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Adherence to antiretroviral therapy, stigma and behavioral risk factors in HIV-infected adolescents in Asia

机译:亚洲艾滋病毒感染青少年抗逆转录病毒治疗,耻辱和行为危险因素的粘附性

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摘要

We studied behavioral risks among HIV-infected and uninfected adolescents using an audio computer-assisted self-interview. A prospective cohort study was initiated between 2013 and 2014 in Malaysia, Thailand, and Vietnam. HIV-infected adolescents were matched to uninfected adolescents (4:1) by sex and age group (12-14 and 15-18 years). We enrolled 250 HIV-infected (48% male; median age 14.5 years; 93% perinatally infected) and 59 uninfected (51% male; median age 14.1 years) adolescents. At enrollment, HIV-infected adolescents were on antiretroviral therapy (ART) for a median (IQR) of 7.5 (4.7-10.2) years, and 14% had HIV-RNA 1000copies/mL; 19% reported adherence 80%. Eighty-four (34%) HIV-infected and 26 (44%) uninfected adolescents reported having ever smoked cigarettes or drunk alcohol (p=0.13); 10% of HIV-infected and 17% of uninfected adolescents reported having initiated sexual activity; 6 of the HIV-infected adolescents had HIV-RNA 1000copies/mL. Risk behaviors were common among adolescents, with few differences between those with and without HIV.
机译:我们使用音频计算机辅助自拍研究了艾滋病毒感染和未感染的青少年之间的行为风险。在2013年和2014年在马来西亚,泰国和越南之间启动了一个未来的队列研究。艾滋病毒感染的青少年与性别和年龄组(12-14和15-18岁)与未感染的青少年(4:1)匹配。我们注册了250名艾滋病毒感染(48%的男性;中位年龄14.5岁;占产病93%)和59个未感染的(51%的男性;中位年龄14.1岁)青少年。在注册时,艾滋病毒感染的青少年是抗逆转录病毒治疗(ART),中位数(IQR)为7.5(4.7-10.2)岁,14%患有HIV-RNA> 1000倍/ mL; 19%报告申请申请效果。八十四(34%)艾滋病毒感染和26名(44%)未感染的青少年报告曾经吸烟或醉酒饮酒(P = 0.13); 10%的艾滋病毒感染和17%的未感染的青少年报告已发起性活动;艾滋病毒感染的青少年中有6例HIV-RNA& 1000厘米/ ml。危险行为在青少年中很常见,在没有艾滋病毒的人之间存在很少的差异。

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