Incident and Prevalent Sexually Transmitted Infections After Diagnosis and Engagement in Care in HIV Positive Youth in an Urban Care Setting

Abstract

HLC dyads from -0.02 to 0.2 (ICC Difference ¼ 0.22). Physical QOL Congruence increased slightly for both FACE dyads from 0.4 to 0.43 (ICC Difference ¼ 0.03) and HLC dyads from 0.5 to 0.59 (ICC Difference ¼ 0.09). School QOL Congruence decreased for FACE dyads from 0.51 to 0.08 (-0.43 ICC Difference) and increased from 0.66 to 0.82 for HLC dyads (0.16 ICC Difference). At baseline perinatally infected adolescents vs. behaviorally infected adolescents reported significantly higher QOL in two domains: Emotional (¼ 84.4 vs. ¼ 73.3; p ¼ 0.041) and Physical (¼ 91.0 vs. ¼ 84.5, p ¼ 0.058), otherwise there were no significant differences between them. Conclusions: Understanding adolescents' QOL may influence family decision-making with respect to future healthcare utilization and end-of-life care. The FACE intervention increased communication in all domains, but School QOL, where adolescents denied problems and families reported problems. Higher Physical and Emotional QOL among perinatally infected adolescents was unexpected. This might represent a measure of their access to medical and mental health care from birth in comprehensive "one-stop" hospital-based clinics.