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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

HIV Testing, Care Referral, and Linkage to Care Intervals Affect Time to Engagement in Care for Newly Diagnosed HIV-Infected Adolescents in 15 Adolescent Medicine Clinics in the United States

TitleHIV Testing, Care Referral, and Linkage to Care Intervals Affect Time to Engagement in Care for Newly Diagnosed HIV-Infected Adolescents in 15 Adolescent Medicine Clinics in the United States
Publication TypeJournal Article
Year of Publication2016
AuthorsPhilbin, MM, Tanner, AE, Duval, A, Ellen, JM, Xu, J, Kapogiannis, B, Bethel, J, Fortenberry, JD, Adolescent Trials Network for, HI
JournalJ Acquir Immune Defic Syndr
Volume72
Pagination222-9
Date PublishedJun 1
ISBN Number1944-7884 (Electronic)1525-4135 (Linking)
Accession Number26885804
Abstract

OBJECTIVE: To examine how the time from HIV testing to care referral and from referral to care linkage influenced time to care engagement for newly diagnosed HIV-infected adolescents. METHODS: We evaluated the Care Initiative, a care linkage and engagement program for HIV-infected adolescents in 15 US clinics. We analyzed client-level factors, provider type, and intervals from HIV testing to care referral and from referral to care linkage as predictors of care engagement. Engagement was defined as a second HIV-related medical visit within 16 weeks of initial HIV-related medical visit (linkage). RESULTS: At 32 months, 2143 youth had been referred. Of these, 866 were linked to care through the Care Initiative within 42 days and thus eligible for study inclusion. Of the linked youth, 90.8% were ultimately engaged in care. Time from HIV testing to referral (eg, 365 days) was associated with engagement [adjusted odds ratio = 2.91; 95% confidence interval (CI): 1.43 to 5.94] and shorter time to engagement (adjusted hazard ratio = 1.41; 95% CI: 1.11 to 1.79). Individuals with shorter care referral to linkage intervals (eg,

PMCID

PMC4867127