Development of a transition readiness score for adolescents living with perinatally-acquired HIV and transitioning to adult care.


Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
Sep 2022
Historique:
accepted: 05 03 2022
pubmed: 2 4 2022
medline: 16 8 2022
entrez: 1 4 2022
Statut: ppublish

Résumé

We created a transition readiness score for adolescents with perinatally-acquired HIV as they transition from pediatric to adult care. Of the 199 adolescents who transitioned to adult care, 84 (42%) had viral suppression (< 200 copies/ml) one year after transition. Adolescents on first-line ART, with documented HIV status disclosure, and higher rating on the HIV Adolescent Readiness to Transition Scale had significantly higher odds of viral suppression after transition. Conversely, females, those with older age at ART initiation, and those with prior alcohol use had significantly lower odds of viral suppression after transition. Using these data, we created a transition readiness score organized into low, intermediate, and high levels of transition readiness. This transition readiness score can be used to identify adolescents who are likely ready to transition to adult care and identify additional areas for intervention to improve the likelihood of successful transition for those with lower transition readiness scores.

Identifiants

pubmed: 35362907
doi: 10.1007/s10461-022-03650-4
pii: 10.1007/s10461-022-03650-4
pmc: PMC9372012
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3131-3138

Subventions

Organisme : NIMH NIH HHS
ID : K24 MH114732
Pays : United States
Organisme : NICHD NIH HHS
ID : R21 HD092132
Pays : United States
Organisme : National Institute of Child Health and Human Development
ID : R21HD092132
Organisme : NIMH NIH HHS
ID : K24MH114732
Pays : United States

Informations de copyright

© 2022. The Author(s).

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Auteurs

Brian C Zanoni (BC)

Emory University, Atlanta, Georgia, United States of America. bzanoni@emory.edu.
Children's Healthcare of Atlanta, 2015 Upper Gate Drive NE, 30322, Atlanta, Georgia, United States of America. bzanoni@emory.edu.

Nicholas Musinguzi (N)

Global Health Collaborative, Mbarara, Uganda.

Moherndran Archary (M)

University of KwaZulu-Natal Nelson Mandela School of Medicine, Durban, South Africa.
King Edward VIII Hospital, Durban, South Africa.

Thobekile Sibaya (T)

University of KwaZulu-Natal Nelson Mandela School of Medicine, Durban, South Africa.

Jessica E Haberer (JE)

Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Harvard Medical School, Boston, Massachusetts, United States of America.

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Classifications MeSH