{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:44:09Z","timestamp":1777927449153,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K01MH116737"],"award-info":[{"award-number":["K01MH116737"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Background: As compared to their older peers, youth with HIV (YWH) are less likely to attain viral suppression and have higher rates of sexually transmitted infections (STI). In this exploratory study, we examine the relationship between HIV viral suppression, STI testing, and STI diagnosis among YWH receiving care at a clinic in the southern United States.<\/jats:p>\n                  <jats:p>Methods: Data from 933 clinical visits (2017\u20132020) were aggregated into singular patient records for YWH aged 10\u201324\u00a0years in Alabama ( N = 139). Analyses included univariate generalized linear mixed models performed with the PROC GLIMMIX procedure approximating the marginal likelihood by using Laplace\u2019s method.<\/jats:p>\n                  <jats:p>Results: Sample median age was 22\u00a0years at the index visit. Most YWH were 20\u201324\u00a0years old (69.1%), male (67.6%), and identified as Black (77%); 58.3% were virally unsuppressed at index visit. YWH who identified as White or of other races had 4.79\u00a0times higher odds of being virally suppressed as compared to Black YWH ( p &lt; .01); STI testing behavior and STI positive diagnosis were associated with lower odds of being virally suppression.<\/jats:p>\n                  <jats:p>Conclusions: Findings suggest that among YWH, receiving STI testing and having an STI diagnosis is associated with a lack of viral suppression, suggesting that extra efforts may be necessary to support YWH who have an STI to attain suppression. Research is needed to examine individual behaviors, structural forces, and clinic features that could impact STI care engagement, specifically among unsuppressed YWH.<\/jats:p>","DOI":"10.1177\/09564624231200917","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T20:44:32Z","timestamp":1694119472000},"page":"11-17","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Viral load and sexually transmitted infection testing among youth with HIV in a southern United States clinic"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6716-9754","authenticated-orcid":false,"given":"Henna","family":"Budhwani","sequence":"first","affiliation":[{"name":"College of Nursing, Florida State University, Tallahassee, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaying","family":"Hao","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allysha C.","family":"Maragh-Bass","sequence":"additional","affiliation":[{"name":"Behavioral, Epidemiological, and Clinical Sciences Division, FHI 360, Durham, NC, USA"},{"name":"Duke Global Health Institute, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4103-9329","authenticated-orcid":false,"given":"Samantha","family":"Hill","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dustin M.","family":"Long","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tina","family":"Simpson","sequence":"additional","affiliation":[{"name":"Tulane University, School of Medicine, New Orleans, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,7]]},"reference":[{"key":"bibr1-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.1817"},{"key":"bibr2-09564624231200917","volume-title":"HIV Surveillance Report","author":"Centers for Disease Control and Prevention (CDC)"},{"key":"bibr3-09564624231200917","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7022a1"},{"key":"bibr4-09564624231200917","volume-title":"U.S. Statistics","author":"HIV.gov"},{"key":"bibr5-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001563"},{"key":"bibr6-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0364-1"},{"issue":"1","key":"bibr7-09564624231200917","volume":"25","author":"Centers for Disease Control and Prevention","year":"2020","journal-title":"HIV Surveillance Supplemental Report"},{"key":"bibr8-09564624231200917","doi-asserted-by":"publisher","DOI":"10.2196\/publichealth.7051"},{"key":"bibr9-09564624231200917","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304689"},{"key":"bibr10-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.6841"},{"key":"bibr11-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1097\/qai.0000000000002277"},{"key":"bibr12-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2013.0345"},{"key":"bibr13-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2014.26.6.521"},{"key":"bibr14-09564624231200917","doi-asserted-by":"publisher","DOI":"10.3928\/19382359-20170424-02"},{"key":"bibr15-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0151106"},{"key":"bibr16-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000000632"},{"key":"bibr17-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1097\/jnc.0000000000000270"},{"key":"bibr18-09564624231200917","doi-asserted-by":"publisher","DOI":"10.2196\/36655"},{"key":"bibr19-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-014-0719-x"},{"key":"bibr20-09564624231200917","doi-asserted-by":"publisher","DOI":"10.21037\/mhealth-20-43"},{"key":"bibr21-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-020-03071-1"},{"key":"bibr22-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1177\/2325958220986264"},{"key":"bibr23-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000578"},{"key":"bibr24-09564624231200917","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e3182326779"},{"key":"bibr25-09564624231200917","volume-title":"National overview - 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