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“I feel like I'm carrying a weapon.” Information and motivations related to sexual risk among girls with perinatally acquired HIV

Dados Bibliográficos

ID19441979
AutoresStephanie L Marhefka (0000-0001-7708-1521, University of South Florida, autor correspondente), Cidna Valentin (City University of New York), Cidna R Valentin (b The Graduate Center , City University of New York , New York , NY , USA), Rolando Morel Pinto (0000-0002-6077-3406, Columbia University), Rogério M Pinto (Columbia University), Nicole Demetriou (University of South Florida), Andrew Wiznia (0000-0001-7487-1894, Albert Einstein College of Medicine), Claude Ann Mellins (0000-0002-1978-7638, Columbia University)
Ano2011
Volume23
Fascículo10
Páginas1321-1328
Data de publicação2011-10-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAIDS Care (JOURNAL)
Identificadores do periódicoISSN: 0954-0121 • E-ISSN: 1360-0451
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2010.532536
PMID21390891
PMCIDPMC3141102
OpenAlexW2013143839
IdiomaEN
Citações recebidas5
Referências citadas36

Some adolescent girls perinatally infected with HIV (PIH) engage in sexual behavior that poses risks to their own well-being and that of sexual partners. Interventions to promote condom use among girls PIH may be most effective if provided prior to first sexual intercourse. With in-depth interviews, we explored gender- and HIV-specific informational and motivational factors that might be important for sexual risk reduction interventions designed to reach US girls PIH before they first engage in sexual intercourse. Open-ended interview questions and vignettes were employed. The information-motivation-behavioral skills (IMB) model guided descriptive qualitative analyses. Participants (20 girls PIH ages 12-16 years) had experienced kissing (n=12), genital touching (n=6), and oral (n=3), vaginal (n=2), and anal sex (n=1). Most knew sex poses transmission risks but not all knew anal sex is risky. Motivations for and against condom use included concerns about: sexual transmission, psychological barriers, and partners' awareness of the girl's HIV+ status. Girls were highly motivated to prevent transmission, but challenged by lack of condom negotiation skills as well as negative potential consequences of unsafe sex refusal and HIV status disclosure. Perhaps most critical for intervention development is the finding that some girls believe disclosing one's HIV status to a male partner shifts the responsibility of preventing transmission to that partner. These results suggest a modified IMB model that highlights the role of disclosure in affecting condom use among girls PIH and their partners. Implications for cognitive-behavioral interventions are discussed

Condom · Developmental psychology · Environmental health · Family medicine · Population · Psychiatry · Psychological intervention · Sexual intercourse · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues

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Obras citantes distintas5
Citações por ano0,33
Intervalo de citações2011 - 2023 (13)
Velocidade de citaçãohistorical
Altamente citadoNão
Tipos de citaçãoNeutras: 5
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