biostudies-literatureArnold EMNCATS NIH HHSNICHD NIH HHSNIAID NIH HHSNIMH NIH HHSNational Institute of Child Health and Human Development215-221https://www.ebi.ac.uk/biostudies/studies/S-EPMC10922292biostudies-literatureUnknown95(3)<h4>Background</h4>Youth living with HIV (YLH) have an increased risk for psychosocial stressors that can affect their antiretroviral (ARV) adherence. We examined factors associated with self-reported ARV adherence among YLH ages 12-24 years old.<h4>Setting</h4>YLH (N = 147) were recruited in Los Angeles, CA, and New Orleans, LA from 2017 to 2020.<h4>Methods</h4>YLH whose self-reported recent (30 days) ARV adherence was "excellent" or "very good" were compared with nonadherent YLH on sociodemographic, clinical, and psychosocial factors using univariate and multivariate analyses.<h4>Results</h4>Participants were predominantly male (88%), and 81% identified as gay, bisexual, transgender, queer, or other. The mean duration on ARV was 27 months (range 0-237 months). Most YLH (71.2%) self-reported being adherent, and 79% of those who self-reported adherence were also virally suppressed (<200 copies/mL). Multivariate analysis indicated being adherent was significantly associated with white race [aOR = 8.07, confidence intervals (CI): 1.45 to 74.0], Hispanic/Latinx ethnicity [aOR = 3.57, CI: 1.16 to 12.80], more social support [aOR = 1.11, CI: 1.05 to 1.18], and being on ARV for a shorter duration [aOR = 0.99, CI: 0.97 to 0.99]. Mental health symptoms, substance use, age, and history of homelessness or incarceration were unrelated to adherence.<h4>Conclusions</h4>Enhancing efforts to provide support for adherence to non-white youth, and those with limited social support and who have been on ARV treatment longer, may help increase viral suppression among YLH.Journal of acquired immune deficiency syndromes (1999)Factors Associated With Antiretroviral Adherence Among Youth Living With HIV.PMC10922292U19HD089886P30 AI028697UL1 TR000124UL1 TR001881U19 HD089886P30 MH058107Swendeman DKamal SRotheram-Borus MJGertsch WArnold EMBridges SKNorwood PAdolescent Medicine Trials Network (ATN) CARES TeamfalseFactors Associated With Antiretroviral Adherence Among Youth Living With HIV.<h4>Background</h4>Youth living with HIV (YLH) have an increased risk for psychosocial stressors that can affect their antiretroviral (ARV) adherence. We examined factors associated with self-reported ARV adherence among YLH ages 12-24 years old.<h4>Setting</h4>YLH (N = 147) were recruited in Los Angeles, CA, and New Orleans, LA from 2017 to 2020.<h4>Methods</h4>YLH whose self-reported recent (30 days) ARV adherence was "excellent" or "very good" were compared with nonadherent YLH on sociodemographic, clinical, and psychosocial factors using univariate and multivariate analyses.<h4>Results</h4>Participants were predominantly male (88%), and 81% identified as gay, bisexual, transgender, queer, or other. The mean duration on ARV was 27 months (range 0-237 months). Most YLH (71.2%) self-reported being adherent, and 79% of those who self-reported adherence were also virally suppressed (<200 copies/mL). Multivariate analysis indicated being adherent was significantly associated with white race [aOR = 8.07, confidence intervals (CI): 1.45 to 74.0], Hispanic/Latinx ethnicity [aOR = 3.57, CI: 1.16 to 12.80], more social support [aOR = 1.11, CI: 1.05 to 1.18], and being on ARV for a shorter duration [aOR = 0.99, CI: 0.97 to 0.99]. Mental health symptoms, substance use, age, and history of homelessness or incarceration were unrelated to adherence.<h4>Conclusions</h4>Enhancing efforts to provide support for adherence to non-white youth, and those with limited social support and who have been on ARV treatment longer, may help increase viral suppression among YLH.2024-01-01T00:00:00Z2024 Mar2026-06-01T08:52:13.491Z2025-04-07T11:28:36.84ZS-EPMC109222923797717810.1097/qai.000000000000334510.1097/QAI.0000000000003345