Publication: Peritransition Outcomes of Southeast Asian Adolescents and Young Adults With HIV Transferring From Pediatric to Adult Care
Issued Date
2020-01-01
Resource Type
ISSN
18791972
1054139X
1054139X
Other identifier(s)
2-s2.0-85073564412
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Adolescent Health. Vol.66, No.1 (2020), 92-99
Suggested Citation
Annette H. Sohn, Kulkanya Chokephaibulkit, Pagakrong Lumbiganon, Rawiwan Hansudewechakul, Yasmin Mohamed Gani, Lam Van Nguyen, Thahira Jamal Mohamed, Sirinya Teeraananchai, Chuenkamol Sethaputra, Thida Singtoroj, Jintanat Ananworanich, Peter Reiss, Stephen J. Kerr Peritransition Outcomes of Southeast Asian Adolescents and Young Adults With HIV Transferring From Pediatric to Adult Care. Journal of Adolescent Health. Vol.66, No.1 (2020), 92-99. doi:10.1016/j.jadohealth.2019.07.025 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/49673
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Organizational Units
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Title
Peritransition Outcomes of Southeast Asian Adolescents and Young Adults With HIV Transferring From Pediatric to Adult Care
Other Contributor(s)
Hospital Sungai Buloh
National Hospital of Pediatrics Hanoi
Chulalongkorn University
Faculty of Medicine, Khon Kaen University
Kuala Lumpur Hospital
The HIV Netherlands Australia Thailand Research Collaboration
HJF
Faculty of Medicine, Siriraj Hospital, Mahidol University
Amsterdam UMC - University of Amsterdam
TREAT Asia/amfAR-The Foundation for AIDS Research
Chiangrai Prachanukroh Hospital
HIV Monitoring Foundation
National Hospital of Pediatrics Hanoi
Chulalongkorn University
Faculty of Medicine, Khon Kaen University
Kuala Lumpur Hospital
The HIV Netherlands Australia Thailand Research Collaboration
HJF
Faculty of Medicine, Siriraj Hospital, Mahidol University
Amsterdam UMC - University of Amsterdam
TREAT Asia/amfAR-The Foundation for AIDS Research
Chiangrai Prachanukroh Hospital
HIV Monitoring Foundation
Abstract
© 2019 Society for Adolescent Health and Medicine Purpose: The aim of this article was to study the clinical and social outcomes of health care transition among Asian adolescents and young adults with HIV (AYHIV). Methods: AYHIV who transferred from a pediatric to an adult clinic within the past year across five sites in Malaysia, Thailand, and Vietnam had clinical and laboratory evaluations and completed questionnaires about their health, socioeconomic factors, and transition experiences. Multiple logistic regression was used to assess associations with HIV viremia. Results: Of 93 AYHIV enrolled between June 2016 and April 2017, 56% were female, 87% acquired HIV through perinatal exposure, median age was 20 years (interquartile range [IQR] 18.5–21). Two-thirds were in a formal education program, 43% were employed, 43% of females and 35% of males were sexually active. Median lifetime antiretroviral therapy duration was 6.2 years (IQR 3.3–10.7); 45% had received second-line therapy. Median CD4 was 601 cells/mm3 (IQR 477–800); 82% had HIV-RNA <40 copies/mL. Being in a relationship, a shorter posttransition duration, self-reported adherence of ≥95%, and higher CD4 were inversely associated with HIV viremia. Half felt very prepared for the transfer to adult care, and 20% frequently and 43% sometimes still met with pediatric providers. Two-thirds reported needing to keep their HIV a secret, and 23%–38% reported never or rarely having someone to discuss problems with. Conclusions: Asian AYHIV in our cohort were concerned about the negative social impact of having and disclosing HIV, and one-third lacked people they could trust with their personal problems, which could have negative implications for their ability to navigate adult life.