{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T07:28:10Z","timestamp":1781162890294,"version":"3.54.1"},"reference-count":50,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","award":["138089"],"award-info":[{"award-number":["138089"]}],"id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","award":["PMDS22062728077"],"award-info":[{"award-number":["PMDS22062728077"]}],"id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>\n                    Successful transition from paediatric to adult HIV care programme is a critical developmental milestone in the care trajectory of adolescents living with HIV (ALHIV). The transition process involves a shift from a structured, caregiver-supported healthcare model to one that requires independence and self-management. This process should be guided and supportive to ensure continued engagement in care and optimal adherence when ALHIV are transferred. This study utilised photovoice methods to explore the transition experiences of ALHIV in the Cape Town Metropole. Audio-recorded focus group data were transcribed verbatim and subjected to reflexive thematic analysis. Three distinctive patterns of behaviour from ALHIV were identified as themes. Type 1:\n                    <jats:italic>socially reliant, dependent adolescent<\/jats:italic>\n                    who heavily relies on family and peer support and struggles with adherence. Type 2:\n                    <jats:italic>socially disconnected, hyper-independent adolescent<\/jats:italic>\n                    , who is self-reliant, seeks solitude, and is generally resistant to external support. We configured a third (ideal) type, who is\n                    <jats:italic>interdependent<\/jats:italic>\n                    and able to self-manage their chronic condition, but within a supportive health care environment that provides positive healthcare and transition experiences. The findings underscore the need for supportive transition models promoting self-management skills, while facilitating a symbiotic relation with healthcare staff promoting sustained engagement in care well into adulthood. We recommend that adolescent or youth friendly services for ALHIV be expanded to support and monitor the transition process and outcomes in the adult HIV program.\n                  <\/jats:p>","DOI":"10.1177\/23259582251362908","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T11:42:08Z","timestamp":1756726928000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Patterns of Transition of Adolescents in an HIV Care Programme in Peri-Urban Cape Town, South Africa: A Photovoice Study"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3766-3890","authenticated-orcid":false,"given":"Charn\u00e9","family":"Petinger","sequence":"first","affiliation":[{"name":"School of Public Health, University of the Western Cape, Bellville, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2993-6553","authenticated-orcid":false,"given":"Talitha","family":"Crowley","sequence":"additional","affiliation":[{"name":"School of Nursing, University of the Western Cape, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1032-1847","authenticated-orcid":false,"given":"Brian van","family":"Wyk","sequence":"additional","affiliation":[{"name":"School of Public Health, University of the Western Cape, Bellville, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"UNAIDS. Fact sheet 2024 - Latest global and regional HIV statistics on the status of the AIDS epidemic. 2024. (http:\/\/hivfinancial.unaids.org\/hivfinancialdashboards.html)."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25756"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/JNC.0000000000000485"},{"issue":"3","key":"e_1_3_3_5_2","first-page":"60","article-title":"HIV healthcare transition outcomes among youth in North America and Europe: A review","volume":"20","author":"Tepper V","year":"2017","unstructured":"Tepper V, Zaner S, Ryscavage P. HIV healthcare transition outcomes among youth in North America and Europe: A review. J Int AIDS Soc. 2017;20(Suppl 3):60\u201370. https:\/\/doi.org\/10.7448\/IAS.20.4.21490","journal-title":"J Int AIDS Soc."},{"issue":"10","key":"e_1_3_3_6_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0240918","article-title":"Transition from pediatric to adult care for adolescents living with HIV in South Africa: A natural experiment and survival analysis","volume":"15","author":"Zanoni BC","year":"2020","unstructured":"Zanoni BC, Archary M, Sibaya T, Musinguzi N, Haberer JE. Transition from pediatric to adult care for adolescents living with HIV in South Africa: A natural experiment and survival analysis. PLoS One. 2020;15(10 October):1\u201312. https:\/\/doi.org\/10.1371\/journal.pone.0240918","journal-title":"PLoS One"},{"key":"e_1_3_3_7_2","doi-asserted-by":"crossref","unstructured":"Lanyon C Seeley J Namukwaya S et al. \u201cBecause we all have to grow up\u201d: supporting adolescents in Uganda to develop core competencies to transition towards managing their HIV more independently. 2020. https:\/\/doi.org\/10.1002\/jia2.25552\/full","DOI":"10.1002\/jia2.25552"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2989\/16085906.2023.2246435"},{"key":"e_1_3_3_9_2","volume-title":"South African national HIV prevalence, incidence, behaviour and communication survey, 2017\u202f: towards achieving the UNAIDS 90-90-90 targets","author":"Simbayi LCZK","year":"2019","unstructured":"Simbayi LCZK, Zuma K, Zungu N, et al. South African national HIV prevalence, incidence, behaviour and communication survey, 2017\u202f: towards achieving the UNAIDS 90-90-90 targets. HSRC Press; 2019."},{"key":"e_1_3_3_10_2","unstructured":"UNICEF. 2023 Global Snapshot on HIV and AIDS Progress and priorities for children adolescents and pregnant women. 2023."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25767"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed9090198"},{"issue":"3","key":"e_1_3_3_13_2","first-page":"34","article-title":"Transition from paediatric to adult care of adolescents living with HIV in sub-Saharan Africa: Challenges, youth-friendly models, and outcomes","volume":"20","author":"Dahourou DL","year":"2017","unstructured":"Dahourou DL, Gautier-Lafaye C, Teasdale CA, et al. Transition from paediatric to adult care of adolescents living with HIV in sub-Saharan Africa: Challenges, youth-friendly models, and outcomes. J Int AIDS Soc. 2017;20(Suppl 3):34\u201349. https:\/\/doi.org\/10.7448\/IAS.20.4.21528","journal-title":"J Int AIDS Soc."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/children9040500"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000003201"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2021.1912137"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0252623"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1367584"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25921"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2016.v106i8.10496"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2024.2305506"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1609406920927253"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/16094069251331353"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.2752\/175145214X13999922103165"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.29392\/001c.12588"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed10010005"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523"},{"key":"e_1_3_3_28_2","first-page":"19","volume-title":"Supporting Research in Counselling and Psychotherapy: Qualitative, Quantitative, and Mixed Methods Research","author":"Braun V","year":"2023","unstructured":"Braun V, Clarke V, Hayfield N, Davey L, Jenkinson E. Doing reflexive thematic analysis. In Bager-Charleson Alistair McBeath S (Eds.), Supporting Research in Counselling and Psychotherapy: Qualitative, Quantitative, and Mixed Methods Research. Palgrave Macmillan. 2023, pp. 19\u201338."},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-021-01182-y"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/1937586715614171"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1188\/14.ONF.89-91"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259582241298166"},{"issue":"3","key":"e_1_3_3_34_2","article-title":"The role of perceived social support in loneliness and self-esteem among children affected by HIV\/AIDS: A longitudinal multilevel analysis in rural China","volume":"28","author":"Qiao S","year":"2014","unstructured":"Qiao S, Li X, Zhao G, Zhao J, Stanton B. The role of perceived social support in loneliness and self-esteem among children affected by HIV\/AIDS: A longitudinal multilevel analysis in rural China. AIDS. 2014;28(SUPPL. 3):S369\u2013S377. https:\/\/doi.org\/10.1097\/QAD.0000000000000338","journal-title":"AIDS"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259582211000525"},{"issue":"1","key":"e_1_3_3_36_2","first-page":"1","article-title":"Adolescent human immunodeficiency virus self-management: Needs of adolescents in the eastern cape","volume":"13","author":"Adams L","year":"2021","unstructured":"Adams L, Crowley T. Adolescent human immunodeficiency virus self-management: Needs of adolescents in the eastern cape. Af J Primary Health Care and Family Med. 2021;13(1):1\u20139. https:\/\/doi.org\/10.4102\/phcfm.v13i1.2756","journal-title":"Af J Primary Health Care and Family Med"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06510-4"},{"issue":"3","key":"e_1_3_3_38_2","first-page":"1","article-title":"Where do HIV-infected adolescents go after transfer? \u2013 Tracking transition\/transfer of HIV-infected adolescents using linkage of cohort data to a health information system platform","volume":"20","author":"Davies MA","year":"2017","unstructured":"Davies MA, Tsondai P, Tiffin N, et al. Where do HIV-infected adolescents go after transfer? \u2013 Tracking transition\/transfer of HIV-infected adolescents using linkage of cohort data to a health information system platform. J Int AIDS Soc. 2017;20(3):1\u20139. https:\/\/doi.org\/10.7448\/IAS.20.4.21668","journal-title":"J Int AIDS Soc."},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1080\/17450128.2021.1876965"},{"issue":"7","key":"e_1_3_3_40_2","first-page":"983","article-title":"Acceptability, feasibility and preliminary effectiveness of the mHealth intervention, InTSHA, on retention in care and viral suppression among adolescents with HIV in South Africa: A pilot randomized clinical trial","volume":"36","author":"Zanoni BC","year":"2024","unstructured":"Zanoni BC, Archary M, Sibaya T, et al. Acceptability, feasibility and preliminary effectiveness of the mHealth intervention, InTSHA, on retention in care and viral suppression among adolescents with HIV in South Africa: A pilot randomized clinical trial. AIDS Care\u2013Psychological and Socio-Medical Aspects of AIDS\/HIV. 2024;36(7):983\u2013992. https:\/\/doi.org\/10.1080\/09540121.2024.2361240","journal-title":"AIDS Care\u2013Psychological and Socio-Medical Aspects of AIDS\/HIV"},{"issue":"1","key":"e_1_3_3_41_2","first-page":"9623159","article-title":"Perceived stigma and fear of unintended disclosure are barriers in medication adherence in adolescents with perinatal HIV in Botswana: A qualitative study","author":"Madiba S","year":"2019","unstructured":"Madiba S, Josiah U. Perceived stigma and fear of unintended disclosure are barriers in medication adherence in adolescents with perinatal HIV in Botswana: A qualitative study. BioMed Res Int. 2019(1):9623159. https:\/\/doi.org\/10.1155\/2019\/9623159","journal-title":"BioMed Res Int."},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0003909"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-024-04487-9"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.2307\/j.ctt1t89d95.16"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0307143"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-020-01189-8"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20338-7"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.4102\/jphia.v16i1.625"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1000-7"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.4102\/sajhivmed.v26i1.1674"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02267-3"}],"container-title":["Journal of the International Association of Providers of AIDS Care (JIAPAC)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582251362908","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259582251362908","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582251362908","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:50:42Z","timestamp":1777503042000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259582251362908"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":50,"alternative-id":["10.1177\/23259582251362908"],"URL":"https:\/\/doi.org\/10.1177\/23259582251362908","relation":{},"ISSN":["2325-9582","2325-9582"],"issn-type":[{"value":"2325-9582","type":"print"},{"value":"2325-9582","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"article-number":"23259582251362908"}}