Marcus Ruthanne, Dasgupta Sharoda, Taussig Jennifer, Tie Yunfeng, Nair Priya, Prejean Joseph
Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA; and.
DLH Corporation, Atlanta, GA.
J Acquir Immune Defic Syndr. 2025 May 1;99(1):9-19. doi: 10.1097/QAI.0000000000003605.
Persons aged 13-24 years are a priority population in the National HIV/AIDS Strategy. Young adults with HIV have poorer health outcomes-including not being retained in care, antiretroviral nonadherence, and not being virally suppressed-than other persons with HIV.
Centers for Disease Control and Prevention's Medical Monitoring Project data collected June 2018 through May 2022.
We compared demographic characteristics, social determinants of health, and mental health between persons aged 18-24 years with HIV versus persons aged ≥25 years with HIV. Among those aged 18-24 years, we analyzed total and unmet needs for ancillary services, defined as those that support care engagement, viral suppression, and overall health and well-being among people with HIV.
Persons aged 18-24 years were more likely to have a household income <100% of the federal poverty level (48% vs. 39%), and experience unstable housing or homelessness (37% vs. 18%) or hunger/food insecurity (29% vs. 18%) than those aged ≥25 years. Persons aged 18-24 years had higher median HIV stigma scores (40 vs. 29) and were more likely to experience symptoms of generalized anxiety disorder (21% vs. 15%) than those aged ≥25 years. Of persons aged 18-24 years, 96% had a need for ≥1 ancillary service, of whom 56% had ≥1 unmet need; unmet needs were highest for subsistence services (53%) and non-HIV medical services (41%).
Addressing unmet needs for subsistence and non-HIV medical services could help reduce disparities in social determinants of health and mental health that drive inequities in health outcomes among persons with HIV aged 18-24 years.
13至24岁人群是《国家艾滋病毒/艾滋病战略》中的重点人群。感染艾滋病毒的年轻人比其他艾滋病毒感染者的健康状况更差，包括无法持续接受治疗、不坚持服用抗逆转录病毒药物以及病毒未得到抑制。
美国疾病控制与预防中心医学监测项目于2018年6月至2022年5月收集的数据。
我们比较了18至24岁的艾滋病毒感染者与25岁及以上的艾滋病毒感染者的人口统计学特征、健康的社会决定因素和心理健康状况。在18至24岁的人群中，我们分析了辅助服务的总需求和未满足需求，辅助服务被定义为支持艾滋病毒感染者的治疗参与、病毒抑制以及整体健康和福祉的服务。
与25岁及以上的人群相比，18至24岁的人群家庭收入低于联邦贫困线100%的可能性更大（48%对39%），经历住房不稳定或无家可归的可能性更大（37%对18%），或经历饥饿/粮食不安全的可能性更大（29%对18%）。18至24岁的人群艾滋病毒耻辱感得分中位数更高（40对29），并且比25岁及以上的人群更有可能出现广泛性焦虑症症状（21%对15%）。在18至24岁的人群中，96%的人需要至少一项辅助服务，其中56%的人有至少一项未满足的需求；生存服务（53%）和非艾滋病毒医疗服务（41%）的未满足需求最高。
满足生存和非艾滋病毒医疗服务方面未满足的需求，有助于减少健康的社会决定因素和心理健康方面的差距，这些差距导致了18至24岁艾滋病毒感染者健康结果的不平等。
