Special Considerations in the Management of HIV-Infected Adolescents

  • Author: Lisa Hightow-Weidman, MD, MPH (More Info)
  • Section Editor: Judith S. Currier, MD, MSc
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 11/4/21 (What's New)

Epidemiology of Youth With HIV in the United States

  • More than one fifth of new HIV infections in the United States in 2019 occurred in young people aged 13-24 years[CDC 2019]
  • Increasing numbers of YLHA in the United States are surviving into adulthood and transitioning to adult-oriented healthcare services[HRSA 2007]
  • YLHA in the United States disproportionately comprise racial minorities, with the greatest impact on black youth (Figure)[CDC HIV Youth]
  • Perinatally infected youth form a decreasing proportion of all YLHA in the United States due to the rarity of perinatal transmission
  • Perinatally infected youth have complex treatment histories, potentially high rates of drug-resistant virus, and are at risk for various behavioral and neuropsychological issues[Brown 2000]
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