Brief Report: HIV Testing and Risk Among Justice-Involved Youth.
Brief Report: HIV Testing and Risk Among Justice-Involved Youth.
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简要报告：参与正义的青少年的艾滋病毒检测和风险。
DOI：
10.1007/s10461-020-02978-z
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发表时间：
2021-05
影响因子：
4.4
通讯作者：
Tolou-Shams M
中科院分区：
文献类型：
--
作者：
Haney-Caron E;Brown LK;Tolou-Shams M
参与司法工作的青少年有许多感染艾滋病毒的危险因素，包括高药物使用率、精神合并症和危险的性行为。虽然被拘留的青少年很可能接受医疗保健，其中可能包括与法庭有关的艾滋病毒检测，但未被监禁（CINI）的青少年可能不太可能在司法介入之前或期间接受艾滋病毒检测服务。然而，在CINI青少年中，风险因素与HIV检测之间的关系在很大程度上是未知的。我们在173名已确定的使他们有感染艾滋病毒风险的行为的CINI青年中探讨了艾滋病毒检测与通常与艾滋病毒检测和艾滋病毒风险相关的因素之间的关系。尽管性行为和药物使用风险行为的比例很高，但只有15.6%的参与者报告了艾滋病毒检测的终生史。年龄（较大）、性别（女性）、性取向（非异性恋）、近期使用大麻、终生使用其他药物、性传播感染史、过去一年的子宫颈抹片检查以及精神健康/药物使用治疗史都与终生艾滋病毒检测显著相关。该样本中极低的检测率强调，拘留之外的少年司法系统没有充分满足青少年在艾滋病毒检测方面的需求，也没有确保有感染艾滋病毒风险的青少年获得检测服务。结果表明，需要作出更多努力，将参与司法的青年与更广泛的医疗保健联系起来，特别是与艾滋病毒检测联系起来。
Justice-involved youth have a number of risk factors for HIV infection, including high rates of substance use, psychiatric comorbidities, and risky sexual behaviors. Although detained youth are likely to receive health care—which may include HIV testing—court-involved, non-incarcerated (CINI) youth may be unlikely to receive HIV testing services either before or during their justice involvement. However, the relationship between risk factors and HIV testing among CINI youth is largely unknown. We explored the association between HIV testing and factors commonly associated with both HIV testing and HIV risk among 173 CINI youth with identified behaviors that put them at risk for HIV acquisition. Only 15.6% of participants reported a lifetime history of HIV testing, despite high rates of sexual and substance use risk behaviors. Age (older), gender (female), sexual orientation (non-heterosexual), recent marijuana use, lifetime use of other drugs, history of a sexually transmitted infection, pap smear in the past year and history of mental health/substance use treatment were all significantly associated with lifetime HIV testing. The extremely low testing rates in this sample emphasize that the juvenile justice system outside of detention is not adequately addressing youths’ needs related to HIV testing or ensuring access to testing services for youth at risk of contracting HIV. Results suggest that additional efforts are needed to connect justice-involved youth to healthcare more broadly and HIV testing in particular.
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影响因子：
3.1
作者：
Belenko, Steven;Dembo, Richard;Childs, Kristina
通讯作者：
Childs, Kristina
DOI：
10.1515/ijamh-2014-0052
发表时间：
2015-11
影响因子：
--
作者：
Tolou-Shams M;Conrad S;Louis A;Shuford SH;Brown LK
通讯作者：
Brown LK
监测挑战：更仔细地研究父母监测、孕产妇精神病理学和青少年性风险。
影响因子：
2.7
作者：
Hadley, Wendy;Hunter, Heather L.;Tolou-Shams, Marina;Lescano, Celia;Thompson, Ariel;Donenberg, Geri;DiClemente, Ralph;Brown, Larry K.
通讯作者：
Brown, Larry K.
影响因子：
3.1
作者：
Straub DM;Arrington-Sanders R;Harris DR;Willard N;Kapogiannis B;Emmanuel P;Futterman D;Ellen JM;Adolescent Trials Network for HIV/AIDS Interventions
通讯作者：
Adolescent Trials Network for HIV/AIDS Interventions
影响因子：
5.4
作者：
Faul, Franz;Erdfelder, Edgar;Buchner, Axel
通讯作者：
Buchner, Axel