Sexual Behavior and Perceived Peer Norms: Comparing Perinatally HIV-infected and HIV-affected Youth

Overview

Journal J Youth Adolesc

Specialties Pediatrics
Psychology
Social Sciences

Date 2009 Jul 29

PMID 19636775

Citations 35

Authors

Jose A Bauermeister

Katherine Elkington

Elizabeth Brackis-Cott

Curtis Dolezal

Claude Ann Mellins

Affiliations

Soon will be listed here.

Abstract

A large proportion of perinatally HIV-infected (PHIV) children are becoming adolescents and exploring their sexuality. This study explored the prevalence of sexual behaviors (kissing, touching, engaging in oral sex, or having vaginal/anal intercourse) in a sample of predominantly ethnic minority youths (N = 339; 54.1% Black and 30.4% Latino; 51% female; ages 9-16) perinatally exposed to HIV (61% HIV+). Using logistic regression, we tested the association between sexual behavior and HIV status, demographic characteristics, and peer influences regarding sexual behavior. PHIV youth were less likely to be sexually active. Among sexually active youth, PHIV youth were more likely to engage in touching behavior than HIV-negative youth and were less likely to engage in penetrative sex. Youths reporting that a greater number of their peers believed that sexually active boys were "cool" or "popular" were more likely to report sexual behavior. The association between sexual behavior and peers believing sexually active girls were "cool" or "popular" varied by age, gender, and HIV status. Furthermore, friends' sexual activity was associated with sexual intercourse. Prevention programs should strengthen messages addressing peer norms regarding sexuality, as well as address specific issues related to adolescent HIV.

Citing Articles

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Fair C, Fraser L, Zendt M, Santana-Garces M, Homans J, Stek A Int J Environ Res Public Health. 2023; 20(4).

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Sexual Development in Perinatally HIV-Infected Young People: A Systematic Review and Explorative Study.

Ter Haar A, Fieten A, van den Hof M, Malekzadeh A, Laan E, Oostrom K Sex Med. 2022; 10(6):100578.

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References

Dishion T, McCord J, Poulin F . When interventions harm. Peer groups and problem behavior. Am Psychol. 1999; 54(9):755-64. DOI: 10.1037//0003-066x.54.9.755. View

Brown L, Schultz J, Parsons J, Butler R, Forsberg A, Kocik S . Sexual behavior change among human immunodeficiency virus-infected adolescents with hemophilia. Adolescent Hemophilia Behavioral Intervention Evaluation Project Study Group. Pediatrics. 2000; 106(2):E22. DOI: 10.1542/peds.106.2.e22. View

Koenig L, Espinoza L, Hodge K, Ruffo N . Young, seropositive, and pregnant: epidemiologic and psychosocial perspectives on pregnant adolescents with human immunodeficiency virus infection. Am J Obstet Gynecol. 2007; 197(3 Suppl):S123-31. DOI: 10.1016/j.ajog.2007.03.004. View

Agostoni C, Riva E, Esposito S, Ferraris G, Principi N, Zuccotti G . Fatty acid composition of plasma lipids in HIV-infected children. Comparison with seroreverters. Acta Paediatr. 2000; 89(2):172-6. DOI: 10.1080/080352500750028780. View

ODonnell L, Myint-U A, ODonnell C, Stueve A . Long-term influence of sexual norms and attitudes on timing of sexual initiation among urban minority youth. J Sch Health. 2003; 73(2):68-75. DOI: 10.1111/j.1746-1561.2003.tb03575.x. View

Brogly S, Watts D, Ylitalo N, Franco E, Seage 3rd G, Oleske J . Reproductive health of adolescent girls perinatally infected with HIV. Am J Public Health. 2007; 97(6):1047-52. PMC: 1874205. DOI: 10.2105/AJPH.2005.071910. View

Kadivar H, Garvie P, Sinnock C, Heston J, Flynn P . Psychosocial profile of HIV-infected adolescents in a Southern US urban cohort. AIDS Care. 2006; 18(6):544-9. DOI: 10.1080/13548500500228763. View

Tolman D, Striepe M, Harmon T . Gender matters: constructing a model of adolescent sexual health. J Sex Res. 2003; 40(1):4-12. DOI: 10.1080/00224490309552162. View

Kinsman S, Romer D, FURSTENBERG F, Schwarz D . Early sexual initiation: the role of peer norms. Pediatrics. 1998; 102(5):1185-92. DOI: 10.1542/peds.102.5.1185. View

10.

Henry D, Schoeny M, Deptula D, Slavick J . Peer selection and socialization effects on adolescent intercourse without a condom and attitudes about the costs of sex. Child Dev. 2007; 78(3):825-38. DOI: 10.1111/j.1467-8624.2007.01035.x. View

11.

Albarracin D, Kumkale G, Johnson B . Influences of social power and normative support on condom use decisions: a research synthesis. AIDS Care. 2004; 16(6):700-23. PMC: 4797927. DOI: 10.1080/09540120412331269558. View

12.

Knight W, Mellins C, Levenson Jr R, Arpadi S, Kairam R . Brief report: effects of pediatric HIV infection on mental and psychomotor development. J Pediatr Psychol. 2000; 25(8):583-7. DOI: 10.1093/jpepsy/25.8.583. View

13.

Lightfoot M, Swendeman D, Rotheram-Borus M, Comulada W, Weiss R . Risk behaviors of youth living with HIV: pre- and post-HAART. Am J Health Behav. 2005; 29(2):162-71. PMC: 2843582. DOI: 10.5993/ajhb.29.2.7. View

14.

Murphy D, Durako S, Moscicki A, Vermund S, Ma Y, Schwarz D . No change in health risk behaviors over time among HIV infected adolescents in care: role of psychological distress. J Adolesc Health. 2001; 29(3 Suppl):57-63. DOI: 10.1016/s1054-139x(01)00287-7. View

15.

. Pregnancy in perinatally HIV-infected adolescents and young adults--Puerto Rico, 2002. MMWR Morb Mortal Wkly Rep. 2003; 52(8):149-51. View

16.

Ezeanolue E, Wodi A, Patel R, Dieudonne A, Oleske J . Sexual behaviors and procreational intentions of adolescents and young adults with perinatally acquired human immunodeficiency virus infection: experience of an urban tertiary center. J Adolesc Health. 2006; 38(6):719-25. DOI: 10.1016/j.jadohealth.2005.06.015. View

17.

Woods E, Samples C, Melchiono M, Harris S . Boston HAPPENS Program: HIV-positive, homeless, and at-risk youth can access care through youth-oriented HIV services. Semin Pediatr Infect Dis. 2003; 14(1):43-53. DOI: 10.1053/spid.2003.127217. View

18.

Sieving R, Eisenberg M, Pettingell S, Skay C . Friends' influence on adolescents' first sexual intercourse. Perspect Sex Reprod Health. 2006; 38(1):13-9. DOI: 10.1363/psrh.38.013.06. View

19.

DiClemente R, Wingood G, Harrington K, Lang D, Davies S, Hook 3rd E . Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. JAMA. 2004; 292(2):171-9. DOI: 10.1001/jama.292.2.171. View

20.

Fang X, Stanton B, Li X, Feigelman S, Baldwin R . Similarities in sexual activity and condom use among friends within groups before and after a risk-reduction intervention. Youth Soc. 2002; 29(4):431-50. DOI: 10.1177/0044118x98029004002. View