Sexual Transmission Risk Behavior of Adolescents With HIV Acquired Perinatally or Through Risky Behaviors
Sexual Transmission Risk Behavior of Adolescents With HIV Acquired Perinatally or Through Risky Behaviors
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DOI：
10.1097/qai.0b013e3181f0ccb6
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发表时间：
2010-11-01
影响因子：
3.6
通讯作者：
D'Angelo, Lawrence
中科院分区：
文献类型：
--
作者：
Koenig, Linda J.;Pals, Sherri L.;D'Angelo, Lawrence
目的：描述艾滋病毒感染的青少年获得围产期（围产期）或通过危险行为（behavioral）的传播相关行为的患病率和预测因子。方法：艾滋病毒阳性青少年（n = 166），年龄13-21岁，在3个美国城市接受治疗，报告性行为，药物使用，社会心理和人口统计学特征。HIV相关数据提取病历。结果：105性经验的青少年报告的风险史（42围产期，63行为），49人从事无保护的性行为，因为学习他们的诊断（12围产期，37行为）。在有性经验的女孩中，19人怀孕（24人中有5人围产期，31人中有14人行为）。提供了115的132最近的性伴侣，其中61人与研究参与者（10与8围产期参与者; 51与33行为参与者）的无保护性行为的风险信息。最近的无保护性行为与青春期的性虐待有关（调整后的比值比= 9.61，95% CI：1.07至86.12）和更高的艾滋病毒知识（调整后的优势比= 1.29，95%CI：1.00 - 1.66）当控制传播类别、年龄和性取向时。为了限制艾滋病毒传播和防止意外怀孕，必须将适合发育的降低风险干预措施以及性虐待筛查和治疗转诊纳入对围产期和行为上感染艾滋病毒的青少年的护理。
Objective: To describe the prevalence and predictors of the transmission-related behaviors of adolescents with HIV acquired perinatally (perinatal) or through risky behaviors (behavioral).Methods: HIV-positive adolescents (n = 166) aged 13-21, receiving care in 3 US cities, reported sexual behaviors, drug use, and psychosocial and demographic characteristics. HIV-related data were abstracted from medical records.Results: Of 105 sexually experienced adolescents reporting risk history (42 perinatal, 63 behavioral), 49 had engaged in unprotected sex since learning their diagnosis (12 perinatal, 37 behavioral). Of sexually experienced girls, 19 had been pregnant (5 of 24 perinatal, 14 of 31 behavioral). Risk information was provided for 115 of 132 recent sex partners, 61 of whom had unprotected sex with study participants (10 with 8 perinatal participants; 51 with 33 behavioral participants). Recent unprotected sex was associated with sexual abuse during adolescence (adjusted odds ratio = 9.61, 95% CI: 1.07 to 86.12) and greater HIV knowledge (adjusted odds ratio = 1.29, 95% CI: 1.00 to 1.66) when transmission category, age, and sexual orientation were controlled.Conclusions: To limit HIV transmission and prevent unplanned pregnancies, developmentally appropriate risk-reduction interventions, and screening and treatment referral for sexual abuse, must be integrated into the care of both perinatally and behaviorally HIV-infected adolescents.