Retention, adherence, and compliance: Special needs of HIV-infected adolescent girls and young women

Sally Dodds, T. Blakley, J. M. Lizzotte, Lawrence B Friedman, Kimberly Shaw, Jaime Martinez, Carl Siciliano, Lynn E. Walker, Jo L. Sotheran, Randall L. Sell, Geri Botwinick, Robert L. Johnson, Douglas Bell

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Purpose: To demonstrate that whereas all HIV-infected youth evidence complex factors that challenge retention in care and adherence to treatment, HIV-infected females have additional issues that are gender-specific. Methods: Preliminary data from a subset of 21 adolescent/young women under age 25 from the Whole Life mental health-perinatal HIV care project were analyzed to illustrate the needs of these patients. Results: Of the 21 young women assessed, all but one was of minority background, and a sizeable majority had limited education (<high school diploma) and were quite poor (incomes <$500/mo.). Nearly 67% first learned of their HIV status between ages 16 and 19 years. More than three-fourths were pregnant and, of these, more than one-third entered prenatal care in the last trimester. More than half had responsibility for one to two other children. Two-thirds reported having unprotected sex in the prior 6 months. Nearly 43% had CD4 counts of 500 or below. About one-third screened positive for a mental health problem, and the majority reported a striking frequency of exposure to abusive events and traumatic losses across their short lifetimes. Conclusions: Adolescent girls and young women have unique needs for developmentally appropriate medical and psychosocial approaches to promote retention and adherence.

Original languageEnglish
Pages (from-to)39-45
Number of pages7
JournalJournal of Adolescent Health
Volume33
Issue number2 SUPPL. 2
DOIs
StatePublished - Aug 1 2003

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Compliance
HIV
Mental Health
Perinatal Care
Unsafe Sex
Prenatal Care
Third Pregnancy Trimester
CD4 Lymphocyte Count
Interpersonal Relations
Education
Therapeutics

Keywords

  • HIV adolescent females
  • HIV adolescents
  • HIV retention
  • HIV youth

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Retention, adherence, and compliance : Special needs of HIV-infected adolescent girls and young women. / Dodds, Sally; Blakley, T.; Lizzotte, J. M.; Friedman, Lawrence B; Shaw, Kimberly; Martinez, Jaime; Siciliano, Carl; Walker, Lynn E.; Sotheran, Jo L.; Sell, Randall L.; Botwinick, Geri; Johnson, Robert L.; Bell, Douglas.

In: Journal of Adolescent Health, Vol. 33, No. 2 SUPPL. 2, 01.08.2003, p. 39-45.

Research output: Contribution to journalArticle

Dodds, S, Blakley, T, Lizzotte, JM, Friedman, LB, Shaw, K, Martinez, J, Siciliano, C, Walker, LE, Sotheran, JL, Sell, RL, Botwinick, G, Johnson, RL & Bell, D 2003, 'Retention, adherence, and compliance: Special needs of HIV-infected adolescent girls and young women', Journal of Adolescent Health, vol. 33, no. 2 SUPPL. 2, pp. 39-45. https://doi.org/10.1016/S1054-139X(03)00157-5
Dodds, Sally ; Blakley, T. ; Lizzotte, J. M. ; Friedman, Lawrence B ; Shaw, Kimberly ; Martinez, Jaime ; Siciliano, Carl ; Walker, Lynn E. ; Sotheran, Jo L. ; Sell, Randall L. ; Botwinick, Geri ; Johnson, Robert L. ; Bell, Douglas. / Retention, adherence, and compliance : Special needs of HIV-infected adolescent girls and young women. In: Journal of Adolescent Health. 2003 ; Vol. 33, No. 2 SUPPL. 2. pp. 39-45.
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