Trends and predictors of human immunodeficiency virus antibody testing by homosexual and bisexual adolescent males, 1989-1994

Article Abstract:

Many young men at risk for HIV infection may not undergo testing, but discussions with counselors and doctors may increase the likelihood of testing. A group of 501 male youths aged 13 to 21 years old who reported having had sex with men completed an HIV risk assessment profile and participated in a risk reduction counseling and education program. Seventy-one percent engaged in such risky behaviors as unprotected sex or injection drug use. Nearly half perceived themselves as at risk for AIDS. Nonetheless, only 45% overall and 53% of those reporting risky behaviors had undergone HIV testing. Four percent of those tested had positive results. Youths who had discussed sexual feelings with a doctor or counselor were more likely to have been tested. This suggests that doctors and counselors may help prevent the spread of HIV and prolong life for infected persons through early diagnosis by discussing sexuality and offering testing to at-risk youths. Other factors related to testing correspond to perceived susceptibility, barriers, and cues to action in the Health Belief Model.

Health aspects, Demographic aspects, Health behavior, HIV testing, HIV tests

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Survival trends in adolescents with human immunodeficiency virus infection

Article Abstract:

HIV-positive youths who are not hemophiliacs appear to have shorter than expected survival periods. Researchers collected data on all youths aged 13 to 21 years at time of diagnosis of HIV who had been reported to the Minnesota Department of Health as of May, 1992. Documentation of death or survival could be established in 108 of the 117 cases. Fourteen percent of the group had died. The average length of survival after diagnosis was 3.8 years. When the percentage of survivors was plotted over time, 52% had survived eight years, which was also the longest length of survival. The younger the age at diagnosis, the longer the child survived. This is contrary to what would be expected and suggests that delay in HIV diagnosis or treatment may be the reason rather than rapid progression of disease.

Patient outcomes, Mortality, HIV infection in children, Pediatric HIV infections

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Relationship of Amphetamine and Other Substance Use to Unprotected Intercourse Among Young Men Who Have Sex With Men

Article Abstract:

Gay men who use cocaine are less likely to use a condom when having sex with other men. This was the conclusion of a survey of substance use and sexual behavior among 877 gay and bisexual men. Between 1994 and 1997, the use of drugs such as marijuana, cocaine, heroin, and amphetamines increased in this group of men. However, only cocaine use was associated with a failure to use condoms when having anal sex.

Sexual behavior, Usage, Surveys, Condoms, Cocaine abuse

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