title: Clinical outcomes of adolescents and young adults in adult HIV care.
abstract: We sought to describe virologic and clinical retention outcomes among a group of HIV-infected adolescents and young adults (AYA) newly established in an adult HIV clinic compared with matched HIV-infected adults. AYA demonstrated lower rates of HIV-1 virologic suppression and higher rates of HIV-1 viral rebound and loss to follow-up compared with adults. African American AYA had the lowest rates of virologic suppression and the highest rates of viral rebound. Adult providers should consider HIV-infected AYA, particularly African American HIV-infected AYA, to potentially be at high risk for poor clinical outcomes in adult care.
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, 645 N. Michigan Avenue, Chicago, IL 60611, USA. p-ryscavage@fsm.northwestern.edu
authors.forename: Patrick
authors.initials: P
authors.lastname: Ryscavage
authors.forename: Evan J
authors.initials: EJ
authors.lastname: Anderson
authors.forename: Sarah H
authors.initials: SH
authors.lastname: Sutton
authors.forename: Susheel
authors.initials: S
authors.lastname: Reddy
authors.forename: Babafemi
authors.initials: B
authors.lastname: Taiwo
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000367:Age Factors; D023241:Antiretroviral Therapy, Highly Active; D018791:CD4 Lymphocyte Count; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000276:immunology / Q000821:virology*; D015497:HIV-1 / Q000187:drug effects*; D006801:Humans; D016015:Logistic Models; D059012:Lost to Follow-Up; D008297:Male; D016017:Odds Ratio; D012189:Retrospective Studies; D019562:Viral Load / Q000187:drug effects*; D044465:White People; D055815:Young Adult