Retention in Care After Transition to Adult Care for Adolescents and Young Adults With HIV: A Systematic Review and Meta-Analysis.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI:10.3389/ijph.2025.1607733

Mulugeta Shegaze Shimbre, Abebe Gedefaw Belete, Tamirat Gezahegn Guyo, Wei Ma

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Abstract

Objective: To evaluate the retention rates of adolescents and young adults (aged 10-25 years) living with HIV during the transition to adult HIV care.

Methods: The study involved 15 cohort studies conducted since 2015, focusing on adolescents and young adults aged 10-25 years living with HIV who transitioned to adult care. The primary outcome measured was the retention rate in care after transition. Data screening and extraction were performed using Covidence software, and the quality of included studies was assessed using the Joanna Briggs Institute tool.

Results: The pooled 1-year retention rate was 81% (95% CI: 78%, 91%), while the 2-year retention rate was 69% (95% CI: 53%, 83%). Significant heterogeneity was observed between studies (I² = 96.73%). Subgroup analyses revealed geographical differences, with Asia exhibiting the highest retention rates. Retrospective study designs yielded better retention outcomes.

Conclusion: The findings underscore the challenges and variability in retention rates for adolescents transitioning to adult HIV care. There is a critical need for targeted interventions and improved follow-up strategies to enhance retention and meet global HIV care targets.

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.