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Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1793
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| Title: | Sexual risk reduction needs of adolescents living with HIV in a clinical care setting |
| Authors: | Bakeera-Kitaka, Sabrina
Nabukeera-Barungi, Nicolette
Nostlinger, Christiana
Addy, Kekitiinwa
Colebunders, Robert |
| Keywords: | Adolescents
HIV
Sexuality
Sexual and reproductive health
Secondary prevention |
| Issue Date: | Apr-2007 |
| Publisher: | Taylor & Francis (Routledge) |
| Citation: | Bakeera-Kitaka S., e tal (2007). Sexual risk reduction needs of adolescents living with HIV in a clinical care setting, 20(4): 426-433 |
| Abstract: | As anti-retroviral therapy becomes increasingly available, young people living with HIV need tailored support to adopt healthy sexual behaviors. There has been a gap in the availability of culturally appropriate techniques for
secondary prevention and sexual risk reduction in this target group. This formative study assessed sexual and
reproductive health needs and problems, as well as determinants of sexual risk-taking among young people living with HIV aged 11-21 years attending the Paediatric Infectious Disease Clinic in Kampala, Uganda. Theoretical
guidance was provided by the Information-Motivation-Behavioral Skills Model. Socio-demographic and selected psychosexual data were assessed using a brief anonymous questionnaire. A total of 75 young people living with
HIV participated in eight focus group discussions. In addition, one focus group was conducted with adult key informants (service providers). About a quarter of the young participants reported prior or current sexual
experience. The study revealed knowledge gaps relating to reproductive health, HIV transmission, and contraceptive methods. Motivations for protection included hope for the future, good counseling, and fear of
the consequences of sexual activity such as unwanted pregnancies. Barriers to adopting preventive behaviors included peer pressure, poverty, HIV-related stigma, ignorance of their partners, alcohol use, and a desire to have
children for the older ones. Young sero-positive people in this setting lacked specific behavioral skills, such as
disclosure of HIV status to their sexual partners, this being closely linked to fear of rejection and stigma. HIVpositive
youths need support in developing the appropriate behavioral skills to adopt healthy sexual behaviors. Interventions in this field need to be developmentally appropriate and tailored to young people’s specific needs. Structural interventions should at the same time address and reduce HIV-related stigma and socio-economic
needs of young people living with HIV. |
| Description: | This article is the publisher's version in AIDS and Care © 2007 copyright Taylor & Francis. So the item can be found at the above URL on the publishers site. |
| URI: | http://dx.doi.org/10.1080/09540120701867099
http://hdl.handle.net/123456789/1793 |
| ISSN: | 1360-0451
0954-0121 |
| Appears in Collections: | Research Articles (IDI)
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| bakeera-kitaka-sabrina-idi-res1.pdf | 112Kb | Adobe PDF | View/Open |
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