IF 2.8 4区 医学 Q2 INFECTIOUS DISEASES
Charné Petinger, Brian van Wyk, Talitha Crowley
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引用次数: 0

摘要

(1) 背景:据估计,2023 年全球将有 170 万青少年(10-19 岁)感染艾滋病毒,其中 82% 居住在撒哈拉以南非洲。对于 ALHIV 来说,向成人护理过渡需要承担起自身健康和疾病管理的责任,这给持续参与护理带来了巨大挑战。在许多撒哈拉以南非洲国家,指导这一过渡的卫生政策匮乏。随着艾滋病在这一重点人群中的流行,负担过重、功能不全的医疗系统很难为低龄艾滋病患者提供最佳的医疗服务。(2) 方法:本研究采用了混合方法设计,包括对医护人员和管理人员进行描述性定性研究,以及横断面调查,以研究南非开普敦大都会地区向成人艾滋病护理过渡的做法和途径。(3) 结果:我们划分了三种不同的过渡方式(仅转院、青少年友好型过渡和支持型过渡)。要实现成功过渡,患者就必须对自己的慢性病和医疗历程进行充分的自我管理,这需要在过渡前做好充分准备,并在过渡后对参与情况进行监测。理想情况下,这需要制定相关的保健政策和实施准则,表明政治意愿,并在南非的服务层面提供实施的动力和机构。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mapping the Transition of Adolescents to Adult HIV Care: A Mixed-Methods Perspective from the Cape Town Metropole, South Africa.

(1) Background: Globally, an estimated 1.7 million adolescents (aged 10-19 years) were living with HIV in 2023, with 82% residing in sub-Saharan Africa. For ALHIV, transitioning to adult care involves assuming responsibility for their own health and disease management, posing significant challenges to persistent engagement in care. There is a paucity in health policies guiding this transition in many sub-Saharan African countries. Overburdened and poorly functioning health systems struggle to provide optimal care for ALHIV amidst the rising HIV pandemic in this priority population. (2) Methods: This study employed a mixed-methods design, comprising a descriptive qualitative study with healthcare workers and managers and a cross-sectional survey to examine the practices and pathways in which the transition to adult HIV care occurs in the Cape Town Metropole, South Africa. (3) Results: We delineate three distinct ways in which transition occurs (transfer-only, adolescent-friendly, and supportive transition). A successful transition involves a sufficient level of self-management of their chronic condition and healthcare journey, which is preceded by adequate preparation pre-transition, and the monitoring of engagement post-transition. This ideally requires developing relevant health policies and implementing guidelines signaling political will and providing the impetus and agency of implementation at the service level in South Africa.

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来源期刊
Tropical Medicine and Infectious Disease
Tropical Medicine and Infectious Disease Medicine-Public Health, Environmental and Occupational Health
CiteScore
3.90
自引率
10.30%
发文量
353
审稿时长
11 weeks
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