Challenges and facilitators of transition from adolescent to adult HIV care among young adults living with HIV in Moshi, Tanzania
Challenges and facilitators of transition from adolescent to adult HIV care among young adults living with HIV in Moshi, Tanzania
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DOI：
10.1002/jia2.25406
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发表时间：
2019-10-01
影响因子：
6
通讯作者：
Dow, Dorothy E.
中科院分区：
文献类型：
--
作者：
Masese, Rita V.;Ramos, Julia V.;Dow, Dorothy E.
简介 抗逆转录病毒治疗的扩大使数百万感染艾滋病毒的儿童能够存活到成年，需要将护理转移到成人艾滋病毒诊所。这个过渡时期常常会遇到焦虑和不情愿。未能过渡的青少年可能会对儿科和青少年诊所的能力造成压力，或导致个人完全脱离护理。这项研究探讨了坦桑尼亚莫希感染艾滋病毒的年轻人面临的挑战和促进因素。方法 2017 年 4 月至 6 月，对 18 至 27 岁的艾滋病毒感染者进行了深入访谈，以了解从过渡前的青少年到成功过渡到成人护理的青少年的经历。根据之前的研究参与者和医护人员的建议，有目的地招募年轻人。乞力马扎罗基督教医疗中心的青少年、成人艾滋病毒和母婴过渡预防诊所进行了招募。对符合条件的参与者进行了两次单独的深度访谈。回顾性审查医疗记录以收集有关艾滋病毒相关结果的信息。结果对19名青少年进行了深度访谈。参与者平均年龄为 23.8 岁（四分位数范围为 22.2 至 26.3 岁）； 53%是女性。大多数（78.9%）参与者接受抗逆转录病毒治疗近十年，其中 72.2% 的病毒学受到抑制（HIV RNA
Introduction Scale up of anti-retroviral therapy has enabled millions of children infected with HIV to survive into adulthood, requiring transition of care to the adult HIV clinic. This transition period is often met with anxiety and reluctance. Youth who fail to transition may create strain on capacity in the pediatric and adolescent clinics or result in individuals dropping out of care entirely. This study examined challenges and facilitators to the transition among young adults living with HIV in Moshi, Tanzania. Methods From April to June 2017, in-depth interviews were conducted with young adults aged 18 to 27 years living with HIV in order to capture the spectrum of experiences from pre-transitioning youth to those who successfully transitioned to adult care. Young adults were purposively recruited based on prior study enrollees and recommendations from healthcare staff. Recruitment occurred in the adolescent, adult HIV and the prevention of mother to child transition clinics at Kilimanjaro Christian Medical Centre. Two separate in-depth interviews were conducted with eligible participants. Medical records were reviewed retrospectively to collect information on HIV-related outcomes. Results In-depth interviews were held with 19 young adults. Participants mean age was 23.8 years (interquartile range 22.2 to 26.3 years); 53% were female. Most (78.9%) participants had been receiving anti-retroviral therapy for nearly a decade and 72.2% were virologically suppressed (HIV RNA