Unprotected sex among youth living with HIV before and after the advent of highly active antiretroviral therapy

dc.contributor.authorRice, Eric
dc.contributor.authorBatterham, Philip
dc.contributor.authorRotheram-Borus, Mary Jane
dc.date.accessioned2015-12-08T22:44:33Z
dc.date.issued2006
dc.date.updated2015-12-08T10:45:29Z
dc.description.abstractCONTEXT: 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.
dc.identifier.issn1538-6341
dc.identifier.urihttp://hdl.handle.net/1885/37459
dc.publisherWiley-Blackwell
dc.sourcePerspectives on Sexual and Reproductive Health
dc.subjectKeywords: 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
dc.titleUnprotected sex among youth living with HIV before and after the advent of highly active antiretroviral therapy
dc.typeJournal article
local.bibliographicCitation.issue3
local.bibliographicCitation.lastpage167
local.bibliographicCitation.startpage162
local.contributor.affiliationRice, Eric, University of California
local.contributor.affiliationBatterham, Philip, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationRotheram-Borus, Mary Jane, University of California
local.contributor.authoremailu4435982@anu.edu.au
local.contributor.authoruidBatterham, Philip, u4435982
local.description.embargo2037-12-31
local.description.notesImported from ARIES
local.identifier.absfor170106 - Health, Clinical and Counselling Psychology
local.identifier.ariespublicationu4222028xPUB149
local.identifier.citationvolume38
local.identifier.doi10.1363/3816206
local.identifier.scopusID2-s2.0-33750708854
local.identifier.uidSubmittedByu4222028
local.type.statusPublished Version

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