Unprotected sex among youth living with HIV before and after the advent of highly active antiretroviral therapy
dc.contributor.author | Rice, Eric | |
dc.contributor.author | Batterham, Philip | |
dc.contributor.author | Rotheram-Borus, Mary Jane | |
dc.date.accessioned | 2015-12-08T22:44:33Z | |
dc.date.issued | 2006 | |
dc.date.updated | 2015-12-08T10:45:29Z | |
dc.description.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. | |
dc.identifier.issn | 1538-6341 | |
dc.identifier.uri | http://hdl.handle.net/1885/37459 | |
dc.publisher | Wiley-Blackwell | |
dc.source | Perspectives on Sexual and Reproductive Health | |
dc.subject | 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 | |
dc.title | Unprotected sex among youth living with HIV before and after the advent of highly active antiretroviral therapy | |
dc.type | Journal article | |
local.bibliographicCitation.issue | 3 | |
local.bibliographicCitation.lastpage | 167 | |
local.bibliographicCitation.startpage | 162 | |
local.contributor.affiliation | Rice, Eric, University of California | |
local.contributor.affiliation | Batterham, Philip, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Rotheram-Borus, Mary Jane, University of California | |
local.contributor.authoremail | u4435982@anu.edu.au | |
local.contributor.authoruid | Batterham, Philip, u4435982 | |
local.description.embargo | 2037-12-31 | |
local.description.notes | Imported from ARIES | |
local.identifier.absfor | 170106 - Health, Clinical and Counselling Psychology | |
local.identifier.ariespublication | u4222028xPUB149 | |
local.identifier.citationvolume | 38 | |
local.identifier.doi | 10.1363/3816206 | |
local.identifier.scopusID | 2-s2.0-33750708854 | |
local.identifier.uidSubmittedBy | u4222028 | |
local.type.status | Published Version |
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