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Review
. 2014 Mar;28(3):128-35.
doi: 10.1089/apc.2013.0345.

The adolescent and young adult HIV cascade of care in the United States: exaggerated health disparities

Brian C Zanoni  1 , Kenneth H Mayer
Affiliations
Review

The adolescent and young adult HIV cascade of care in the United States: exaggerated health disparities

Brian C Zanoni et al. AIDS Patient Care STDS. 2014 Mar.

Abstract

Little is known about how adolescents and young adults contribute to the declines in the cascade of care from HIV-1 diagnosis to viral suppression. We reviewed published literature from the Unites States reporting primary data for youth (13-29 years of age) at each stage of the HIV cascade of care. Approximately 41% of HIV-infected youth in the United States are aware of their diagnosis, while only 62% of those diagnosed engage medical care within 12 months of diagnosis. Of the youth who initiate antiretroviral therapy, only 54% achieve viral suppression and a further 57% are not retained in care. We estimate less than 6% of HIV-infected youth in the United States remain virally suppressed. We explore the cascade of care from HIV diagnosis through viral suppression for HIV-infected adolescents and young adults in the United States to highlight areas for improvement in the poor engagement of the infected youth population.

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Figures

<b>FIG. 1.</b>
FIG. 1.
Estimated cascade of care in HIV-infected youth (ages 13–29 years) in the United States.
See this image and copyright information in PMC

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