HHS Public Access Author manuscript Author Manuscript

J Adolesc Health. Author manuscript; available in PMC 2017 July 01. Published in final edited form as: J Adolesc Health. 2016 July ; 59(1): 30–37. doi:10.1016/j.jadohealth.2016.03.004.

Exposure to Violence and Virologic and Immunological Outcomes Among Youth with Perinatal HIV Deborah Kacanek, Sc.D.a, Kathleen Malee, Ph.D.b, Claude A. Mellins, Ph.D.c, Katherine Tassiopoulos, D.Sc., M.P.H.d, Renee Smith, Ph.D.e, Mitzie Grant, Ph.D.f, Sonia Lee, Ph.D.g, Danish Q. Siddiqui, M.P.H.h, and Ana Puga, M.D., M.P.H.i for the Pediatric HIV/AIDS Cohort Study

Author Manuscript

aDepartment

of Biostatistics, Center for Biostatistics in AIDS Research, Harvard TH Chan School of Public Health, Boston, MA

bDepartment

of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago IL cHIV

Center for Clinical and Behavioral Studies, Department of Psychiatry, Columbia University Medical Center, NY, NY

dDepartment

of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA

eDepartment

of Pediatrics, University of Illinois at Chicago, Chicago, IL

fDepartment

Author Manuscript

of Psychiatry, Drexel University College of Medicine & St. Christopher's Hospital for Children, Philadelphia, PA gEunice

Kennedy Shriver National Institute of Child Health and Human Development, Bethesda,

MD hDepartment iChildren's

of Pediatrics Infectious Diseases, Tulane School of Medicine, New Orleans, LA

Diagnostic and Treatment Center, Fort Lauderdale, FL

Abstract

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Purpose—Exposure to violence in childhood has been linked to adverse health outcomes. Little is known about the prevalence and relationship of youth and caregiver violence exposure to clinical outcomes among youth with perinatal HIV infection (PHIV). We evaluated associations of youth and caregiver violence exposure with unsuppressed viral load (VL) (HIV RNA>400 copies/ml) and CD4%400 copies/ml, and b) CD4 percentage

AIDS Cohort Study.

Exposure to violence in childhood has been linked to adverse health outcomes. Little is known about the prevalence and relationship of youth and careg...
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