ART Adherence Among Malawian Youth Enrolled in Teen Clubs: A Retrospective Chart Review

Kaitlyn McBride; Julie Parent; Kondwani Mmanga; Mackenzie Chivwala; Mike H. Nyirenda; Alan Schooley; James B. Mwambene; Kathryn Dovel; Eric Lungu; Kelvin Balakasi; Risa M. Hoffman; Corrina Moucheraud

doi:10.1007/s10461-019-02580-y

ART Adherence Among Malawian Youth Enrolled in Teen Clubs: A Retrospective Chart Review

Kaitlyn McBride, Julie Parent, Kondwani Mmanga, Mackenzie Chivwala, Mike H. Nyirenda, Alan Schooley, James B. Mwambene, Kathryn Dovel, Eric Lungu, Kelvin Balakasi, Risa M. Hoffman, Corrina Moucheraud

Global Public Health

Research output: Contribution to journal › Article › peer-review

Abstract

To improve outcomes among HIV-positive adolescents, the Malawi Ministry of Health is supporting scale-up of “Teen Clubs,” a facility-based antiretroviral treatment (ART) delivery model. Teen Clubs are monthly ART clinics for adolescents (10–19 years old) that provide clinical services and peer psychosocial support. This paper assesses ART adherence among Teen Club attendees in Malawi. We performed a retrospective analysis of medical records and Teen Club attendance data on 589 HIV-positive adolescents at 16 Partners in Hope (PIH)—Extending Quality Improvement for HIV/AIDS in Malawi (EQUIP) supported facilities across Malawi, from January to June of 2017, who attended at least two Teen Club sessions. Multi-level logistic regression models were used to examine the role of gender and age on optimal ART adherence (≥ 95% based on pill count) among HIV-positive adolescents enrolled in Teen Clubs. The median age of adolescents in this sample was 14 years, and 47% were male. Older adolescent males (15–19 years) were 64% more likely to achieve ≥ 95% ART adherence (aOR 1.64, 95% CI 1.16–2.31, p ' 0.01) compared to younger (10–14 years) males. The effect of age on adherence was smaller and not significant among females (aOR 1.36, 95% CI 0.96–1.94, p = 0.08). In the full model including males and females, older adolescence was associated with higher odds of optimal adherence (aOR 1.48, 95% CI 1.16–1.90, p ' 0.01). These results reinforce the need for age-specialized programming for adolescents, and future research should evaluate this in achieving optimal ART adherence.

Original language	English (US)
Pages (from-to)	2629-2633
Number of pages	5
Journal	AIDS and Behavior
Volume	23
Issue number	9
DOIs	https://doi.org/10.1007/s10461-019-02580-y
State	Published - Sep 1 2019

Keywords

Adherence
Adolescents
Antiretroviral therapy
HIV/AIDS

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-019-02580-y

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title = "ART Adherence Among Malawian Youth Enrolled in Teen Clubs: A Retrospective Chart Review",

abstract = "To improve outcomes among HIV-positive adolescents, the Malawi Ministry of Health is supporting scale-up of “Teen Clubs,” a facility-based antiretroviral treatment (ART) delivery model. Teen Clubs are monthly ART clinics for adolescents (10–19 years old) that provide clinical services and peer psychosocial support. This paper assesses ART adherence among Teen Club attendees in Malawi. We performed a retrospective analysis of medical records and Teen Club attendance data on 589 HIV-positive adolescents at 16 Partners in Hope (PIH)—Extending Quality Improvement for HIV/AIDS in Malawi (EQUIP) supported facilities across Malawi, from January to June of 2017, who attended at least two Teen Club sessions. Multi-level logistic regression models were used to examine the role of gender and age on optimal ART adherence (≥ 95% based on pill count) among HIV-positive adolescents enrolled in Teen Clubs. The median age of adolescents in this sample was 14 years, and 47% were male. Older adolescent males (15–19 years) were 64% more likely to achieve ≥ 95% ART adherence (aOR 1.64, 95% CI 1.16–2.31, p ' 0.01) compared to younger (10–14 years) males. The effect of age on adherence was smaller and not significant among females (aOR 1.36, 95% CI 0.96–1.94, p = 0.08). In the full model including males and females, older adolescence was associated with higher odds of optimal adherence (aOR 1.48, 95% CI 1.16–1.90, p ' 0.01). These results reinforce the need for age-specialized programming for adolescents, and future research should evaluate this in achieving optimal ART adherence.",

keywords = "Adherence, Adolescents, Antiretroviral therapy, HIV/AIDS",

author = "Kaitlyn McBride and Julie Parent and Kondwani Mmanga and Mackenzie Chivwala and Nyirenda, {Mike H.} and Alan Schooley and Mwambene, {James B.} and Kathryn Dovel and Eric Lungu and Kelvin Balakasi and Hoffman, {Risa M.} and Corrina Moucheraud",

note = "Publisher Copyright: {\textcopyright} 2019, Springer Science+Business Media, LLC, part of Springer Nature.",

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doi = "10.1007/s10461-019-02580-y",

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T1 - ART Adherence Among Malawian Youth Enrolled in Teen Clubs

T2 - A Retrospective Chart Review

AU - McBride, Kaitlyn

AU - Parent, Julie

AU - Mmanga, Kondwani

AU - Chivwala, Mackenzie

AU - Nyirenda, Mike H.

AU - Schooley, Alan

AU - Mwambene, James B.

AU - Dovel, Kathryn

AU - Lungu, Eric

AU - Balakasi, Kelvin

AU - Hoffman, Risa M.

AU - Moucheraud, Corrina

PY - 2019/9/1

Y1 - 2019/9/1

N2 - To improve outcomes among HIV-positive adolescents, the Malawi Ministry of Health is supporting scale-up of “Teen Clubs,” a facility-based antiretroviral treatment (ART) delivery model. Teen Clubs are monthly ART clinics for adolescents (10–19 years old) that provide clinical services and peer psychosocial support. This paper assesses ART adherence among Teen Club attendees in Malawi. We performed a retrospective analysis of medical records and Teen Club attendance data on 589 HIV-positive adolescents at 16 Partners in Hope (PIH)—Extending Quality Improvement for HIV/AIDS in Malawi (EQUIP) supported facilities across Malawi, from January to June of 2017, who attended at least two Teen Club sessions. Multi-level logistic regression models were used to examine the role of gender and age on optimal ART adherence (≥ 95% based on pill count) among HIV-positive adolescents enrolled in Teen Clubs. The median age of adolescents in this sample was 14 years, and 47% were male. Older adolescent males (15–19 years) were 64% more likely to achieve ≥ 95% ART adherence (aOR 1.64, 95% CI 1.16–2.31, p ' 0.01) compared to younger (10–14 years) males. The effect of age on adherence was smaller and not significant among females (aOR 1.36, 95% CI 0.96–1.94, p = 0.08). In the full model including males and females, older adolescence was associated with higher odds of optimal adherence (aOR 1.48, 95% CI 1.16–1.90, p ' 0.01). These results reinforce the need for age-specialized programming for adolescents, and future research should evaluate this in achieving optimal ART adherence.

AB - To improve outcomes among HIV-positive adolescents, the Malawi Ministry of Health is supporting scale-up of “Teen Clubs,” a facility-based antiretroviral treatment (ART) delivery model. Teen Clubs are monthly ART clinics for adolescents (10–19 years old) that provide clinical services and peer psychosocial support. This paper assesses ART adherence among Teen Club attendees in Malawi. We performed a retrospective analysis of medical records and Teen Club attendance data on 589 HIV-positive adolescents at 16 Partners in Hope (PIH)—Extending Quality Improvement for HIV/AIDS in Malawi (EQUIP) supported facilities across Malawi, from January to June of 2017, who attended at least two Teen Club sessions. Multi-level logistic regression models were used to examine the role of gender and age on optimal ART adherence (≥ 95% based on pill count) among HIV-positive adolescents enrolled in Teen Clubs. The median age of adolescents in this sample was 14 years, and 47% were male. Older adolescent males (15–19 years) were 64% more likely to achieve ≥ 95% ART adherence (aOR 1.64, 95% CI 1.16–2.31, p ' 0.01) compared to younger (10–14 years) males. The effect of age on adherence was smaller and not significant among females (aOR 1.36, 95% CI 0.96–1.94, p = 0.08). In the full model including males and females, older adolescence was associated with higher odds of optimal adherence (aOR 1.48, 95% CI 1.16–1.90, p ' 0.01). These results reinforce the need for age-specialized programming for adolescents, and future research should evaluate this in achieving optimal ART adherence.

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ART Adherence Among Malawian Youth Enrolled in Teen Clubs: A Retrospective Chart Review

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Keywords

ASJC Scopus subject areas

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