Adolescents with HIV and transition to adult care in the Caribbean, Central America and South America, Eastern Europe and Asia and Pacific regions

摘要: Introduction : The HIV epidemics in the Caribbean, Central America and South (CCASA), Eastern Europe (EE) Asia Pacific (AP) regions are diverse affecting different key populations predominantly middle-income countries. This narrative review describes of HIV-positive youth approaching adolescence adulthood CCASA, EE AP, what is known their outcomes paediatric adult care to date, ongoing research efforts future priorities. Methods We searched PubMed abstracts from recent conferences workshops using keywords including HIV, transition adolescents, identify published data on AP. also within our regional clinical/research networks for work conducted this area presented at local or national meetings. To give insight into priorities, we describe characteristics health status young people as they approach age transition, a determinant early adulthood, information available current processes. Results discussion perinatally HIV-infected these three face range challenges parental death loss family support; HIV-related stigma socio-economic disparities; exposure maternal injecting drug use; late disclosure status. Behaviourally often belong marginalized sub-groups, with particular accessing services care. Differences between countries models need be considered comparisons adulthood. very little date across highlight some emerging issues around adherence, virological failure follow-up, alongside examples programmes which have successfully supported adolescents remain engaged virologically suppressed. Conclusions Limited indicate uneven shared adolescent retention adherence. impact specific low prevalence, concentrated epidemic settings poorly understood date. Outcome urgently needed guide management strategies advocate service provision regions. Keywords  HIV; transition; youth; adolescents; follow-up; adherence; outcomes; (Published: 16 May 2017) Bailey H et al.  Journal International AIDS Society  2017,  20(suppl 3) :21475 http://www.jiasociety.org/index.php/jias/article/view/21475  |  http://dx.doi.org/10.7448/IAS.20.4.21475