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However, HIV treatment among the youths is characterized by loss to follow up, poor adherence to ART, risk of treatment failure and high mortality rates compared to young children and adults. There is limited information about factors associated with retention of youths in HIV care in rural settings in Uganda. We aimed to determine retention in HIV care and associated factors among youths aged 15\u201324\u2009years in rural southwestern Uganda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among youths aged 15\u201324\u2009years who were receiving care at the HIV clinic at Kabuyanda HC IV who had been in care for at least 1\u2009year before the study. We used an interviewer-administered questionnaire to collect socio-demographic information. Participant chart abstraction was used to collect information on HIV clinic attendance. We collected information on HIV related stigma using the 40-item Berger Stigma Scale. Chi-square test and multivariable logistic regression analysis were used to determine the factors associated with retention in HIV care with a significance level of &lt;\u20090.05. Retention in HIV care was, defined as having sought care at least once per quarter in the 12\u2009months prior to the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We enrolled 102 participants with a mean age of 20.95 (SD\u2009\u00b1\u20093.07) years. Two thirds (65.7%) of the youths had been retained in HIV care in the previous 12\u2009months. In adjusted analyses, being male, married and had perinatally acquired HIV were independently associated with retention in HIV care. The association between HIV related stigma and retention in HIV care was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Retaining adolescents and young adults in HIV care in rural southwestern Uganda is still much lower than the WHO target of 90%. Being male, having perinatally acquired HIV and married or in a relationship are associated with retention in HIV care. Interventions targeting adolescents and young adults living with HIV are necessary to improve retention in HIV care to the WHO target of 90%.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-021-11547-5","type":"journal-article","created":{"date-parts":[[2021,7,31]],"date-time":"2021-07-31T17:02:27Z","timestamp":1627750947000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Retention in HIV care and associated factors among youths aged 15\u201324\u2009years in rural southwestern Uganda"],"prefix":"10.1186","volume":"21","author":[{"given":"Moses","family":"Muwanguzi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry Mark","family":"Lugobe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elastus","family":"Ssemwanga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan Phillip","family":"Lule","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Atwiine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Kirabira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann K.","family":"Stella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scholastic","family":"Ashaba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3739-1426","authenticated-orcid":false,"given":"Godfrey Zari","family":"Rukundo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,31]]},"reference":[{"issue":"3","key":"11547_CR1","doi-asserted-by":"publisher","first-page":"523","DOI":"10.4314\/ahs.v18i3.8","volume":"18","author":"J Vithalani","year":"2018","unstructured":"Vithalani J, Herreros-Villanueva M. 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The Uganda National Council of Science and Technology (UNCST) gave the regulatory clearance to conduct the study in Uganda (RESCLEAR\/01). Administrative clearance to carry out the study at the facility was granted by the District Health Officer of Isingiro district, and the In-Charge of Kabuyanda HC IV. Unique identification participant codes were used to identify participants hence, no participant identifiers were captured at data entry to ensure their privacy and confidentiality. Written informed consent was obtained from all participants as well as verbal assent for participants aged <\u200918 for whom the caretakers provided written consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1489"}}