New infections with the human immunodeficiency virus (HIV) have rising rates among adolescents, heterosexual women, and minorities. Youth with HIV have continued high-risk behaviors and limitations in access to and retention in HIV care. We compared the demographics, behaviors, and delivery of medical services to youth and adult women with HIV. Methods: A retrospective cohort study was conducted of women enrolled in comprehensive HIV care between 01/0195 and 06/30/00 at the Helena Hatch Special Care Center (HHSCC) in St. Louis, MO. Youth aged 13-24 years were compared to women >24 years of age with respect to demographics, behaviors, clinical indicators, and receipt of medical services. Results: 108 of 388 (33%)women enrolled in care were youth. No significant differences were noted between youth and adults with respect to race, education, criminal justice system involvement, or housing stability. Upon enrollment, significantly more youth than adult women were pregnant (61% versus 39%; p <.0001) and met criteria for highly active antiretroviral therapy (HAART; 85% versus 66%; p=.005). Youth were significantly more likely to have had sexually transmitted diseases (STDs) post-enrollment (p<.001) and reported maternal responsibilities (p<.050). No significant differences were noted in compliance with medical visits, HIV-related mortality, or retention in medical care. Conclusion: Female youth enrolled in HIV care are more likely to be pregnant and require HAART than women >24 years of age. Youth received medical services equivalent to their adult counterparts. Both groups benefited from available on-site STD screening and treatment, childcare services, and adherence support.
Learning Objectives: To describe similarities and difference of ongoing behaviors and medical needs of adolescent and adult women in HIV care.
Keywords: HIV/AIDS, Women and HIV/AIDS
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.