A Longitudinal Study of Adolescents with Perinatally or Transfusion Acquired HIV Infection: Sexual Knowledge, Risk Reduction Self-efficacy and Sexual Behavior
- 383 Downloads
As HIV-positive children are surviving to adolescence and beyond, understanding their HIV knowledge and sexual behavior is critical. Forty HIV+ adolescents/young adults were interviewed twice, approximately 21 months apart (mean age 16.6 and 18.3 years, respectively). Data on demographics, safer sex knowledge, sexual risk behaviors, risk reduction self-efficacy, and Tanner stage were collected. Twenty-eight percent of HIV+ youth at Time 1 and 41% at Time 2 reported being sexually active. HIV transmission/safer sex knowledge was low, increased with age, and both self-efficacy for and actual condom use was relatively high. Secondary prevention messages should be incorporated into routine medical settings.
KeywordsHIV Adolescents Knowledge Sexual behavior Condoms
This research was supported [in part] by the Intramural Research Program of the NIH, National Cancer Institute, Center for Cancer Research. The authors would like to acknowledge Jordana Sternberg and Kathryn Romansky for their help in data collection, Celia Ryder for her careful review of this manuscript, as well as the patients and families who participated in this research for sharing their experiences with us.
- Brown, L., Schultz, J., Parsons, J., Butler, R., Forsberg, A., Kocik, S., et al. (2000). Sexual behavior change among human immunodeficiency virus-infected adolescents with hemophilia. Adolescent hemophilia behavioral intervention evaluation project study group. Pediatrics, 106(2), E22.PubMedCrossRefGoogle Scholar
- Centers for Disease Control and Prevention (2005). Healthy youth. http://www.cdc.gov/HealthyYouth/yrbs/data/index.htm, accessed on 1/9/06.Google Scholar
- Centers for Disease Control and Prevention (2004). HIV/AIDS surveillance report, 2003. CDC (Vol. 15, p. 13). Atlanta, GA: US Department of Health and Human Services.Google Scholar
- Frederick, T., Thomas, P., Mascola, L., Hsu, H., Rakusan, T., Mapson, C., et al. (2000). Human immunodeficiency virus-infected adolescents: A descriptive study of older children in New York City, Los Angeles County, Massachusetts and Washington, DC. The Pediatric Infectious Disease Journal, 19, 551–555.PubMedCrossRefGoogle Scholar
- Goldman, J. A., & Harlow, L, L. (1993). Self-perception variables that mediate AIDS-preventive behavior in college student. Health Psychology, 12, 489–798.Google Scholar
- Grunbaum, J., Kann, L., Kinchen, S., Ross, J., Hawkins, J., Lowry, R., et al. (2004). Youth risk behavior surveillance—United States, 2003. Morbidity and Mortality Weekly Report, 53(SS-2), 2–4.Google Scholar
- Kaiser Family Foundation, Hoff, T., Greene, L., & Davis, J. (2003). National survey of adolescents and young adults. Sexual health knowledge, attitudes and experiences. Menlo Park, CA: Henry J. Kaiser Family Foundation.Google Scholar
- New York State Department of Health (AIDS Institute) (1995). Community-based peer educators survey. Albany, NY:.Google Scholar
- Zorilla, C., Febo, I., Ortiz, I., Orengo J., Miranda, S., Santiago, M., et al. (2003). Pregnancy in perinatally HIV-infected adolescents and young adults—Puerto Rico—2002. Morbidity and Mortality Weekly Report, 52(08), 149–151.Google Scholar