Transfer is not a transition - voices of Jamaican adolescents with HIV and their health care providers

Increasing access to antiretroviral therapy in resource-limited settings (RLS) has resulted in the survival of perinatally HIV-infected children into adulthood. We characterized the transition process from pediatric to adult care by conducting semi-structured interviews of HIV-infected adolescents a...

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Bibliographic Details
Published in:AIDS care 2019-03, Vol.31 (3), p.293-297
Main Authors: DeSouza, Flavia, Paintsil, Elijah, Brown, Teisha, Pierre, Russell, Keene, Danya, Kim, Nancy, Christie, Celia
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adults
AIDS/HIV
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Child
Children
Clinical outcomes
Female
Health care
Health Personnel
HIV
HIV Infections - therapy
Human immunodeficiency virus
Humans
Interviews as Topic
Jamaica
Life transitions
Male
Medical personnel
pediatric HIV
Pediatrics
psychology
Qualitative Research
Teenagers
Transition
Transition to Adult Care
Young Adult
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Summary:Increasing access to antiretroviral therapy in resource-limited settings (RLS) has resulted in the survival of perinatally HIV-infected children into adulthood. We characterized the transition process from pediatric to adult care by conducting semi-structured interviews of HIV-infected adolescents and health care providers in Jamaica. Using an inductive content analytic approach, four themes emerged: (1) Transition should be holistic and a process; (2) Pediatric clinics were like families; (3) Rootedness in the pediatric clinic; and (4) Need for adolescent-centered services to bridge the gap between pediatric and adult-centered services. Adolescent informed- and centered-transition approach may result in better outcomes for HIV-infected adolescents.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2018.1533226