As adolescents and young people living with HIV (AYLH) age, they face a “transition cascade,” a series of steps associated with transitions in their care as they become responsible for their own healthcare. In high‐income countries, this usually includes transfer from predominantly paediatric/adolescent to adult clinics. In sub‐Saharan Africa, paediatric HIV care is mostly provided in decentralized, non‐specialist primary care clinics, where “transition” may not necessarily include transfer of care but entails becoming more autonomous for one's HIV care. Using different age thresholds as proxies for when “transition” to autonomy might occur, we evaluated pre‐ and post‐transition outcomes among AYLH.

中文翻译：

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描述南部非洲艾滋病毒感染青少年向成年过渡的双向级联护理

随着艾滋病毒感染者 (AYLH) 的青少年和年轻人年龄的增长，他们面临着“过渡级联”，即当他们开始对自己的医疗保健负责时，与他们的护理过渡相关的一系列步骤。在高收入国家，这通常包括从以儿科/青少年为主的诊所转移到成人诊所。在撒哈拉以南非洲，儿科艾滋病毒护理主要是在分散的非专科初级保健诊所提供，其中“过渡”可能不一定包括护理转移，但需要对艾滋病毒护理变得更加自主。使用不同的年龄阈值作为何时可能发生“过渡”到自主权的代理，我们评估了 AYLH 过渡前和过渡后的结果。