title: Transition of youth living with HIV from pediatric to adult-oriented healthcare: a review of the literature.
abstract: Due to advances in antiretroviral therapy, most HIV-infected children and youth now survive into adulthood. Many experts and professional societies have expressed concern about potential disruptions to care when youth living with HIV transition from pediatric to adult-oriented medical care. However, original research focused on this transition process is rare. The existing literature can be organized into the following categories: pre-transition assessments of anticipated barriers and concerns; studies describing provider practices during the transition period; and post-transition retrospective analyses after transition to adult care. Most studies had small sample sizes and focused on vertically infected youth. Further work is needed to document clinical outcomes after transition and to evaluate transition protocols that are in place at some institutions.
authors.affiliation: Hubert Department of Global Health, Rollins School of Public Health, Atlanta, GA 30322, USA ; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA 30322, USA ; Ponce Family & Youth Clinic, Grady Infectious Diseases Program, Grady Health Systems, Atlanta, GA 30303, USA.
authors.forename: Sophia A
authors.initials: SA
authors.lastname: Hussen
authors.affiliation: Ponce Family & Youth Clinic, Grady Infectious Diseases Program, Grady Health Systems, Atlanta, GA 30303, USA ; Department of Pediatrics, Division of Pediatric Infectious Diseases, Emory University School of Medicine, Atlanta, GA 30342, USA.
authors.forename: Ann
authors.initials: A
authors.lastname: Chahroudi
authors.affiliation: Ponce Family & Youth Clinic, Grady Infectious Diseases Program, Grady Health Systems, Atlanta, GA 30303, USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: Boylan
authors.affiliation: Ponce Family & Youth Clinic, Grady Infectious Diseases Program, Grady Health Systems, Atlanta, GA 30303, USA ; Department of Pediatrics, Division of Pediatric Infectious Diseases, Emory University School of Medicine, Atlanta, GA 30342, USA.
authors.forename: Andres F
authors.initials: AF
authors.lastname: Camacho-Gonzalez
authors.affiliation: Ponce Family & Youth Clinic, Grady Infectious Diseases Program, Grady Health Systems, Atlanta, GA 30303, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Hackett
authors.affiliation: Ponce Family & Youth Clinic, Grady Infectious Diseases Program, Grady Health Systems, Atlanta, GA 30303, USA ; Department of Pediatrics, Division of Pediatric Infectious Diseases, Emory University School of Medicine, Atlanta, GA 30342, USA.
authors.forename: Rana
authors.initials: R
authors.lastname: Chakraborty
keywords: HIV/AIDS; adolescent; pediatric; transition; youth