Linkage to care for HIV-positive adolescents: A multisite study of the adolescent medicine trials units of the adolescent trials network

J. Dennis Fortenberry, Jaime Martinez, Bret J. Rudy, Dina Monte

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)551-556
Number of pages6
JournalJournal of Adolescent Health
Volume51
Issue number6
DOIs
StatePublished - Dec 2012

Keywords

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

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health

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