title: Health care provider and self-assessment of health status and sexual behaviour in HIV-seropositive young men with haemophilia.
abstract: We hypothesized that persons with HIV who perceive themselves as having waning health status may participate in fewer sexual behaviours than HIV-infected persons without HIV-related health problems. The object-ives of this study were to compare health care provider responses with participant responses for health status and for sexual activity and to examine the relationship of HIV-related health status to the sexual behaviour of HIV-seropositive adolescents and young men with haemophilia. A detailed questionnaire designed by researchers from 11 participating US haemophilia treatment sites and CDC personnel was administered to 306 HIV-seropositive young men with haemophilia aged 12-25 years. A health care provider from the haemophilia treatment centre also completed a questionnaire on each respondent. Self-assessment of HIV-related health status was similar to provider assessment of health status. Providers accurat-ely assessed participant sexual activity (overall Kappa = 0.62). Participation in vaginal intercourse and condom use was independent of health status. Following extensive educational efforts, most HIV-seropositive adolescents and young men with haemophilia are aware of the relationship between their HIV seropositivity and health status. Waning health status does not reduce participation in penetrative sexual behaviours or increase use of condoms. HIV prevention efforts should continue for this population.
authors.affiliation: University of Colorado Health Sciences Center, Denver, Colorado, USA,University of Minnesota, Minneapolis, Minnesota, USA,Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA,Division of Hematology, Children's Hospital of Philadelphia and Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, PA, USA.
authors.forename: R
authors.initials: R
authors.lastname: Nuss
authors.affiliation: University of Colorado Health Sciences Center, Denver, Colorado, USA,University of Minnesota, Minneapolis, Minnesota, USA,Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA,Division of Hematology, Children's Hospital of Philadelphia and Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, PA, USA.
authors.forename: J
authors.initials: J
authors.lastname: Stultz
authors.affiliation: University of Colorado Health Sciences Center, Denver, Colorado, USA,University of Minnesota, Minneapolis, Minnesota, USA,Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA,Division of Hematology, Children's Hospital of Philadelphia and Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, PA, USA.
authors.forename: G
authors.initials: G
authors.lastname: Remafedi
authors.affiliation: University of Colorado Health Sciences Center, Denver, Colorado, USA,University of Minnesota, Minneapolis, Minnesota, USA,Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA,Division of Hematology, Children's Hospital of Philadelphia and Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, PA, USA.
authors.forename: S
authors.initials: S
authors.lastname: Lloyd Schulz
authors.affiliation: University of Colorado Health Sciences Center, Denver, Colorado, USA,University of Minnesota, Minneapolis, Minnesota, USA,Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA,Division of Hematology, Children's Hospital of Philadelphia and Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, PA, USA.
authors.forename: A
authors.initials: A
authors.lastname: Cohen
keywords: AIDS; HIV; adolescent; sexual behaviour.