ArticleAIDS care2017
Transitioning HIV-infected adolescents to adult care at 14 clinics across the United States: using adolescent and adult providers' insights to create multi-level solutions to address transition barriers.
Article in AIDS care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Impact of HIV-Related Stigma on Antiretroviral Therapy Adherence, Engagement and Retention in HIV Care, and Transition to Adult HIV Care in Pediatric and Young Adult Populations Living With HIV: A Literature Review.AIDS and behavior · 2025Pooled it
- Data-informed Stepped Care (DiSC) to improve adolescent and young adult HIV care outcomes in Kenya: a cluster randomized trial.Journal of the International AIDS Society · 2025Trial
- HIV Knowledge Deficits in Youth Living with HIV: Missed Opportunities for Education and Engagement.AIDS and behavior · 2026Article
- Post-transition Care Retention and Viral Suppression Outcomes Among Youth Living with HIV in South Carolina: A Real-World Data Research.AIDS and behavior · 2026Article
- The Trust-Link Relational Transition Model: A Unitary Caring Framework for Youth With HIV Transitioning to Adult Healthcare.Journal of advanced nursing · 2026Review
- Cystic Fibrosis Transition From Pediatrics to Adult Care in Low-Middle Income Countries.Pediatric pulmonology · 2026Review
- Supporting Youth from Pediatric- to Adult-Oriented HIV Care Across Two Metro Sites in the United States: Results from theAIDS patient care and STDs · 2026Article
- Development and design of a Blueprint for structured transitional care in adolescents and young adults in the academic hospital setting.Health care transitions · 2025Article
- Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from theTropical medicine and infectious disease · 2024Article
- Developing and testing a web-based platform for antiretroviral therapy (ART) adherence support among adolescents and young adults (AYA) living with HIV.PEC innovation · 2024Article
- Mixed Methods Evaluation of a Youth-Friendly Clinic for Young People Living with HIV Transitioning from Pediatric Care.Tropical medicine and infectious disease · 2024Article
- Projected Life Expectancy for Adolescents With HIV in the US.JAMA health forum · 2024Article
- Retention and Viral Suppression Among Adolescents Newly Initiating Antiretroviral Therapy in Adult HIV Care in Lima, Peru: A Retrospective Cohort Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Article
- Transition readiness in middle and older adolescents with asthma and associated factors: a descriptive study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Article
- Human Immunodeficiency Virus (HIV) Care Continuum Outcomes After Transition to Adult Care Among a Prospective Cohort of Youth With HIV in Atlanta, Georgia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Observational
- A qualitative analysis examining intersectional stigma among young adults living with HIV in Atlanta, Georgia.PloS one · 2023Article
- Developing a specialty transition clinic: Inaugural clinical and financial operations.Health care transitions · 2023Article
- Factors and Outcomes Associated With Viral Suppression Trajectory Group Membership Among Youth Transitioning From Pediatric to Adult HIV Care.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Transitioning from pediatric to adult care and the HIV care continuum in Ghana: a retrospective study.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
HIV-infected adolescents have disproportionately low rates of care retention and viral suppression. Approximately half disengage from care while transitioning to adult clinics, in part due to fragmented care systems and lack of streamlined protocols. We conducted 58 qualitative interviews with social service and health care providers across 14 Adolescent Trials Network clinics (n = 28) and 20 adult clinics that receive transitioning adolescents (n = 30) from August 2015-June 2016. We used the constant comparative approach to examine processes, barriers, and facilitators of adult care transition. Transition barriers coalesced around three levels. Structural: insurance eligibility, transportation, and HIV-related stigma; Clinical: inter-clinic communication, differences in care cultures, and resource/personnel limitations; and Individual: adolescents' transition readiness and developmental capacity. Staff-initiated solutions (e.g., grant-funded transportation) were often unsustainable and applied individual-level solutions to structural-level barriers. Comprehensive initiatives, which develop collaborative policies and protocols that support providers' ability to match the solution and barrier level (i.e., structural-to-structural), are sorely needed. These initiatives should also support local systematic planning to facilitate inter-clinic structures and communication. Such approaches will help HIV-infected adolescents transition to adult care and improve long-term health outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.