Interruptions in HIV care are a major cause of morbidity and mortality, particularly in resource-limited settings. We compared engagement in care and virologic outcomes between HIV-infected adolescents and young adults (AYA) and older adults (OA) one year after starting antiretroviral therapy (ART) in Nigeria.We conducted a retrospective cohort study of AYA (15-24 years) and OA (>24 years) who initiated ART from 2009-2011. We used negative binomial regression to model the risk of inconsistent care and viremia (HIV RNA >1,000 copies/mL) among AYA and OA in the first year on ART. Regular care included monthly ART pickup and 3-monthly clinical visits. Patients with ≤3 months between consecutive visits were considered in care. Those with inconsistent care had >3 months between consecutive visits.The cohort included 354 AYA and 2,140 OA. More AYA than OA were female (89

作者：Aimalohi A, Ahonkhai；Bolanle, Banigbe；Juliet, Adeola；Abdulkabir B, Adegoke；Susan, Regan；Ingrid V, Bassett；Ifeoma, Idigbe；Elena, Losina；Prosper, Okonkwo；Kenneth A, Freedberg

来源：The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2016 年 59卷 3期