Transfer is not a transition - voices of Jamaican adolescents with HIV and their health care providers.

Increasing access to antiretroviral therapy in resource-limited settings (RLS) has resulted in the survival of perinatally HIV-infected children into adulthood. We characterized the transition process from pediatric to adult care by conducting semi-structured interviews of HIV-infected adolescents and health care providers in Jamaica. Using an inductive content analytic approach, four themes emerged: (1) Transition should be holistic and a process; (2) Pediatric clinics were like families; (3) Rootedness in the pediatric clinic; and (4) Need for adolescent-centered services to bridge the gap between pediatric and adult-centered services. Adolescent informed- and centered-transition approach may result in better outcomes for HIV-infected adolescents.

Immigration, Prenatal Stress and Autistic Traits in Offspring: Examining the Role of Discrimination.

Inscribed on the Statue of Liberty, Emma Lazarus's poem, The New Colossus,1 helped shape the image of the United States as a country compassionate toward the needs of those who emigrated to its shores. The United States has more immigrants than any other country in the world, estimated at more than 40 million people.2 Roughly 18 million children in the United States have at least 1 immigrant parent.2 Most immigrants in the United States arrive with the hope of better educational and economic opportunities.3 Although moving to a new country can offer new opportunities, stability, and safety, there are also challenges. Immigrants experience unique stressors that lead to potentially negative mental health outcomes. After being pushed out of their home country because of stressful circumstances such as violence, severe poverty, and armed conflicts, many individuals then encounter additional stressors after migrating-including discrimination.3.

Coping with Racism: a Perspective of COVID-19 Church Closures on the Mental Health of African Americans.

Academic medical literature and news outlets extensively document how older individuals in communities of color, especially African American communities, are dying disproportionately of COVID-19 due to ongoing societal, racial, and healthcare disparities. Fear of death and suffering are acutely elevated in Black communities; yet, African Americans have been facing, coping with, and overcoming American societal racism and subsequent detriments to our mental health for centuries. Predominately African American churches (hereafter referred to as the "Black Church") have always served a historical, cultural, contextual, and scientifically validated role in the mental health well-being of African American communities coping with American racism. Nonetheless, buildings of worship closed due to the COVID-19 pandemic in mid-March 2020. This article is a first-hand perspective of five Black internists/psychiatrists who are deeply involved in both academic medicine and leadership positions within the Black Church. It will explore how the physical closure of Black Churches during this period of increased mental stress, as caused by healthcare inequities revealed by the COVID-19 epidemic, is likely to be uniquely taxing to the mental health of African Americans, particularly older African Americans, who must cope with American racism without physical access to the Black Church for the first time in history.