Transition from paediatric to adult care of adolescents living with HIV in sub-Saharan Africa: challenges, youth-friendly models, and outcomes.
Identifieur interne : 000561 ( PubMed/Curation ); précédent : 000560; suivant : 000562Transition from paediatric to adult care of adolescents living with HIV in sub-Saharan Africa: challenges, youth-friendly models, and outcomes.
Auteurs : Désiré Lucien Dahourou [Burkina Faso] ; Chloé Gautier-Lafaye [France] ; Chloe A. Teasdale [États-Unis] ; Lorna Renner [Ghana] ; Marcel Yotebieng [États-Unis] ; Sophie Desmonde [France] ; Samuel Ayaya [Kenya] ; Mary-Ann Davies [Afrique du Sud] ; Valériane Leroy [France]Source :
- Journal of the International AIDS Society [ 1758-2652 ] ; 2017.
Abstract
The number of adolescents with perinatally or behaviourally acquired HIV is increasing in low-income countries, and especially in sub-Saharan Africa where HIV prevalence and incidence are the highest. As they survive into adulthood in the era of antiretroviral therapy, there is a pressing need to transfer them from paediatric to adult care, known as the transition of care. We conducted a narrative review of recent evidence on their transition outcomes in Africa, highlighting the specific needs and challenges in these populations and settings, and the different models of care for transition.
DOI: 10.7448/IAS.20.4.21528
PubMed: 28530039
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Teasdale</name><affiliation wicri:level="1"><nlm:affiliation>ICAP, Mailman School of Public Health, Columbia University, New York, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICAP, Mailman School of Public Health, Columbia University, New York, NY</wicri:regionArea></affiliation></author><author><name sortKey="Renner, Lorna" sort="Renner, Lorna" uniqKey="Renner L" first="Lorna" last="Renner">Lorna Renner</name><affiliation wicri:level="1"><nlm:affiliation>Korlebu Hospital, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Korlebu Hospital, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Yotebieng, Marcel" sort="Yotebieng, Marcel" uniqKey="Yotebieng M" first="Marcel" last="Yotebieng">Marcel Yotebieng</name><affiliation wicri:level="1"><nlm:affiliation>Division of Epidemiology, The Ohio State University, College of Public Health, Columbus, OH, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Epidemiology, The Ohio State University, College of Public Health, Columbus, OH</wicri:regionArea></affiliation></author><author><name sortKey="Desmonde, Sophie" sort="Desmonde, Sophie" uniqKey="Desmonde S" first="Sophie" last="Desmonde">Sophie Desmonde</name><affiliation wicri:level="1"><nlm:affiliation>Inserm U1219, Bordeaux University, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm U1219, Bordeaux University, Bordeaux</wicri:regionArea></affiliation></author><author><name sortKey="Ayaya, Samuel" sort="Ayaya, Samuel" uniqKey="Ayaya S" first="Samuel" last="Ayaya">Samuel Ayaya</name><affiliation wicri:level="1"><nlm:affiliation>Moi Hospital, El-doret, Kenya.</nlm:affiliation><country xml:lang="fr">Kenya</country><wicri:regionArea>Moi Hospital, El-doret</wicri:regionArea></affiliation></author><author><name sortKey="Davies, Mary Ann" sort="Davies, Mary Ann" uniqKey="Davies M" first="Mary-Ann" last="Davies">Mary-Ann Davies</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Centre for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Leroy, Valeriane" sort="Leroy, Valeriane" uniqKey="Leroy V" first="Valériane" last="Leroy">Valériane Leroy</name><affiliation wicri:level="1"><nlm:affiliation>Inserm, Laboratoire d'Epidémiologie et Analyses en Santé Publique (LEASP) - UMR 1027, Université Toulouse 3, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm, Laboratoire d'Epidémiologie et Analyses en Santé Publique (LEASP) - UMR 1027, Université Toulouse 3, Toulouse</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of the International AIDS Society</title><idno type="eISSN">1758-2652</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The number of adolescents with perinatally or behaviourally acquired HIV is increasing in low-income countries, and especially in sub-Saharan Africa where HIV prevalence and incidence are the highest. As they survive into adulthood in the era of antiretroviral therapy, there is a pressing need to transfer them from paediatric to adult care, known as the transition of care. We conducted a narrative review of recent evidence on their transition outcomes in Africa, highlighting the specific needs and challenges in these populations and settings, and the different models of care for transition.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28530039</PMID><DateCreated><Year>2017</Year><Month>05</Month><Day>22</Day></DateCreated><DateRevised><Year>2017</Year><Month>09</Month><Day>12</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1758-2652</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>Suppl 3</Issue><PubDate><Year>2017</Year><Month>May</Month><Day>16</Day></PubDate></JournalIssue><Title>Journal of the International AIDS Society</Title><ISOAbbreviation>J Int AIDS Soc</ISOAbbreviation></Journal><ArticleTitle>Transition from paediatric to adult care of adolescents living with HIV in sub-Saharan Africa: challenges, youth-friendly models, and outcomes.</ArticleTitle><Pagination><MedlinePgn>34-49</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.7448/IAS.20.4.21528</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The number of adolescents with perinatally or behaviourally acquired HIV is increasing in low-income countries, and especially in sub-Saharan Africa where HIV prevalence and incidence are the highest. As they survive into adulthood in the era of antiretroviral therapy, there is a pressing need to transfer them from paediatric to adult care, known as the transition of care. We conducted a narrative review of recent evidence on their transition outcomes in Africa, highlighting the specific needs and challenges in these populations and settings, and the different models of care for transition.</AbstractText><AbstractText Label="AREAS COVERED" NlmCategory="UNASSIGNED">We searched PubMed bibliographic database, HIV conference content, and grey literature from January 2000 to August 2016 with the following keywords: HIV infections AND (adolescents or youth) AND transition AND Africa. All qualitative and quantitative, experimental and observational studies including HIV-infected patients aged 10-24 years with information on transition were eligible.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Few data on transition outcomes for HIV-infected adolescents are available from Africa settings. Studies mainly from Southern and East Africa reported on the barriers to successful transition, highlighting several gaps. These included lack of adequate infrastructure, staff training and communication between paediatric and adult clinicians as well as the fear of stigma of adolescents and youth living with HIV. Most countries have no specific national guidelines on when to disclose HIV status or when and how to transition to adult care. Several models of care adapted to the adolescent transition question have been implemented in specific settings. These models include teen clinics, peer educators or the use of social media. However, regardless of the model, services are increasingly overburdened and have insufficient human resources. Furthermore, very high attrition has been observed among adolescents and youth compared to younger children or older adults. There is a need to identify sub-groups at higher risk of loss to follow-up for targeted care and peer support.</AbstractText><AbstractText Label="EXPERT COMMENTARY" NlmCategory="UNASSIGNED">Although the available HIV-related data on adolescent transition outcomes are limited, there is evidence of their increased vulnerability during this period. Standardized data gathering, analysis, and reporting systems specific to adolescent transition are essential to improve understanding and adolescent outcomes in Africa.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dahourou</LastName><ForeName>Désiré Lucien</ForeName><Initials>DL</Initials><AffiliationInfo><Affiliation>Centre of International Research for Health, Faculty of Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Clinical Research Department, Centre Muraz, Bobo-Dioulasso, Burkina Faso.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gautier-Lafaye</LastName><ForeName>Chloé</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Centre Hospitalier Universitaire de Toulouse, Toulouse, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Teasdale</LastName><ForeName>Chloe A</ForeName><Initials>CA</Initials><AffiliationInfo><Affiliation>ICAP, Mailman School of Public Health, Columbia University, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Renner</LastName><ForeName>Lorna</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Korlebu Hospital, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yotebieng</LastName><ForeName>Marcel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Epidemiology, The Ohio State University, College of Public Health, Columbus, OH, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Desmonde</LastName><ForeName>Sophie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Inserm U1219, Bordeaux University, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ayaya</LastName><ForeName>Samuel</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Moi Hospital, El-doret, Kenya.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davies</LastName><ForeName>Mary-Ann</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Centre for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leroy</LastName><ForeName>Valériane</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Inserm, Laboratoire d'Epidémiologie et Analyses en Santé Publique (LEASP) - UMR 1027, Université Toulouse 3, Toulouse, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>U01AI069919</GrantID><Agency>National Institutes of Health</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>J Int AIDS Soc</MedlineTA><NlmUniqueID>101478566</NlmUniqueID><ISSNLinking>1758-2652</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Adolesc Health. 2015 Mar;56(3):345-51</RefSource><PMID Version="1">25703322</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Malawi Med J. 2014 Dec;26(4):101-4</RefSource><PMID Version="1">26167257</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Int AIDS Soc. 2013 Jul 04;16:18518</RefSource><PMID Version="1">23830642</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Infect Dis (Lond). 2016;48(6):449-52</RefSource><PMID Version="1">26950534</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Care. 2012;24(5):606-11</RefSource><PMID 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Sep;18(3 Spec No):93-101</RefSource><PMID Version="1">26050381</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Africa</Keyword><Keyword MajorTopicYN="N">HIV infections</Keyword><Keyword MajorTopicYN="N">adolescents</Keyword><Keyword MajorTopicYN="N">transition</Keyword><Keyword MajorTopicYN="N">youth</Keyword></KeywordList><CoiStatement>The authors have no competing interests to declare.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>5</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>5</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>5</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28530039</ArticleId><ArticleId IdType="doi">10.7448/IAS.20.4.21528</ArticleId><ArticleId IdType="pmc">PMC5577723</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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