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International Journal of Reproductive Medicine
Volume 2016 (2016), Article ID 7098027, 5 pages
Research Article

Sexual Behavior and Knowledge among Adolescents with Perinatally Acquired Human Immunodeficiency Virus Infection Compared to HIV-Uninfected Adolescents at an Urban Tertiary Center in New Jersey

1Department of Pediatrics, St. Joseph’s Children’s Hospital, 703 Main Street, Paterson, NJ 07503, USA
2Department of Pediatrics, Division of Pediatric Infectious Diseases, St. Joseph’s Children’s Hospital, 703 Main Street, Paterson, NJ 07503, USA

Received 29 April 2016; Revised 23 June 2016; Accepted 12 July 2016

Academic Editor: Hind A. Beydoun

Copyright © 2016 Ashlesha Kaushik et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Sexual behaviors and knowledge among PHIV-infected (PHIV+) adolescents in comparison with HIV-uninfected youths are not well understood and continue to be studied actively. Objective. To compare sexual behavior and sexual knowledge of PHIV+ and HIV-uninfected adolescents at an urban, tertiary-care center in New Jersey. Study Design. Modified Centers for Disease Control and Prevention (CDC) Youth Risk Behavior Surveillance questionnaire was administered to PHIV+ and HIV-uninfected adolescents to assess and compare sexual behavior and knowledge over a 1-year-period. Results. Twenty-seven PHIV+ and 100 HIV-uninfected adolescents were studied; 59% PHIV+ and 52% HIV-uninfected adolescents were sexually active. A significantly higher proportion of PHIV+ adolescents compared to HIV-uninfected adolescents reported ≥1 occasion of unprotected penetrative sex () and reported multiple (>4) sexual partners (). Significantly more PHIV+ males reported receptive anal intercourse (). About 1/3 of adolescents in both groups were unaware that sexual abstinence can prevent HIV transmission and >80% adolescents in both groups did not consider multiple sexual partners a risk factor for HIV transmission. Only 25% PHIV+ adolescents reported disclosing their seropositive status to their first sexual partners. Conclusions. High risk sexual behaviors were significantly more prevalent among PHIV+ youths; however both groups demonstrated considerable gaps in sexual knowledge. There is an urgent need for heightening awareness about risky behaviors, interventions for prevention, and reproductive health promotion among adolescents.