Journal article
Behaviors Associated With a Risk of HIV Transmission From HIV-Positive Street Youth to Non-Street Youth in Ukraine
Sexually transmitted diseases, Vol.42(9), pp.513-520
09/2015
DOI: 10.1097/OLQ.0000000000000326
PMCID: PMC5681713
PMID: 26267878
Abstract
Background Little is known about the extent to which HIV-infected street youth (living part or full time on the streets) exhibit behaviors associated with HIV transmission in their interactions with youth not living on the streets (non-street youth). We aimed to determine prevalences and predictors of such bridging behaviors: inconsistent condom use and needle sharing between HIV-positive street youth and non-street youth.
Methods A total of 171 street youth in 3 Ukrainian cites were identified as HIV infected after testing of eligible participants aged 15 to 24 years after random selection of venues. Using data from these youth, we calculated prevalence estimates of bridging behaviors and assessed predictors using logistic regression.
Results Overall, two-thirds of HIV-infected street youth exhibited bridging behaviors; subgroups with high prevalences of bridging included females (78.3%) and those involved in transactional sex (84.2%). In multivariable analysis, inconsistent condom use with non-street youth was associated with being female (adjusted prevalence ratio [aPR], 1.2; 95% confidence interval [CI], 1.1-1.4), working (aPR, 1.2; 95% CI, 1.03-1.4), multiple partners (aPR, 1.4; 95% CI, 1.2-1.6), and never (aPR, 1.4; 95% CI, 1.1-1.6) or sometimes (aPR, 1.3; 95% CI, 1.02-1.8) versus always sleeping on the street. Needle sharing with non-street youth was associated with being male (aPR, 1.4; 95% CI, 1.02-2.0), orphaned (aPR, 2.3; 95% CI, 1.8-3.0), and 2 years or less living on the streets (aPR, 1.8; 95% CI, 1.5-2.1).
Conclusions Bridging behaviors between HIV-infected street youth and non-street youth are common. Addressing the comprehensive needs of street and other at-risk youth is a critical prevention strategy.
Details
- Title: Subtitle
- Behaviors Associated With a Risk of HIV Transmission From HIV-Positive Street Youth to Non-Street Youth in Ukraine
- Creators
- Lina M. C. Nerlander - Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Div Reprod Hlth, Atlanta, GA 30329 USALauren B. Zapata - Centers for Disease Control and PreventionRoman Yorick - Pactworld, RESPOND Project, Kiev, UkraineHalyna Skipalska - HealthRight Int, Kiev, UkraineRuben A. Smith - HealthRight InternationalDmitry M. Kissin - Ctr Dis Control & Prevent, Atlanta, GA 30329 USADenise J. Jamieson - Ctr Dis Control & Prevent, Atlanta, GA 30329 USACharles R. Vitek - Ctr Dis Control & Prevent, Div Global HIV AIDS Ukraine Russian Federat, Kiev, UkraineSusan D. Hillis - Ctr Dis Control & Prevent, Atlanta, GA 30329 USA
- Resource Type
- Journal article
- Publication Details
- Sexually transmitted diseases, Vol.42(9), pp.513-520
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/OLQ.0000000000000326
- PMID
- 26267878
- PMCID
- PMC5681713
- ISSN
- 0148-5717
- eISSN
- 1537-4521
- Number of pages
- 8
- Grant note
- CC999999 / Intramural CDC HHS
- Language
- English
- Date published
- 09/2015
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446524402771
Metrics
15 Record Views