HIV risk behaviors among adolescents at a sexually transmitted disease clinic in New York City

The purpose of this study was to describe human immunodeficiency virus (HIV)-associated risk behaviors among adolescents attending a clinic for the treatment of sexually transmitted disease in New York City. A total of 4,585 volunteers were interviewed and HIV-tested, including 456 adolescents (aged...

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Veröffentlicht in:Journal of adolescent health 1996-06, Vol.18 (6), p.429-434
Hauptverfasser: Heffernan, Richard, Chiasson, Mary Ann, Sackoff, Judith E.
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container_title Journal of adolescent health
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creator Heffernan, Richard
Chiasson, Mary Ann
Sackoff, Judith E.
description The purpose of this study was to describe human immunodeficiency virus (HIV)-associated risk behaviors among adolescents attending a clinic for the treatment of sexually transmitted disease in New York City. A total of 4,585 volunteers were interviewed and HIV-tested, including 456 adolescents (aged 13–19 years), of whom 220 were women (48%) and 236 men (52%). Fewer than 1% of the 456 adolescents said they injected drugs. Unprotected vaginal sex was the most common sexual behavior, with 93% of adolescents reporting “always” having vaginal sex, and 57% “rarely or never” using condoms. Anal sex was reported by 18%. Twenty percent of adolescent men had paid for sex, compared to just 1% of women, whereas 3% of men and 4% of women had traded sex for money or drugs. Nine women and three men tested HIV seropositive. All three HIV-positive men reported having had receptive anal sex with men. Among women, HIV seropositivity was most strongly associated with crack cocaine use and trading sex for money or drugs. HIV prevalence was high, with most infections owing to sexual transmission rather than intravenous drugs. The increased risk of HIV infection in adolescent women was associated with high-risk sex related to crack use and the exchange of sex for money or drugs.
doi_str_mv 10.1016/1054-139X(95)00277-Y
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A total of 4,585 volunteers were interviewed and HIV-tested, including 456 adolescents (aged 13–19 years), of whom 220 were women (48%) and 236 men (52%). Fewer than 1% of the 456 adolescents said they injected drugs. Unprotected vaginal sex was the most common sexual behavior, with 93% of adolescents reporting “always” having vaginal sex, and 57% “rarely or never” using condoms. Anal sex was reported by 18%. Twenty percent of adolescent men had paid for sex, compared to just 1% of women, whereas 3% of men and 4% of women had traded sex for money or drugs. Nine women and three men tested HIV seropositive. All three HIV-positive men reported having had receptive anal sex with men. Among women, HIV seropositivity was most strongly associated with crack cocaine use and trading sex for money or drugs. HIV prevalence was high, with most infections owing to sexual transmission rather than intravenous drugs. The increased risk of HIV infection in adolescent women was associated with high-risk sex related to crack use and the exchange of sex for money or drugs.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adolescent Behavior</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>AIDS/HIV</subject><subject>Biological and medical sciences</subject><subject>Clinics</subject><subject>Comorbidity</subject><subject>Condoms</subject><subject>Condoms - utilization</subject><subject>Confidence Intervals</subject><subject>Crack cocaine</subject><subject>Developmental psychology</subject><subject>Factors</subject><subject>Female</subject><subject>Females</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Heterosexual transmission</subject><subject>HIV infection</subject><subject>HIV Seropositivity - epidemiology</subject><subject>HIV Seropositivity - transmission</subject><subject>HIV Seroprevalence</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Male</subject><subject>Males</subject><subject>New York City - epidemiology</subject><subject>New York City, New York</subject><subject>Odds Ratio</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Risk</subject><subject>Risk behaviour</subject><subject>Risk Factors</subject><subject>Risk-Taking</subject><subject>Sampling Studies</subject><subject>Sex Differences</subject><subject>Sex Distribution</subject><subject>Sexual Behavior</subject><subject>Sexual Behavior - statistics &amp; numerical data</subject><subject>Sexual Partners</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Venereal Diseases</subject><subject>Young people</subject><issn>1054-139X</issn><issn>1879-1972</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU1v1DAQhiMEKqXwD0DyAaFyCHjs-OtSCa2AVqrgAoi9YE2cCZhmk2JnC_vv8bJLj92TrZlnRu_oqaqnwF8BB_0auGpqkO7rqVMvORfG1Mt71TFY42pwRtwv___Iw-pRzj95GdPAj6oja7k0Uh1X384vvrAU8xVr6QfexCllhqtp_M6wmwbKgca5VGaGLNOfNQ7Dhs0Jx7yK80wd62ImzMTCEMcYWBzZB_rNllO6Yos4bx5XD3ocMj3ZvyfV53dvPy3O68uP7y8Wby7roEDMtdAogivRjBAoNQRjqCnFvpfKWY1GS2OtaTgCOtlSx1tqsXeAtoWmkfKkerHbe52mX2vKs1_Fkn0YcKRpnb2xUgAXh0ENygGo5iCojFJaC1HA0ztBMBoMF0KogztBWa65dQVsdmBIU86Jen-d4grTxgP3W_l-a9ZvzXqn_D_5flnGnu33r9sVdbdDe9ul_3zfxxxw6IvHEPMtJkEpY7enn-0wKsZuIiWfQ6QxUBcThdl3U7w7x1-4Tclp</recordid><startdate>19960601</startdate><enddate>19960601</enddate><creator>Heffernan, Richard</creator><creator>Chiasson, Mary Ann</creator><creator>Sackoff, Judith E.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U1</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19960601</creationdate><title>HIV risk behaviors among adolescents at a sexually transmitted disease clinic in New York City</title><author>Heffernan, Richard ; Chiasson, Mary Ann ; Sackoff, Judith E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-26a2c9610722a361c77e426aff35986a763788740a1a93bed0bebaf91a8b14433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Acquired Immune Deficiency Syndrome</topic><topic>Adolescent</topic><topic>Adolescent Behavior</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>AIDS/HIV</topic><topic>Biological and medical sciences</topic><topic>Clinics</topic><topic>Comorbidity</topic><topic>Condoms</topic><topic>Condoms - utilization</topic><topic>Confidence Intervals</topic><topic>Crack cocaine</topic><topic>Developmental psychology</topic><topic>Factors</topic><topic>Female</topic><topic>Females</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Heterosexual transmission</topic><topic>HIV infection</topic><topic>HIV Seropositivity - epidemiology</topic><topic>HIV Seropositivity - transmission</topic><topic>HIV Seroprevalence</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Male</topic><topic>Males</topic><topic>New York City - epidemiology</topic><topic>New York City, New York</topic><topic>Odds Ratio</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Risk</topic><topic>Risk behaviour</topic><topic>Risk Factors</topic><topic>Risk-Taking</topic><topic>Sampling Studies</topic><topic>Sex Differences</topic><topic>Sex Distribution</topic><topic>Sexual Behavior</topic><topic>Sexual Behavior - statistics &amp; numerical data</topic><topic>Sexual Partners</topic><topic>Sexually transmitted diseases</topic><topic>Sexually Transmitted Diseases - epidemiology</topic><topic>Venereal Diseases</topic><topic>Young people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heffernan, Richard</creatorcontrib><creatorcontrib>Chiasson, Mary Ann</creatorcontrib><creatorcontrib>Sackoff, Judith E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of adolescent health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heffernan, Richard</au><au>Chiasson, Mary Ann</au><au>Sackoff, Judith E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HIV risk behaviors among adolescents at a sexually transmitted disease clinic in New York City</atitle><jtitle>Journal of adolescent health</jtitle><addtitle>J Adolesc Health</addtitle><date>1996-06-01</date><risdate>1996</risdate><volume>18</volume><issue>6</issue><spage>429</spage><epage>434</epage><pages>429-434</pages><issn>1054-139X</issn><eissn>1879-1972</eissn><coden>JADHE5</coden><abstract>The purpose of this study was to describe human immunodeficiency virus (HIV)-associated risk behaviors among adolescents attending a clinic for the treatment of sexually transmitted disease in New York City. A total of 4,585 volunteers were interviewed and HIV-tested, including 456 adolescents (aged 13–19 years), of whom 220 were women (48%) and 236 men (52%). Fewer than 1% of the 456 adolescents said they injected drugs. Unprotected vaginal sex was the most common sexual behavior, with 93% of adolescents reporting “always” having vaginal sex, and 57% “rarely or never” using condoms. Anal sex was reported by 18%. Twenty percent of adolescent men had paid for sex, compared to just 1% of women, whereas 3% of men and 4% of women had traded sex for money or drugs. Nine women and three men tested HIV seropositive. All three HIV-positive men reported having had receptive anal sex with men. Among women, HIV seropositivity was most strongly associated with crack cocaine use and trading sex for money or drugs. HIV prevalence was high, with most infections owing to sexual transmission rather than intravenous drugs. The increased risk of HIV infection in adolescent women was associated with high-risk sex related to crack use and the exchange of sex for money or drugs.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8803735</pmid><doi>10.1016/1054-139X(95)00277-Y</doi><tpages>6</tpages></addata></record>
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subjects Acquired Immune Deficiency Syndrome
Adolescent
Adolescent Behavior
Adolescents
Adult
Age Distribution
AIDS/HIV
Biological and medical sciences
Clinics
Comorbidity
Condoms
Condoms - utilization
Confidence Intervals
Crack cocaine
Developmental psychology
Factors
Female
Females
Fundamental and applied biological sciences. Psychology
Heterosexual transmission
HIV infection
HIV Seropositivity - epidemiology
HIV Seropositivity - transmission
HIV Seroprevalence
Human immunodeficiency virus
Humans
Male
Males
New York City - epidemiology
New York City, New York
Odds Ratio
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Risk
Risk behaviour
Risk Factors
Risk-Taking
Sampling Studies
Sex Differences
Sex Distribution
Sexual Behavior
Sexual Behavior - statistics & numerical data
Sexual Partners
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Venereal Diseases
Young people
title HIV risk behaviors among adolescents at a sexually transmitted disease clinic in New York City
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