Effects of economic interventions on pediatric and adolescent HIV care outcomes: a systematic review

Bosma, Christopher B.; Toromo, Judith J.; Ayers, Morgan J.; Foster, Erin D.; McHenry, Megan S.; Enane, Leslie A.

doi:10.1080/09540121.2023.2240071

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…High-quality services for children living with HIV include outreach services, 27 , 28 peer support, 29 , 30 financial enablers to defray transport costs when needed, 31 nutritional support, 32 and psychosocial counselling. 33 These additional services can reduce morbidity and mortality in children and adolescents with HIV, but they are also costly, remain absent in many care settings, and are typically provided by clinical centres with resources that fall outside of those provided routinely by Ministries of Health.…”

Section: Discussionmentioning

confidence: 99%

Predicting mortality within 1 year of ART initiation in children and adolescents living with HIV in sub-Saharan Africa: a retrospective observational cohort study

Kay,

Lukhele,

Dlamini

et al. 2024

The Lancet Global Health

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Section: Discussionmentioning

confidence: 99%

Predicting mortality within 1 year of ART initiation in children and adolescents living with HIV in sub-Saharan Africa: a retrospective observational cohort study

Kay,

Lukhele,

Dlamini

et al. 2024

The Lancet Global Health

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“…This can be offered through training in life skills and financial management. Other empowerment activities include matched financial services for medical expenses, income generation, or education-related expenses ( 30 ).…”

Section: Retention In Carementioning

confidence: 99%

Adolescents and young people in sub-Saharan Africa: overcoming challenges and seizing opportunities to achieve HIV epidemic control

Dzinamarira,

Moyo

2024

Front. Public Health

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Syndemic Psychosocial Conditions among Youth Living with HIV: a Latent Class Analysis

Wiginton,

Amico,

Hightow-Weidman

et al. 2024

AIDS Behav

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Drug use, mental distress, and other psychosocial factors threaten HIV care for youth living with HIV (YLWH). We aimed to identify syndemic psychosocial patterns among YLWH and examine how such patterns shape HIV outcomes. Using baseline data from 208 YLWH enrolled in an HIV treatment adherence intervention, we performed latent class analysis on dichotomized responses to 9 psychosocial indicators (enacted HIV stigma; clinical depression and anxiety; alcohol, marijuana, and illicit drug misuse; food and housing insecurity; legal history). We used multinomial logistic regression to assess latent class-demographic associations and the automatic Bolck-Croon-Hagenaars method to assess HIV outcomes by class. Mean age of participants was 21 years; two thirds identified as cis male, 60% were non-Hispanic Black, and half identified as gay. Three classes emerged: “Polydrug-Socioeconomic Syndemic” (n = 29; 13.9%), “Distress-Socioeconomic Syndemic” (n = 35, 17.1%), and “Syndemic-free” (n = 142, 69.0%). Older, unemployed non-students were overrepresented in the “Polydrug-Socioeconomic Syndemic” class. Missed/no HIV care appointments was significantly higher in the “Polydrug-Socioeconomic Syndemic” class (81.4%) relative to the “Syndemic-free” (32.8%) and “Distress-Socioeconomic Syndemic” (31.0%) classes. HIV treatment nonadherence was significantly higher in the “Polydrug-Socioeconomic Syndemic” class (88.5%) relative to the “Syndemic-free” class (59.4%) but not the “Distress-Socioeconomic Syndemic” class (70.8%). Lack of HIV viral load suppression was non-significantly higher in the “Polydrug-Socioeconomic Syndemic” class (29.7%) relative to the “Syndemic-free” (16.2%) and “Distress-Socioeconomic Syndemic” (15.4%) classes. Polydrug-using, socioeconomically vulnerable YLWH are at risk for adverse HIV outcomes, warranting tailored programming integrated into extant systems of HIV care.

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Effects of economic interventions on pediatric and adolescent HIV care outcomes: a systematic review

Cited by 4 publications

References 42 publications

Predicting mortality within 1 year of ART initiation in children and adolescents living with HIV in sub-Saharan Africa: a retrospective observational cohort study

Predicting mortality within 1 year of ART initiation in children and adolescents living with HIV in sub-Saharan Africa: a retrospective observational cohort study

Adolescents and young people in sub-Saharan Africa: overcoming challenges and seizing opportunities to achieve HIV epidemic control

Syndemic Psychosocial Conditions among Youth Living with HIV: a Latent Class Analysis

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