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Transition into adult care: factors associated with level of preparedness among adolescents living with HIV in Cambodia

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Transition into adult care: factors associated with level of preparedness among adolescents living with HIV in Cambodia. / Yi, Siyan; Ngin, Chanrith; Pal, Khuondyla et al.
In: AIDS Research and Therapy, Vol. 14, 33, 17.07.2017.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Yi, S, Ngin, C, Pal, K, Khol, V, Tuot, S, Sau, S, Chhoun, P, Mburu, G, Choub, SC, Chhim, K & Ly, P 2017, 'Transition into adult care: factors associated with level of preparedness among adolescents living with HIV in Cambodia', AIDS Research and Therapy, vol. 14, 33. https://doi.org/10.1186/s12981-017-0159-6

APA

Yi, S., Ngin, C., Pal, K., Khol, V., Tuot, S., Sau, S., Chhoun, P., Mburu, G., Choub, S. C., Chhim, K., & Ly, P. (2017). Transition into adult care: factors associated with level of preparedness among adolescents living with HIV in Cambodia. AIDS Research and Therapy, 14, Article 33. https://doi.org/10.1186/s12981-017-0159-6

Vancouver

Yi S, Ngin C, Pal K, Khol V, Tuot S, Sau S et al. Transition into adult care: factors associated with level of preparedness among adolescents living with HIV in Cambodia. AIDS Research and Therapy. 2017 Jul 17;14:33. doi: 10.1186/s12981-017-0159-6

Author

Yi, Siyan ; Ngin, Chanrith ; Pal, Khuondyla et al. / Transition into adult care : factors associated with level of preparedness among adolescents living with HIV in Cambodia. In: AIDS Research and Therapy. 2017 ; Vol. 14.

Bibtex

@article{1fc2a2ffd39a47a0b29b2c7a921f6b58,
title = "Transition into adult care: factors associated with level of preparedness among adolescents living with HIV in Cambodia",
abstract = "BackgroundPreparing adolescents for transition into adult care and supporting their acquisition of self-health care management skills is a critical determinant of their post-transition HIV care outcomes. However, there is a scarcity of research on effective transition strategies. This study explores factors associated with adolescent preparedness for transition into adult care in Cambodia.MethodsIn August 2016, a cross-sectional study was conducted among 223 adolescents living with HIV aged 15–17, randomly selected from 11 antiretroviral therapy clinics, utilizing a structured questionnaire. The level of preparedness was determined using a pre-existing scale, and adolescents were categorized as having a high- or low level of preparedness for transition. Bivariate and multivariate analyses were conducted.ResultsOf 223 adolescents, 55.2% were male, and their mean age was 15.8 years. Overall, 53.3% had a high level of preparedness for transition. As part of the transition protocol, 2.7% had completed a transfer form, 24.7% had a transition case manager, 29.6% had been counselled about the transition, and 19.7% had visited an adult ART clinic. In multivariate analysis, a higher level of preparedness for transition was independently associated with older age (AOR 2.44, 95% CI 1.34–4.46; p = 0.004), family having received social support for their health (AOR 5.32, 95% CI 1.97–14.36; p = 0.001), knowing the kind of treatment they received (ART) (AOR 12.67, 95% CI 2.91–15.19; p = 0.001), trust in friends or family for HIV treatment (AOR 7.82, 95% CI 1.13–8.89; p = 0.008), receiving counseling on transition (AOR 3.17, 95% CI 1.15–8.76; p = 0.03), having a {\textquoteleft}Case Manager{\textquoteright} identified to support them during the preparation process for transition (AOR 3.89, 95% CI 1.08–13.96; p = 0.04), and satisfaction with preparation process for transition in general (AOR 0.35, 95% CI 0.03–0.87; p = 0.01).ConclusionsA range of individual, social and health system and services factors may determine successful transition preparedness among adolescents in Cambodia. Strengthening implementation of age-appropriate and individualized case management transition at all sites, while creating supportive family, peer, and healthcare environments for adolescent transition is required.",
keywords = "Adolescents, HIV, Cambodia, Care and treatment, TRANSITION, AIDS",
author = "Siyan Yi and Chanrith Ngin and Khuondyla Pal and Vohith Khol and Sovannary Tuot and Sokunmealiny Sau and Pheak Chhoun and Gitau Mburu and Choub, {Sok Chamreun} and Kolab Chhim and Penhsun Ly",
year = "2017",
month = jul,
day = "17",
doi = "10.1186/s12981-017-0159-6",
language = "English",
volume = "14",
journal = "AIDS Research and Therapy",
issn = "1742-6405",
publisher = "BioMed Central",

}

RIS

TY - JOUR

T1 - Transition into adult care

T2 - factors associated with level of preparedness among adolescents living with HIV in Cambodia

AU - Yi, Siyan

AU - Ngin, Chanrith

AU - Pal, Khuondyla

AU - Khol, Vohith

AU - Tuot, Sovannary

AU - Sau, Sokunmealiny

AU - Chhoun, Pheak

AU - Mburu, Gitau

AU - Choub, Sok Chamreun

AU - Chhim, Kolab

AU - Ly, Penhsun

PY - 2017/7/17

Y1 - 2017/7/17

N2 - BackgroundPreparing adolescents for transition into adult care and supporting their acquisition of self-health care management skills is a critical determinant of their post-transition HIV care outcomes. However, there is a scarcity of research on effective transition strategies. This study explores factors associated with adolescent preparedness for transition into adult care in Cambodia.MethodsIn August 2016, a cross-sectional study was conducted among 223 adolescents living with HIV aged 15–17, randomly selected from 11 antiretroviral therapy clinics, utilizing a structured questionnaire. The level of preparedness was determined using a pre-existing scale, and adolescents were categorized as having a high- or low level of preparedness for transition. Bivariate and multivariate analyses were conducted.ResultsOf 223 adolescents, 55.2% were male, and their mean age was 15.8 years. Overall, 53.3% had a high level of preparedness for transition. As part of the transition protocol, 2.7% had completed a transfer form, 24.7% had a transition case manager, 29.6% had been counselled about the transition, and 19.7% had visited an adult ART clinic. In multivariate analysis, a higher level of preparedness for transition was independently associated with older age (AOR 2.44, 95% CI 1.34–4.46; p = 0.004), family having received social support for their health (AOR 5.32, 95% CI 1.97–14.36; p = 0.001), knowing the kind of treatment they received (ART) (AOR 12.67, 95% CI 2.91–15.19; p = 0.001), trust in friends or family for HIV treatment (AOR 7.82, 95% CI 1.13–8.89; p = 0.008), receiving counseling on transition (AOR 3.17, 95% CI 1.15–8.76; p = 0.03), having a ‘Case Manager’ identified to support them during the preparation process for transition (AOR 3.89, 95% CI 1.08–13.96; p = 0.04), and satisfaction with preparation process for transition in general (AOR 0.35, 95% CI 0.03–0.87; p = 0.01).ConclusionsA range of individual, social and health system and services factors may determine successful transition preparedness among adolescents in Cambodia. Strengthening implementation of age-appropriate and individualized case management transition at all sites, while creating supportive family, peer, and healthcare environments for adolescent transition is required.

AB - BackgroundPreparing adolescents for transition into adult care and supporting their acquisition of self-health care management skills is a critical determinant of their post-transition HIV care outcomes. However, there is a scarcity of research on effective transition strategies. This study explores factors associated with adolescent preparedness for transition into adult care in Cambodia.MethodsIn August 2016, a cross-sectional study was conducted among 223 adolescents living with HIV aged 15–17, randomly selected from 11 antiretroviral therapy clinics, utilizing a structured questionnaire. The level of preparedness was determined using a pre-existing scale, and adolescents were categorized as having a high- or low level of preparedness for transition. Bivariate and multivariate analyses were conducted.ResultsOf 223 adolescents, 55.2% were male, and their mean age was 15.8 years. Overall, 53.3% had a high level of preparedness for transition. As part of the transition protocol, 2.7% had completed a transfer form, 24.7% had a transition case manager, 29.6% had been counselled about the transition, and 19.7% had visited an adult ART clinic. In multivariate analysis, a higher level of preparedness for transition was independently associated with older age (AOR 2.44, 95% CI 1.34–4.46; p = 0.004), family having received social support for their health (AOR 5.32, 95% CI 1.97–14.36; p = 0.001), knowing the kind of treatment they received (ART) (AOR 12.67, 95% CI 2.91–15.19; p = 0.001), trust in friends or family for HIV treatment (AOR 7.82, 95% CI 1.13–8.89; p = 0.008), receiving counseling on transition (AOR 3.17, 95% CI 1.15–8.76; p = 0.03), having a ‘Case Manager’ identified to support them during the preparation process for transition (AOR 3.89, 95% CI 1.08–13.96; p = 0.04), and satisfaction with preparation process for transition in general (AOR 0.35, 95% CI 0.03–0.87; p = 0.01).ConclusionsA range of individual, social and health system and services factors may determine successful transition preparedness among adolescents in Cambodia. Strengthening implementation of age-appropriate and individualized case management transition at all sites, while creating supportive family, peer, and healthcare environments for adolescent transition is required.

KW - Adolescents

KW - HIV

KW - Cambodia

KW - Care and treatment

KW - TRANSITION

KW - AIDS

U2 - 10.1186/s12981-017-0159-6

DO - 10.1186/s12981-017-0159-6

M3 - Journal article

VL - 14

JO - AIDS Research and Therapy

JF - AIDS Research and Therapy

SN - 1742-6405

M1 - 33

ER -