- Comprehensive retention strategies (CRS) appear to promote successful retention (but not virologic suppression) in non-African-American youth living with HIV (YLHIV) with higher CD4 counts who are transferred to adult care.
Why this matters
- Multidisciplinary CRS appear to influence successful transition of YLHIV from pediatric to adult care.
- Provide targeted, ongoing follow-up, ongoing communication to reduce stigma in YLHIV to stabilize virologic control prior to transfer.
- 89 patients.
- 60% (53) successfully transitioned to adult care.
- Adjusted: non-African-American race (OR, 11.26; 95% CI, 1.32-95.51; P=.02), CD4≥500 cells/mm3 (OR, 5.22; 95% CI, 1.54-17.70; P<.01 perinatal hiv or ci associated with successful transition.>
- Overall, 51% (45/89) had suppressed viral loads (HIV RNA ≤400 copies/mL) after transfer.
- Lower success rates observed in youth males who have sex with men (MSM) (23%, 3/13) vs heterosexual risk (60%, 15/25) and PHIV (69%, 35/51).
- Subgroup analysis showed 96% of YLHIV with successful transfer to adult care completed ≥1 adult clinic visit.
- Retrospective cohort of YLHIV transferred to adult care assessing effect of CRS strategies on retention, virologic suppression.
- Funding: None disclosed.
- Small sample size.
- No comparative cohort.
- No longitudinal analysis.
- Effect bias.