Abstract
With increasing urgency, attention is turning to preventing HIV infection in youth. There are several reasons for this perceptible shift in policy (and allocation of program resources) from a more exclusive focus on adult homosexual and bisexual men, adult intravenous drug users and their sexual partners, female prostitutes, and women of lower socioeconomic status (Miller, Turner, & Moses, 1990). These reasons include: (1) The long incubation period required for the HIV infection to develop into AIDS. This period often lasts 8 to 10 years, indicating that many of the approximately 45,000 people with AIDS in the United States who were diagnosed in their 20s contracted HIV in their teenage years (Miller et al., 1990). (2) Epidemiological data from other countries showing the primary mode of HIV transmission is heterosexual contact. Recent reports show that 71% of AIDS cases worldwide are contracted through heterosexual transmission (Eckholm, 1992) in contrast to homosexual contact that accounted for 58% of AIDS cases in the United States (Eckholm, 1992). (3) Evidence indicating teens have not appreciably altered high-risk behaviors in this era of HIV and AIDS. For example, 80% of teens are reported to be sexually active before age 19, yet only a quarter to a third use condoms, and still fewer use condoms consistently (Pleck, Sonenstein, & Ku, 1991).
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Winett, R.A., Anderson, E.S. (1994). HIV Prevention in Youth. In: Ollendick, T.H., Prinz, R.J. (eds) Advances in Clinical Child Psychology. Advances in Clinical Child Psychology, vol 16. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9041-2_1
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