Factors affecting linkage to care and engagement in care for newly diagnosed HIV-positive adolescents within fifteen adolescent medicine clinics in the United States.

TitleFactors affecting linkage to care and engagement in care for newly diagnosed HIV-positive adolescents within fifteen adolescent medicine clinics in the United States.
Publication TypePublication
Year of Publication2014
AuthorsPhilbin MM, Tanner AE, Duval A, Ellen JM, Xu J, Kapogiannis B, Bethel J, J Fortenberry D
Corporate AuthorsAdolescent Trials Network for HIV/AIDS Interventions
JournalAIDS Behav
Volume18
Issue8
Pagination1501-10
Date Published2014 Aug
ISSN1573-3254
KeywordsAdolescent, Adolescent Health Services, Ambulatory Care Facilities, Continuity of Patient Care, Delivery of Health Care, Female, Health Services Accessibility, Health Services Needs and Demand, HIV Infections, Humans, Male, Patient Acceptance of Health Care, Professional-Patient Relations, United States
Abstract

<p>Early linkage to care and engagement in care are critical for initiation of medical interventions. However, over 50 % of newly diagnosed persons do not receive HIV-related care within 6 months of diagnosis. We evaluated a linkage to care and engagement in care initiative for HIV-positive adolescents in 15 U.S.-based clinics. Structural and client-level factors (e.g. demographic and behavioral characteristics, clinic staff and location) were evaluated as predictors of successful linkage and engagement. Within 32 months, 1,172/1,679 (69.8 %) of adolescents were linked to care of which 1,043/1,172 (89 %) were engaged in care. Only 62.1 % (1,043/1,679) of adolescents were linked and engaged in care. Linkage to care failure was attributed to adolescent, provider, and clinic-specific factors. Many adolescents provided incomplete data during the linkage process or failed to attend appointments, both associated with failure to linkage to care. Additional improvements in HIV care will require creative approaches to coordinated data sharing, as well as continued outreach services to support newly diagnosed adolescents.</p>

DOI10.1007/s10461-013-0650-6
Alternate JournalAIDS Behav
PubMed ID24682848
PubMed Central IDPMC4000283
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
L60 MD009069 / MD / NIMHD NIH HHS / United States
P30 MH043520 / MH / NIMH NIH HHS / United States
5 U01 HD 40533 / HD / NICHD NIH HHS / United States
T32 MH019139 / MH / NIMH NIH HHS / United States
5 U01 HD 40474 / HD / NICHD NIH HHS / United States