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Optimizing HIV transition services for young adults.

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Adolescents living with HIV face rising mortality. This review examines challenges in transitioning HIV care from pediatric to adult services, crucial for their health and preventing transmission.

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Area of Science:

  • Adolescent health
  • HIV/AIDS epidemiology
  • Healthcare transition

Background:

  • 1.8 million adolescents live with HIV globally.
  • Adolescents are the only age group with rising HIV-associated mortality.
  • Effective healthcare transition is vital for adolescent well-being and preventing HIV transmission.

Purpose of the Study:

  • To review challenges in transitioning adolescents with HIV from pediatric to adult care.
  • To discuss broader life transitions adolescents experience.
  • To highlight the need for tailored interventions for this population.

Main Methods:

  • This is a review article.
  • Discussion of issues around healthcare transition for adolescents with HIV.
  • Analysis of global transition models and data limitations.

Main Results:

  • Transition models vary globally, with universal difficulties in outcome data collection and cohort linkage.
  • Data are sparse for behaviorally infected adolescents outside North America and key populations.
  • Poorer adolescent health outcomes may stem from complex developmental transitions, including healthcare service changes.

Conclusions:

  • Adolescents living with HIV have complex needs requiring tailored support.
  • Examples of good practice in HIV care transition are emerging.
  • Further studies on cost-effective, scalable interventions are needed for resource-limited settings.