Clinic-level and individual-level factors that influence HIV viral suppression in adolescents and young adults: a national survey in Kenya.

ABSTRACT:

Objectives

To determine clinic-level and individual-level correlates of viral suppression among HIV-positive adolescents and young adult (AYA) aged 10-24 years receiving antiretroviral treatment (ART).

Design

Multilevel cross-sectional analysis using viral load data and facility surveys from HIV treatment programs throughout Kenya.

Methods

We abstracted medical records of AYA in HIV care, analyzed the subset on ART for more than 6 months between January 2016 and December 2017, and collected information on services at each clinic. Multilevel logistic regression models were used to determine correlates of viral suppression at most recent assessment.

Results

In 99 HIV clinics, among 10 096 AYA on ART more than 6 months, 2683 (27%) had unsuppressed viral load at la

SUBMITTER: Njuguna I 

PROVIDER: S-EPMC7274775 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature