{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T02:33:22Z","timestamp":1791513202223,"version":"4.3.4"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T00:00:00Z","timestamp":1661299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health","doi-asserted-by":"publisher","award":["K23HD088295\u201301A1"],"award-info":[{"award-number":["K23HD088295\u201301A1"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23HD088295-01A1"],"award-info":[{"award-number":["K23HD088295-01A1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012729","name":"CTSC","doi-asserted-by":"publisher","award":["UL1TR002548"],"award-info":[{"award-number":["UL1TR002548"]}],"id":[{"id":"10.13039\/100012729","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR002548"],"award-info":[{"award-number":["UL1TR002548"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart Lung and Blood Institute","doi-asserted-by":"publisher","award":["K23 HL123314"],"award-info":[{"award-number":["K23 HL123314"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Prospective investigations on the risk of cardiovascular disease among youth with perinatally acquired human immunodeficiency virus (PHIV) in sub-Saharan Africa are lacking.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective observational cohort study was performed in 101 youth (aged 10\u201318 years) with PHIV and 97 who were human immunodeficiency virus (HIV) uninfected (HIV\u2212), from 2017 to 2021 at the Joint Clinical Research Center in Uganda. Participants with PHIV were receiving antiretroviral therapy (ART) and had HIV-1 RNA levels \u2264400 copies\/mL. The common carotid artery intima-media thickness (IMT) and pulse wave velocity (PWV) were evaluated at baseline and at 96 weeks. Groups were compared using unpaired t-test, and potential predictors of IMT and PWV were assessed using quantile regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 198 participants recruited at baseline, 168 (89 with PHIV, 79 HIV\u2212) had measurements at 96 weeks. The median age (interquartile range) age was 13 (11\u201315) years; 52% were female, and 85% had viral loads &amp;lt;50 copies\/mL that remained undetectable at week 96. The baseline mean common carotid artery IMT was slightly higher in participants with PHIV compared with controls (P &amp;lt; .01), and PWV did not differ between groups (P = .08). At week 96, IMT decreased and PWV increased in the PHIV group (P \u2264 .03); IMT increased in the HIV\u2212 group (P = .03), with no change in PWV (P = .92). In longitudinal analyses in those with PHIV, longer ART duration was associated with lower PWV (\u03b2 = .008 [95% confidence interval, \u2212.008 to .003]), and abacavir use with greater IMT (\u03b2 = .043 [.012\u2013.074]).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In healthy Ugandan youth with PHIV, virally suppressed by ART, the common carotid artery IMT did not progress over 2 years. Prolonged and early ART may prevent progression of subclinical vascular disease, while prolonged use of abacavir may increase it.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/cid\/ciac686","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T15:58:01Z","timestamp":1661356681000},"page":"e599-e606","source":"Crossref","is-referenced-by-count":13,"title":["Longitudinal Changes in Subclinical Vascular Disease in Ugandan Youth With Human Immunodeficiency Virus"],"prefix":"10.1093","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9945-9062","authenticated-orcid":false,"given":"Sahera","family":"Dirajlal-Fargo","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University Hospitals Cleveland Medical Center , Cleveland, Ohio , USA"},{"name":"Rainbow Babies and Children\u2019s Hospital , Cleveland, Ohio , USA"},{"name":"Case Western Reserve University , Cleveland, Ohio , 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Seattle, Washington , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashidah","family":"Nazzinda","sequence":"additional","affiliation":[{"name":"Joint Clinical Research Centre , Kampala , Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Funderburg","sequence":"additional","affiliation":[{"name":"Ohio State University School of Health and Rehabilitation Sciences , Columbus, Ohio , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cissy","family":"Kityo","sequence":"additional","affiliation":[{"name":"Joint Clinical Research Centre , Kampala , Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Musiime","sequence":"additional","affiliation":[{"name":"Joint Clinical Research Centre , Kampala , Uganda"},{"name":"Makerere University , Kampala , Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace A","family":"McComsey","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Hospitals Cleveland Medical Center , Cleveland, Ohio , USA"},{"name":"Rainbow Babies and Children\u2019s Hospital , Cleveland, Ohio , USA"},{"name":"Case Western Reserve University , Cleveland, Ohio , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,8,24]]},"reference":[{"key":"2023053119004122800_ciac686-B1","author":"The World Health Organization","year":"2019"},{"key":"2023053119004122800_ciac686-B2","author":"Centers for Disease Control and Prevention","year":"2017"},{"key":"2023053119004122800_ciac686-B3","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1097\/QAD.0000000000002092","article-title":"Growing up with perinatal 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