{
  "abstract": "Background: Nurse practitioners (NPs) may help address HIV workforce shortages, but evidence comparing health outcomes in youth remains limited. This study compared clinical and patient-reported outcomes among adolescents and young adults with HIV (AYA-WH) receiving NP versus physician care.\n\nMethods: In this cross-sectional study, health record and survey data from AYA-WH (N=109) receiving care in Colorado, USA (June 2019–November 2020) were analyzed. Outcomes included viral suppression, care engagement, telehealth use, trust, adherence, and HIV stigma.\n\nResults: Viral suppression and engagement in care were comparable between NP and physician groups. Youth receiving NP care had more visits, greater telehealth use, higher CD4 counts, and were more likely to report higher patient-provider trust. Adherence and stigma did not differ by provider type.\n\nConclusions: NPs are well-positioned to expand access to youth-focused HIV care while maintaining outcomes comparable to physician providers.",
  "abstract_shown": true,
  "affiliations": [
    "College of Nursing, University of Colorado, Aurora, CO, USA",
    "Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, USA",
    "Department of Research, University at Buffalo School of Nursing, Buffalo, NY, USA",
    "Center for Healthcare Delivery Research & Innovation, Columbia University School of Nursing, New York, NY, USA",
    "Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA",
    "Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA, USA",
    "Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Emily Anne Barr",
      "orcid": "0000-0002-3578-3389"
    },
    {
      "affs": [
        3
      ],
      "name": "Suzanne E. Courtwright"
    },
    {
      "affs": [
        1
      ],
      "name": "Sheryl Malone-Thomas"
    },
    {
      "affs": [
        4
      ],
      "name": "Lori Silveira"
    },
    {
      "affs": [
        5
      ],
      "name": "Deborah Kacanek"
    },
    {
      "affs": [
        0
      ],
      "name": "Paul Cook"
    },
    {
      "affs": [
        0
      ],
      "name": "Sean M. Reed"
    },
    {
      "affs": [
        6
      ],
      "name": "Hillary Dunlevy"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0vxe1ad9cyks4.bib",
  "cited_by": 0,
  "doi": "10.1177/23259582261485418",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13735709/",
  "id": "0vxe1ad9cyks4",
  "issns": [
    "2325-9574",
    "2325-9582"
  ],
  "landing_url": "https://doi.org/10.1177/23259582261485418",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Health Workforce Development: A Cross-Journal Topical Series"
    ],
    [
      "heading",
      "Original Research Article"
    ],
    [
      "openalex",
      "2725|HIV/AIDS Research and Interventions"
    ]
  ],
  "openalex": "W7215101942",
  "pdf_url": null,
  "pmcid": "PMC13735709",
  "pmid": "42820479",
  "published": "2026-10-01",
  "publisher": "SAGE Publications",
  "ris": "https://research.draconitic.com/paper/0vxe1ad9cyks4.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:21:20Z",
      "native_id": "PMC13735709",
      "source": "pmc",
      "url": "https://doi.org/10.1177/23259582261485418"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|HIV/AIDS Research and Interventions",
      "subfield": "infectious-disease"
    }
  ],
  "title": "HIV Care for Adolescents and Young Adults: A Cross-Sectional Comparison of Nurse Practitioner and Physician Roles in Engagement in Care, Trust, and Clinical Outcomes",
  "title_text": "HIV Care for Adolescents and Young Adults: A Cross-Sectional Comparison of Nurse Practitioner and Physician Roles in Engagement in Care, Trust, and Clinical Outcomes",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:21:20Z",
  "url": "https://research.draconitic.com/paper/0vxe1ad9cyks4",
  "venue": "Journal of the International Association of Providers of AIDS Care",
  "versions": []
}