Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort.

Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort. Research Abstract Details 

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Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort. Abstract Text:

H Kadivar,P A Garvie,C Sinnock,J D Heston,P M Flynn,

We undertook a retrospective medical chart review of HIV-infected adolescents referred to a Southern US urban comprehensive adolescent HIV clinic between 1992 and 2003 to describe the psychosocial profile of adolescents infected with HIV via high-risk behaviours.Ninety-one adolescents (59 females, 32 males, 95% African-American, median age 17 years) were identified. Common reasons for initial HIV testing included routine prenatal screening (20%), clinical symptoms suggestive of HIV (20%), and recognized risk-related behaviours (20%). Findings included a history of unstable housing in the previous year (27%), running away (29%), knowing someone with HIV (36%), parental substance abuse (reported by youth, 46%), parental abandonment/neglect (30%), high substance use rates (marijuana 33%, tobacco 27%), current/prior STDs (60%), and involvement with the juvenile justice system or incarceration (41%). Sexual abuse/assault was reported by 41%. Previous depression was reported in 15% with approximately half reporting prior hospitalization. An additional 12% of the cohort had current clinical depressive symptoms. We conclude that infections with HIV via high-risk behaviours during adolescence occur in youth with multiple psychosocial stressors. Targeted prevention efforts to reduce these underlying stressors may decrease new adolescent infection. HIV-infected youth are best served in a comprehensive care environment with immediate access to medical care, social work, and psychology/psychiatry services.

Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort. Publishing Authors By Initials

H Kadivar,PA Garvie,C Sinnock,JD Heston,PM Flynn,

For similar population characteristics: health: urban health research abstracts see: population characteristics: health: urban health research

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Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: AIDS care

VOLUME: 18

Page Numbers: 544-9

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ISSN: 0954-0121

DAY: 3

MONTH: Aug

YEAR: 2006

Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort. Information

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LANGUAGE: eng

NlmUniqueID: 8915313

Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort. Keywords Mesh Terms:

KEYWORDS: Urban Health

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort.

AFFILIATION: University of Tennessee Health Science Center, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.

Country: England

AGENCY: United States NIDDK

GRANT: DK07405

ACRONYM: DK

MEDLINETA: AIDS Care

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