4.6 Article

Linkage to Care for HIV-Positive Adolescents: A Multisite Study of the Adolescent Medicine Trials Units of the Adolescent Trials Network

Journal

JOURNAL OF ADOLESCENT HEALTH
Volume 51, Issue 6, Pages 551-556

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jadohealth.2012.03.012

Keywords

Adolescents; HIV-related care; Linkage to care; Youth

Funding

  1. National Institutes of Health through the National Institute of Child Health and Human Development [5 U01 HD 40533, 5 U01 HD 40474]
  2. National Institute on Drug Abuse
  3. National Institute of Mental Health
  4. ATN Data and Operations Center at Westat, Inc.

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Purpose: To understand linkage to care practices at sites providing clinical services to newly diagnosed HIV-positive adolescents. Methods: Qualitative analysis of detailed interviews conducted with 28 personnel involved in linkage to care at 15 sites providing specialty care to HIV-positive adolescents. Results: We showed that multiple models exist for linkage to care, and that both formal and informal community relationships are important for successful linkage to care. Stigma was seen as a universal issue, enhancing the importance of the balance of confidentiality and social support. Barriers to care, such as mental health issues, substance use, and transportation, are common. Conclusions: We conclude that the complexity of linkage to care requires thought and planning as HIV testing is expanded to lower-risk populations. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.

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