title: Disparities in HIV/AIDS Risk Behaviors After Youth Leave Detention: A 14-Year Longitudinal Study.
abstract: OBJECTIVE
  To examine changes in the prevalence of 15 HIV/AIDS sex and drug risk behaviors in delinquent youth during the 14 years after they leave detention, focusing on sex and racial/ethnic differences.
  
  
  METHODS
  The Northwestern Juvenile Project, a prospective longitudinal study of 1829 youth randomly sampled from detention in Chicago, Illinois, recruited between 1995 and 1998 and reinterviewed up to 11 times. Independent interviewers assessed HIV/AIDS risk behaviors using the National Institutes on Drug Abuse Risk Behavior Assessment.
  
  
  RESULTS
  Fourteen years after detention (median age, 30 years), one-quarter of males and one-tenth of females had >1 sexual partner in the past 3 months. One-tenth of participants reported recent unprotected vaginal sex with a high-risk partner. There were many sex and racial/ethnic differences. For example, African American males had 4.67 times the odds of having >1 partner than African American females (95% confidence interval [CI], 3.22-6.76). Over time, compared with non-Hispanic white males, African American males had 2.56 times the odds (95% CI, 1.97-3.33) and Hispanic males had 1.63 times the odds (95% CI, 1.24-2.12) of having multiple partners, even after adjusting for incarceration and age. Non-Hispanic white females were more likely to have multiple partners than racial/ethnic minority females.
  
  
  CONCLUSIONS
  Although rates decrease over time, prevalence of sex risk behaviors are much higher than the general population. Among males, racial/ethnic minorities were at particular risk. The challenge for pediatric health is to address how disproportionate confinement of racial/ethnic minority youth contributes to disparities in the HIV/AIDS epidemic.
authors.affiliation: Departments of Psychiatry and Behavioral Sciences, and.
authors.forename: Karen M
authors.initials: KM
authors.lastname: Abram
authors.affiliation: Departments of Psychiatry and Behavioral Sciences, and.
authors.forename: Marquita L
authors.initials: ML
authors.lastname: Stokes
authors.affiliation: Departments of Psychiatry and Behavioral Sciences, and.|Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Leah J
authors.initials: LJ
authors.lastname: Welty
authors.affiliation: Departments of Psychiatry and Behavioral Sciences, and.
authors.forename: David A
authors.initials: DA
authors.lastname: Aaby
authors.affiliation: Departments of Psychiatry and Behavioral Sciences, and healthdisparities@northwestern.edu.
authors.forename: Linda A
authors.initials: LA
authors.lastname: Teplin
mesh_terms: D000328:Adult; D002641:Chicago / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D007604:Juvenile Delinquency; D008137:Longitudinal Studies; D008297:Male; D016485:Needle Sharing / Q000706:statistics & numerical data; D011159:Population Surveillance; D011329:Prisoners; D011446:Prospective Studies; D044469:Racial Groups; D012309:Risk-Taking; D012737:Sex Factors; D011477:Sex Work / Q000706:statistics & numerical data; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000453:epidemiology; D047568:Unsafe Sex / Q000706:statistics & numerical data