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AIDS Care. 2019 Mar;31(3):293-297. doi: 10.1080/09540121.2018.1533226. Epub 2018 Oct 20.

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

Author information

1
a Department of Psychiatry , Yale School of Medicine , New Haven , CT , USA.
2
b Department of Pediatrics , Yale School of Medicine , New Haven , CT , USA.
3
c Ministry of Health, South East Regional Health Authority , Kingston , Jamaica.
4
d Department of Child and Adolescent Health , The University of the West Indies , Kingston , Jamaica.
5
e Chronic Disease Epidemiology, Social and Behavioral Sciences , Yale School of Public Health , New Haven , CT , USA.
6
f Department of Internal Medicine , Yale School of Medicine , New Haven , CT , USA.

Abstract

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.

KEYWORDS:

Jamaica; Transition; adolescent; pediatric HIV; psychology

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