Unprotected sex among youth living with HIV before and after the advent of highly active antiretroviral therapy
Date
2006
Authors
Rice, Eric
Batterham, Philip
Rotheram-Borus, Mary Jane
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Wiley-Blackwell
Abstract
CONTEXT: Since the advent of highly active antiretroviral therapy (HAART) in 1996, the incidence of HIV - especially among young men who have sex with men - and the prevalence of unprotected sex among HIV-positive persons have increased. The characteristics associated with unprotected sex among youth living with HIV since the advent of HAART have not been explored. METHODS: Samples of HIV-positive youth aged 13-24 were taken from two intervention studies that targeted the sexual behaviors of HIV-positive youth - one from 1994 to 1996 (pre-HAART) and the other from 1999 to 2000 (post-HAART). Generalized estimating equations were used to identify characteristics associated with unprotected sex in each sample. RESULTS: The prevalence of unprotected sex in the post-HAART sample was more than twice that in the pre-HAART sample (62% vs. 25%). Among the pre-HAART sample, being a man who has sex with men and having sex with a casual partner were negatively associated with the odds of unprotected intercourse (odds ratios, 0.5 and 0.2, respectively). Among the post-HAART sample, unprotected sex was negatively associated with knowing that a partner was HIV-negative (0.2) and positively associated with poorer mental health (1.02). In analyses among the post-HAART sample, poorer mental health was associated with increased odds of unprotected sex among youth living with HIV who were not receiving the treatment (1.02). CONCLUSIONS: Interventions for HIV-positive youth must be designed to address the complex needs of those youth who simultaneously suffer from HIV and poor mental health.
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Keywords: antiretrovirus agent; adolescent; adult; article; controlled study; demography; female; highly active antiretroviral therapy; human; Human immunodeficiency virus infection; intervention study; major clinical study; male; mental health; prevalence; sexual
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Perspectives on Sexual and Reproductive Health
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Journal article
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2037-12-31
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