 |
| DOI | 10.1080/09540121.2019.1668529 |
| Journal | AIDS Care |
| Issue Number | 7 |
| Volume Number | 32 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2020-07-02 |
| Access Restriction | Open |
| Subject Keyword | Journal: Aids Care Biomedical Social Sciences Hiv Adolescent Young Adult Adherence Antiretroviral Viral Load |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health Health (social science) Social Psychology |
