Challenges and Fears of Adolescents and Young Adults Living with HIV Facing Transition to Adult HIV Care.
Adolescents
HIV care cascade
Uganda
challenges
sub-Saharan Africa
transition
Journal
AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
accepted:
02
09
2022
pmc-release:
01
04
2024
pubmed:
22
9
2022
medline:
28
3
2023
entrez:
21
9
2022
Statut:
ppublish
Résumé
Adolescents and young adults living with perinatally-acquired HIV (AYLPHIV) have poor outcomes along each step of the HIV care continuum due to challenges in seeking care and advocating for themselves. The transition from paediatric to adult HIV care is a particularly high-risk period for AYLPHIV in rural Uganda. We conducted in-depth interviews with AYLPHIV (n = 30), caregivers (n = 10), and healthcare providers (n = 10) to understand challenges facing AYLPHIV during the transition from paediatric to adult HIV care. Themes were identified by thematic content analysis. Transition-related challenges and fears included difficulty navigating the adult HIV clinic; loss of informational support; long wait times at the adult HIV clinic; lack of privacy, and fear of HIV status disclosure and stigma; and loss of support from caregivers, and health care providers. Before transitioning to adult HIV care, AYLPHIV should be adequately prepared and given appropriate information to help them navigate adult HIV care.
Identifiants
pubmed: 36129557
doi: 10.1007/s10461-022-03856-6
pii: 10.1007/s10461-022-03856-6
pmc: PMC10027623
mid: NIHMS1840521
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1189-1198Subventions
Organisme : FIC NIH HHS
ID : K43 TW011929
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI060354
Pays : United States
Organisme : NINR NIH HHS
ID : K43TW011929
Pays : United States
Organisme : Harvard University Center for AIDS Research
ID : P30AI060354
Organisme : NINR NIH HHS
ID : K43TW011929
Pays : United States
Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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