Results indicate that among college students, the presence of sexual coercion adversely affects condom use, as does alcohol use.

This exploratory study seeks to recognize the voices of infected mothers and their uninfected children regarding their experiences and consequences of stigma and discrimination. Ten children and their HIVpositive mothers were interviewed to assess perceptions of stigma and discrimination, as well as emotional and educational functioning. Quantitative and qualitative methods indicated that infected mothers perceive greater levels of stigma and experienced a greater number of discriminatory acts than their uninfected children. Children's total stigma score was significantly correlated with levels of maternal anxiety and depression. Additionally, child reading levels were negatively correlated with their mothers' total stigma

The population of adolescents and young adults (AYA) with perinatally-acquired HIV (PHIV) present challenges to HIV healthcare providers (HHCPs). Originally not expected to survive childhood, they are now living well into young adulthood. Little is known about the type of sexual and reproductive (SRH) information/services offered to AYA with PHIV by HHCPs. HHCPs (n=67) were recruited using snowball sampling, and completed an online survey. Providers' most frequently endorsed SRH topics discussed with both male and female patients included condom use (77.3%), STD prevention (73.1%), and screening (62.1%). Providers' reports indicated that females received significantly more education about SRH topics overall. The most frequently noted barriers to SRH communication included more pressing health concerns (53.0%), parent/guardian not receptive (43.9%), and lack of time during appointment (43.9%). Provider-reported SRH conversations with HHCPs were highly focused on horizontal transmission and pregnancy prevention. Salient social aspects of SRH promotion for AYAs with PHIV (e.g., managing disclosure and romantic relationships) were less commonly discussed, though such conversations may serve to reduce secondary transmission and enhance the overall well-being of AYA with PHIV. Findings indicated that further work must be done to identify strategies to address unmet SRH needs of the aging population of AYA with PHIV.

~STRACT' Traditional means of conceptualizing the psychosocial impact of AIDS have emphasized infected individuals out of their natural context. AIDS occurs not simply within hospitals but within fhmi/ies. A secondary morbidity occurs within a family system when one of its members is infected, Clinical experience suggests tl~at non-infected children within families with AIDS are at significant risk for poor developmental outcomes as a consequence of the skewing of familial resources~ Children living in fhmilies who have a member infhcted by HIV are impacted by issues such as stigma, isolation, abandonment and death. This article explores the epidemiology of this child population and risk factors that render them vulnerahle~ Social workers are in a unique position to identif~ and serve these children in such diverse settings as schools welfare agencies, and hospitals. Suggested interventions based on the developmental stage of the chilcl are discussed as are implications for policy forn~ation and program development.The epidemic of HIV infection* continues to inundate the many countries with personal and social suffering, Current estimates indicate there are over 1 million men, women and children infected with HIV, Ms.

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