Journal of the American Academy of Child & Adolescent Psychiatry
New ResearchSexual and Drug Use Behavior in Perinatally HIV− Infected Youth: Mental Health and Family Influences
Section snippets
Participants and Procedures
Data for this article come from the baseline interview of Child and Adolescent Self-Awareness and Health Study. The participants were recruited from four medical centers in New York City (NYC) providing primary care to HIV− affected families. Inclusion criteria for study participation were as follows: youths aged 9 to 16 years with perinatal exposure to HIV, adequate caregiver and youth cognitive capacity to complete the interview, English or Spanish speaking, and caregiver with legal capacity
Demographic Characteristics and Differences by HIV Status
PHIV+ (n = 193) and PHIV− (n = 127) youths were comparable for all child demographics and the majority of caregiver variables. Each group had approximately 50% boys and girls and younger (9–12 years) and older (13–16) age groups (mean 12.15 years, SD 2.26 years). The majority of youths in both groups were African American (55%) and Latino (31%) with predominantly female caregivers (87% women) who received a high school education (mean 11th grade) and had a mean age of 48.33 years (SD 12.15).
Discussion
Given the epidemiology of HIV disease in U.S. women, the majority of PHIV+ and PHIV− youths live in the inner city, confronted by stress, poverty, and disrupted families, all of which have been associated with risk behavior in other populations.4 Our data suggest that PHIV+ and PHIV− youths are engaging in sexual behaviors and substance use, although prevalence rates may be slightly lower than other populations, with no differences between PHIV+ and PHIV− groups. Among the modest number of
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This work was supported by three grants from the National Institute of Mental Health: R01-MH069133 (PI: Claude Mellins, Ph.D.), P30 MH43520 (Center PI: A.A. Ehrhardt, Ph.D.), and T32 MH19139 Behavioral Sciences Research in HIV Infection (PI: A.A. Ehrhardt, Ph.D.).
This article is the subject of an editorial by Dr. Alan Flischer in this issue.