{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:45:55Z","timestamp":1777927555623,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adherence to HIV care is pivotal for achieving viral suppression, preventing viral transmission, and improving health outcomes. Despite advancements in antiretroviral therapy, many people living with HIV (PLHIV) are disengaged from care, compromising treatment effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted on 81 episodes of care dropout at a Portuguese hospital between 2018 and 2024. A multidisciplinary team (physicians, nurses, social workers, and mental health professionals) implemented a structured program to reengage patients. Demographic, clinical, and socioeconomic data were collected at baseline and after 6\u00a0months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>79% percent of the participants returned to care, with 68% resuming antiretroviral therapy. Although most patients achieved improved viral load suppression after returning, 27% were lost to follow-up after 6\u00a0months. Foreign-born individuals were associated with a lower likelihood of re-engagement. Common barriers include financial hardship, limited social support, and unaddressed mental health needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A multidisciplinary approach effectively reconnected PLHIV to care and achieved enhanced virological outcomes. However, persistent socioeconomic and psychosocial challenges can lead to repeated disengagement. Long-term, targeted interventions, particularly for vulnerable groups, are required to sustain retention and ensure improved HIV management and overall patient well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624251379715","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T23:03:01Z","timestamp":1757977381000},"page":"129-138","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A multidisciplinary approach to people living with HIV dropping out from treatment-results from a HIV clinic in Portugal"],"prefix":"10.1177","volume":"37","author":[{"given":"Francisca","family":"Oliveira","sequence":"first","affiliation":[{"name":"University of Porto Faculty of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6088-829X","authenticated-orcid":false,"given":"Francisca","family":"Bartilotti Matos","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2031-2357","authenticated-orcid":false,"given":"Ana","family":"Gorgulho","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Crist\u00f3v\u00e3o","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiago","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Mendes","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Jos\u00e9","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Couto","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Pelicano","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Am\u00e9lia","family":"Magna Marques","sequence":"additional","affiliation":[{"name":"Gaia\/Espinho Local Health Unit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6938-4514","authenticated-orcid":false,"given":"Lu\u00eds","family":"Malheiro","sequence":"additional","affiliation":[{"name":"University of Porto Faculty of Medicine"},{"name":"Gaia\/Espinho Local Health Unit"},{"name":"University of Aveiro"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"Organization WH. HIV data and statistics 2024. https:\/\/www.who.int\/teams\/global-hiv-hepatitis-and-stis-programmes\/hiv\/strategic-information\/hiv-data-and-statistics (accessed February 4th 2025)."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199803263381301"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa051908"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1506816"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0807252"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1600693"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3283437c2b"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31819675e9"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0575"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00126334-200212153-00005"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003940"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-022-03659-9"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ1004"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-022-01957-8"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2007.9987"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540120220149975"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3283578b9b"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2007.9986"},{"key":"e_1_3_5_21_2","volume-title":"Acesso \u00e0 Sa\u00fade por Imigrantes com Infe\u00e7\u00e3o VIH em Portugal","author":"de Jesus Duarte AL","year":"2024","unstructured":"de Jesus Duarte AL. Acesso \u00e0 Sa\u00fade por Imigrantes com Infe\u00e7\u00e3o VIH em Portugal. Lisbon, Portugal: ISCTE-Instituto Universitario de Lisboa (Portugal), 2024."},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-022-03604-w"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624251379715","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624251379715","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624251379715","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:47:07Z","timestamp":1777675627000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624251379715"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,15]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1177\/09564624251379715"],"URL":"https:\/\/doi.org\/10.1177\/09564624251379715","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,15]]}}}