Sexual Abuse and Sexually-Transmitted HIV/AIDS in Jamaican Children and Adolescents Aged 6-19 Years
| Autor: | R B Pierre, Georgiana Gordon-Strachan, Celia D. C. Christie, Kadine Orrigio, Diahann Gordon-Harrison, Kaye Lewis-O'connor |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Child abuse
Male Pediatrics medicine.medical_specialty Jamaica Adolescent Helper T lymphocyte Transactional sex HIV Infections Microbiology law.invention Young Adult Acquired immunodeficiency syndrome (AIDS) Condom law Risk Factors Virology medicine Humans Child Depression (differential diagnoses) business.industry Sex Offenses General Medicine Child Abuse Sexual Sexually Transmitted Diseases Viral medicine.disease Infectious Diseases Sexual abuse Parasitology Female business Viral load |
| Zdroj: | Journal of infection in developing countries. 15(7) |
| ISSN: | 1972-2680 |
| Popis: | Introduction: Risk factors and outcomes of sexually-acquired human immunodeficiency virus infection were characterized in Jamaican children and adolescents. Methodology: Management was carried out by multidisciplinary teams in Infectious Diseases clinics during August 2003 through February 2019 using modified World Health Organization HIV criteria. Results: There were 78 clients, aged 6 to 19 years, with females:males = 4:1 (p < 0.05). Sexual-initiation occurred in 60%, 47 before < 16 years (median 13 years, with four < 10 years; females:males = 7:1). Sexual-initiation preceded HIV diagnosis in all cases (median 2 years). Secondary education 93% (69/77) and living with non-parental relatives 17% (13/78) were associated with early sexual-initiation (p < 0.042); as was later imprisonment in 6% (3/52). Other sexually transmitted infections 36% (19/53) were associated with sexual-initiation ≥ 16 years (p < 0.01). Risks for ongoing HIV-transmission included infrequent condom use 74% (39/53), body-piercings 50% (24/48), illicit drug use 37% (28/76), tattoos 36% (19/52), transactional sex 14% (7/53) and pregnancy 56% of girls. 77% (59/77) had Centres for Diseases Control’s Category A HIV infection; 82% (61/75) initiated anti-retroviral therapy; 75% (56/75) had first-line drugs, with helper T lymphocyte counts ≥ 500 cells/μL in 61% (48/78) and HIV viral load of < 1,000 copies/μL in 63% (40/64). Complications included dermatological 39% (20/52), respiratory 25% (13/52) and neurological 15% (8/52). Early sexual initiation was associated with depression 43% (33/76; p < 0.004) and suicidal attempt or ideation 23% (18/77; p < 0.096). Four (5%) died. Conclusions: Sexually transmitted HIV/AIDS in children and adolescents should preempt prompt medical, legal and psychosocial interventions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|