Sexual risks and concerns about AIDS among adolescents in Anguilla.

Concerns regarding HIV/AIDS infection and the health risk behaviours among youth in the Caribbean are growing. Considering that approximately 30% of the Caribbean's population falls between the ages of 10 to 24, there is considerable need for research on youth in this region. This paper reports findings regarding the sexual risks and concerns about AIDS among 1,225 enrolled school students in Anguilla, drawn from self-administered health surveys conducted in 2002. Although over 40% of youth reported lifetime alcohol use, experience with other drugs was moderate. Males initiated sexual activity at a much younger median age than females (11 years for males vs. 14 years for females), and were twice as likely to have had sexual intercourse. In a multivariate logistic regression model, being sexually active was predicted by male gender (p=.000), recent substance use (p=.000), recent depression (p=.018), and a history of physical (p=.025) and sexual (p=.000) abuse. Only 22% of sexually active youth under 12 years of age reported using condoms at last intercourse, compared to 71% of those 13 and over. Older sexually active youth were also much more likely than younger ones to express ongoing concern about becoming infected with HIV. Implications for needed HIV/AIDS-prevention interventions are discussed.

The effect of serostatus on HIV risk behaviour change among women sex workers in Miami, Florida.

HIV prevention and risk reduction are especially salient and timely issues for women, particularly among those who are drug-involved or who exchange sex for drugs or money. Studies suggest that HIV-prevention measures can be effective with highly vulnerable women, and have the potential to produce significant reductions in risk behaviours among both HIV-negative and HIV-positive women. Within this context, this paper examines risk behaviours and HIV serostatus among 407 drug-involved women sex workers in Miami, Florida, and investigates the effects of participation in HIV testing, counselling, and a risk-reduction intervention on subsequent behavioural change among this population. Overall, at follow-up, the HIV-positive women were 2.4 times more likely than the HIV-negative women to have entered residential treatment for drug abuse, 2.2 times more likely to have decreased the number of their sex partners, 1.9 times more likely to have decreased the frequency of unprotected sex, 1.9 times more likely to have reduced their levels of alcohol use, and 2.3 times more likely to have decreased their crack use. These data support the importance of HIV testing and risk-reduction programmes for drug-involved women sex workers.