Sexual behaviors and procreational intentions of adolescents and young adults with perinatally acquired human immunodeficiency virus infection: Experience of an urban tertiary center

Ezeanolue, Echezona E.; Wodi, A Patricia; Patel, Rakesh; Dieudonne, Arry; Oleske, James M.

doi:10.1016/j.jadohealth.2005.06.015

Cited by 82 publications

(69 citation statements)

References 30 publications

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“…8,[33][34][35] Nine studies had HIV-uninfected counterparts as part of the analytic sample to serve as a comparison group. 14,25,28,31,[36][37][38][39][40] Ten studies focused on samples of only young women, 8,9,14,19,25,28,31,33,39,41 while the remainder had samples that included both young men and women. Eight studies included only BHIV.…”

Section: Set Of Manuscriptsmentioning

confidence: 99%

“…8,9,19,21,[25][26][27][28] Because of a recently published review article on PHIV adolescents, 7 we only included eight articles focused on just PHIV. 33,[35][36][37][38][40][41][42] Those were published since the review or were outside the scope of the review; one was included in the review, but is highlighted here from a different perspective. 41 The remaining studies 670 CARTER ET AL.…”

Section: Set Of Manuscriptsmentioning

confidence: 99%

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The Reproductive Health Behaviors of HIV-Infected Young Women in the United States: A Literature Review

Carter

Kraft²,

Hatfield-Timajchy³

et al. 2013

AIDS Patient Care and STDs

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HIV-infected young women in the United States have important reproductive health needs that are made more complex by their HIV status. We searched Pubmed and relevant bibliographies to identify 32 articles published from 2001 to July 2012 that described the prevalence, correlates, and characteristics of the sexual activity, relationships, pregnancy intentions, HIV status disclosure, and contraceptive and condom use among US HIV-infected adolescents and young women. Our synthesis of those articles found that, like youth not infected with HIV, substantial proportions of HIV-infected youth were sexually active, and most sought romantic or sexual relationships, though their serostatus may have affected the pace of physical and emotional intimacy. Disclosure was difficult, and large proportions of HIV-infected youth had not disclosed their serostatus to recent partners. A few studies suggest that most HIV-infected young women hoped to have children in the future, but many wanted to avoid pregnancy until later. Only one study described contraceptive use among this population in detail and found that condoms were a primary method of contraception. The results point to substantial gaps in published research, particularly in the areas of pregnancy intentions and contraceptive use. Much more needs to be done in research and health services to better understand and meet the complex health needs of HIV-infected young women.

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Section: Set Of Manuscriptsmentioning

confidence: 99%

Section: Set Of Manuscriptsmentioning

confidence: 99%

The Reproductive Health Behaviors of HIV-Infected Young Women in the United States: A Literature Review

Carter

Kraft²,

Hatfield-Timajchy³

et al. 2013

AIDS Patient Care and STDs

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“…Prior studies in the United States have reported rates of sexual activity among HIV-infected teens ranging from 30% to 70%, with up to 37% having ever used drugs. [4][5][6][7] Unequivocal evidence of sexual behavior and inconsistent condom use among vertically HIV-infected adolescents has emerged in the form of pregnancies among vertically HIV-infected girls. [8][9][10][11] Surveys of Thai adolescents have also revealed high rates of risk-taking behaviors.…”

Section: Introductionmentioning

confidence: 99%

Risk-Taking Behaviors Among Vertically HIV-Infected Adolescents in Northern Thailand

Lee

Oberdorfer

2009

Journal of the International Association of Physicians in AIDS

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Purpose. To examine risk-taking behaviors and HIV self-disclosure among vertically HIV-infected adolescents in northern Thailand. Methods. A quantitative survey was conducted from 2007 to 2008 at 2 pediatric HIV clinics in northern Thailand among vertically HIV-infected adolescents aged ≥13 years, with disclosed HIV status. The survey assessed sociodemographics, substance use, sexual behavior, peer behaviors, knowledge, and attitudes regarding HIV disclosure. Results. Fifty-four adolescents (median age 14.6 years) participated; 18.5% reported previous alcohol use but none reported drug use; 35.2% reported presexual activity, and 3.7% reported sexual activity. Nearly all (96.3%) knew that HIV could be transmitted sexually, but knowledge regarding other sexually transmitted infections (STIs) was poor. Nearly half (48.1%) had never disclosed their status to anyone. Conclusions. Rates of substance use and sexual activity were low in this population. STI knowledge was poor and diagnosis self-disclosure was infrequent. Improved sexual education and self-disclosure skills are needed among vertically HIV-infected adolescents in Thailand.

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“…[7][8][9][10] Furthermore, studies suggest that a significant percentage of PHIV + youth fail to adequately adhere to antiretroviral treatment (ART) regimens, resulting in increased viral load and potentially the development of treatment resistant strains of the virus. [11][12][13][14] Nonadherence, coupled with mental health and substance use problems, as well as sexual risk behavior, place this population at high risk for poor health and quality of life outcomes as well as HIV transmission to sexual partners.…”

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confidence: 99%

Behavioral Health Risks in Perinatally HIV-Exposed Youth: Co-Occurrence of Sexual and Drug Use Behavior, Mental Health Problems, and Nonadherence to Antiretroviral Treatment

Mellins

Tassiopoulos

Malee

et al. 2011

AIDS Patient Care and STDs

157

121

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In a sample of perinatally HIV-infected (PHIV +) and perinatally HIV-exposed, uninfected (PHEU) adolescents, we examined the co-occurrence of behavioral health risks including mental health problems, onset of sexual and drug use behaviors, and (in PHIV + youth) nonadherence to antiretroviral therapy (ART). Participants, recruited from 2007 to 2010, included 349 youth, ages 10-16 years, enrolled in a cohort study examining the impact of HIV infection and ART. Measures of the above behavioral health risks were administered to participants and primary caregivers. Nearly half the participants met study criteria for at least one behavioral health risk, most frequently, mental health problems (28%), with the onset of sexual activity and substance use each reported by an average of 16%. Among the sexually active, 65% of PHIV + and 50% of PHEU youth reported unprotected sex. For PHIV + youth, 34% reported recent ART nonadherence, of whom 45% had detectable HIV RNA levels. Between 16% (PHIV +) and 11% (PHEU) of youth reported at least two behavioral health risks. Older age, but not HIV status, was associated with having two or more behavioral health risks versus none. Among PHIV + youth, living with a birth mother (versus other caregivers) and detectable viral load were associated with co-occurrence of behavioral health risks. In conclusion, this study suggests that for both PHIV + and PHEU youth, there are multiple behavioral health risks, particularly mental health problems, which should be targeted by service systems that can integrate prevention and treatment efforts.

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Sexual behaviors and procreational intentions of adolescents and young adults with perinatally acquired human immunodeficiency virus infection: Experience of an urban tertiary center

Cited by 82 publications

References 30 publications

The Reproductive Health Behaviors of HIV-Infected Young Women in the United States: A Literature Review

The Reproductive Health Behaviors of HIV-Infected Young Women in the United States: A Literature Review

Risk-Taking Behaviors Among Vertically HIV-Infected Adolescents in Northern Thailand

Behavioral Health Risks in Perinatally HIV-Exposed Youth: Co-Occurrence of Sexual and Drug Use Behavior, Mental Health Problems, and Nonadherence to Antiretroviral Treatment

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