scholarly journals Рsychosexual needs and sexual behavior of adolescents living with HIV since infancy

2021 ◽  
Vol 13 (2) ◽  
pp. 108-115
Author(s):  
P. V. Safonova ◽  
O. V. Koltsova

The first generation of children living with HIV since their infancy are growing up and create a new unique group of patients at AIDS Center. Young adults living all their life with chronicle disease that is stigmatized by the society especially in connection with sexuality, have same sexual and reproductive needs and rights as their HIV-negative peers. Aim of this study was to investigate attitudes, needs and social norms toward reproductive and sexual health among adolescents and young adults living with HIV since infancy, as well as their sexual behavior. Among 27 young males and females of 16–20 years old who have lived with HIV since infancy and who took part in anonymous on-line questionnaire, 50% are sexually active. Most of them didn’t experience restrictions in their sexual and reproductive rights, nevertheless they often feel fear of transmitting HIV sexually to the other person. Adolescents and young adults perinataly infected with HIV are willing to use condom during sex and disclose their HIV status to their partner, however they have difficulties in more «complicated» social situations. They have a need in talking about sexual and reproductive health.

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e043941
Author(s):  
Tafadzwa Dhokotera ◽  
Julia Bohlius ◽  
Matthias Egger ◽  
Adrian Spoerri ◽  
Jabulani Ronnie Ncayiyana ◽  
...  

ObjectiveTo determine the spectrum of cancers in adolescents and young adults (AYAs) living with and without HIV in South Africa.DesignCross-sectional study with cancer records provided by the National Cancer Registry (NCR) and HIV records from the National Health Laboratory Service (NHLS).Setting and participantsThe NHLS is the largest provider of pathology services in the South African public sector. The NCR is a division of the NHLS. We included AYAs (aged 10–24 years) diagnosed with cancer by public health sector laboratories between 2004 and 2014 (n=8479). HIV status was obtained through record linkages and text mining.Primary and secondary outcomesWe determined the spectrum of cancers by HIV status in AYAs. We used multivariable logistic regression to describe the association of cancer in AYAs with HIV, adjusting for age, sex, ethnicity and calendar period. We imputed (post hoc) the HIV status for AYA with unknown HIV status.Results8479 AYAs were diagnosed with cancer, HIV status was known for 45% (n=3812). Of those whose status was known, about half were HIV positive (n=1853). AYAs living with HIV were more likely to have Kaposi’s sarcoma (adjusted OR (aOR) 218, 95% CI 89.9 to 530), cervical cancer (aOR 2.18, 95% CI 1.23 to 3.89), non-Hodgkin’s lymphoma (aOR 2.12, 95% CI 1.69 to 2.66) and anogenital cancers other than cervix (aOR 2.73, 95% CI 1.27 to 5.86) than AYAs without HIV. About 44% (n=1062) of AYAs with HIV-related cancers had not been tested for HIV.ConclusionsTargeted HIV testing for AYAs diagnosed with cancer, followed by immediate start of antiretroviral therapy, screening for cervical precancer and vaccination against human papilloma virus is needed to decrease cancer burden in AYAs living with HIV in South Africa.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Leapetswe Malete ◽  
Jennifer L. Etnier ◽  
Dawn M. Tladi ◽  
Jarod C. Vance ◽  
Gabriel M. Anabwani

AbstractLittle is known about whether physical activity and fitness could enhance cognition in adolescents and young adults living with HIV. The purpose of this study was to examine this relationship in a group of 250 HIV+ (n = 88) and HIV negative (n = 162) participants from Botswana, aged 12–23 years (Mean = 17.87, SD = 2.24). Fitness was operationalized as muscular strength (push-ups) and aerobic endurance (PACER). PA was assessed using items from the Youth Risk Behavior Surveillance Survey. Cognition was measured using the Corsi Test, Berg Card Sorting Task (BCST), and Stroop Color Word Task (Stroop). Multiple regression analyses indicated that the HIV x push-ups interaction was a significant predictor of Corsi performance, and HIV status was a significant predictor of BCST performance (p < 0.05). For the Stroop portions, HIV status and HIV x push-ups were significant predictors (p < 0.01). HIV status is predictive of cognition and interacts with muscular fitness to predict cognition.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Sarah MacCarthy ◽  
Uzaib Saya ◽  
Clare Samba ◽  
Josephine Birungi ◽  
Stephen Okoboi ◽  
...  

2017 ◽  
Vol 33 (1) ◽  
pp. 31
Author(s):  
Puspasari Puspasari ◽  
Sukamdi Sukamdi ◽  
Ova Emilia

The correlation of reproductive health information exposure from media on premarital sexual behaviour: an Indonesia demographic health survey 2012 analysisPurposeThis study aimed to determine the correlation of type and intensity of exposure of reproductive health information through media to the sexual behavior of adolescents and young adults in Indonesia.MethodsThis study used a cross-sectional design. The data used was the Indonesian sub-survey of adolescent reproductive health, Indonesia demographic and health survey.ResultsThe results showed that adolescents and young adults who receive the health information type of adolescent reproductive health category have a smaller prevalence in sexual intercourse before marriage than information of contraceptive methods category or both. The intensity of exposure to reproductive health information which was low or no exposure, have higher prevalence of premarital sexual behavior. Age, gender, level of education, level of wealth, smoking, drinking alcohol, drug consumption and dating intimacy are significantly associated with premarital sexual behavior of adolescents and young adults.ConclusionType and intensity of reproductive health information are significantly associated with premarital sexual behavior of adolescents and young adults. The high intensity of exposure and type of adolescent reproductive Health category have a smaller prevalence in sexual intercourse before marriage.


2020 ◽  
Vol 3 ◽  
Author(s):  
Helen Hernandez ◽  
Hanna Craven ◽  
Judith Toromo ◽  
Leslie Enane

Background: Adolescents and young adults living with HIV (AYALHIV, ages 10-24) have poorer outcomes in care compared to other age groups. The global Treat All strategy aims to extend antiretroviral therapy (ART) to all individuals living with HIV. Efforts to improve outcomes in the AYALHIV population are essential to successfully achieving viral suppression and improving the long-term health outcomes of young people, and ultimately to ending the HIV pandemic. Peer support interventions are increasingly implemented by care programs, and are broadly favored by AYALHIV. This systematic review will evaluate the current evidence for quantitative effects of peer support interventions on AYALHIV treatment outcomes.   Methods:  We searched MEDLINE, Embase, Global Health, CINAHL Complete, Cochrane, and Scopus databases for papers published between 1994 and October 2019, in all languages and regions. Studies of the effect of peer support interventions for AYALHIV on measures of adherence or retention in care were included. Solely qualitative studies and those without a comparator or control were excluded. Three researchers screened the papers independently, and those meeting criteria were included. Abstracted variables included study characteristics, participant population, peer intervention characteristics, and outcomes.   Results: The current evidence base for the effect of peer interventions for AYALHIV is very limited. Included studies were of small sample size, and primarily consisted of observational cohort studies with imperfect comparators. In initial analyses we find that studies of peer interventions have had mixed findings regarding the effect of such interventions on adherence to ART. By contrast, studies have consistently reported a favorable effect of peer interventions on increased retention in care among AYALHIV.   Conclusion/Implications: Rigorous studies of interventions to improve outcomes among AYALHIV are urgently needed. Further analyses in this review will examine differences according to study population, design, or intervention characteristics, which may underlie variable effects identified. 


EDIS ◽  
2007 ◽  
Vol 2007 (20) ◽  
Author(s):  
Christy Daniel ◽  
Kate Fogarty

FCS2279, a 3-page fact sheet by Christy Daniel and Kate Fogarty, addresses the concerning trend of casual sexual "hook-ups" among teens today. It explains what behaviors and attitudes predispose teens to "hooking up" and gives suggestions to parents who are hoping to prevent this behavior. Published by the UF Department of Family, Youth and Community Sciences, October 2007.


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