title: Sexual transmission risk behavior of adolescents With HIV acquired perinatally or through risky behaviors.
abstract: OBJECTIVE
  To describe the prevalence and predictors of the transmission-related behaviors of adolescents with HIV acquired perinatally (perinatal) or through risky behaviors (behavioral).
  
  
  METHODS
  HIV-positive adolescents (n = 166) aged 13-21, receiving care in 3 US cities, reported sexual behaviors, drug use, and psychosocial and demographic characteristics. HIV-related data were abstracted from medical records.
  
  
  RESULTS
  Of 105 sexually experienced adolescents reporting risk history (42 perinatal, 63 behavioral), 49 had engaged in unprotected sex since learning their diagnosis (12 perinatal, 37 behavioral). Of sexually experienced girls, 19 had been pregnant (5 of 24 perinatal, 14 of 31 behavioral). Risk information was provided for 115 of 132 recent sex partners, 61 of whom had unprotected sex with study participants (10 with 8 perinatal participants; 51 with 33 behavioral participants). Recent unprotected sex was associated with sexual abuse during adolescence (adjusted odds ratio = 9.61, 95% CI: 1.07 to 86.12) and greater HIV knowledge (adjusted odds ratio = 1.29, 95% CI: 1.00 to 1.66) when transmission category, age, and sexual orientation were controlled.
  
  
  CONCLUSIONS
  To limit HIV transmission and prevent unplanned pregnancies, developmentally appropriate risk-reduction interventions, and screening and treatment referral for sexual abuse, must be integrated into the care of both perinatally and behaviorally HIV-infected adolescents.
authors.affiliation: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta GA 30333, USA. lek5@cdc.gov
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Koenig
authors.forename: Sherri L
authors.initials: SL
authors.lastname: Pals
authors.forename: Sulachni
authors.initials: S
authors.lastname: Chandwani
authors.forename: Krystal
authors.initials: K
authors.lastname: Hodge
authors.forename: Susan
authors.initials: S
authors.lastname: Abramowitz
authors.forename: William
authors.initials: W
authors.lastname: Barnes
authors.forename: Lawrence
authors.initials: L
authors.lastname: D'Angelo
mesh_terms: D000293:Adolescent; D000328:Adult; D003140:Communicable Disease Control / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission*; D006801:Humans; D015995:Prevalence; D011584:Psychology; D012309:Risk-Taking; D012725:Sexual Behavior; D015229:Sexually Transmitted Diseases, Viral / Q000517:prevention & control / Q000635:transmission*; D019966:Substance-Related Disorders; D014481:United States / Q000453:epidemiology; D055815:Young Adult