title: Prevalence and predictors of drug use among adolescents with HIV infection acquired perinatally or later in life.
abstract: We examined the prevalence and predictors of drug use among a diverse group of adolescents living with HIV infection acquired perinatally or through sexual risk behaviors ("behaviorally acquired"). Adolescents ages 13-21 (n = 166) who were receiving care at one of five pediatric/adolescent HIV clinics in three US cities (Baltimore MD, Washington DC, and New York NY) and were enrolled in a behavioral intervention were interviewed at baseline regarding lifetime drug use experiences and depression symptoms. A majority of study participants reported using alcohol (57.2%) and marijuana (51.2%); 48.8% reported tobacco/cigarette use. The mean age of onset of use for each type of drug was 14 years or younger. A larger proportion of participants with behaviorally acquired HIV than adolescents with perinatally acquired HIV reported lifetime use of alcohol (76.1 vs. 44.4%), marijuana (73.1 vs. 36.4%), tobacco (70.2 vs. 34.3%), and club drugs (22.4 vs. 3%) (all p < 0.001).
authors.affiliation: Children's National Medical Center, Washington, DC, USA.
authors.forename: Latoya C
authors.initials: LC
authors.lastname: Conner
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Wiener
authors.forename: Jennifer V
authors.initials: JV
authors.lastname: Lewis
authors.forename: Rhonda
authors.initials: R
authors.lastname: Phill
authors.forename: Ligia
authors.initials: L
authors.lastname: Peralta
authors.forename: Sulachni
authors.initials: S
authors.lastname: Chandwani
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Koenig
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D017668:Age of Onset; D015142:Baltimore / Q000453:epidemiology; D003863:Depression / Q000150:complications* / Q000453:epidemiology; D004219:District of Columbia / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000453:epidemiology / Q000635:transmission*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical; D008297:Male; D009519:New York City / Q000453:epidemiology; D011237:Predictive Value of Tests; D015995:Prevalence; D011634:Public Health; D012309:Risk-Taking; D012725:Sexual Behavior; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology*; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult