{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:32:43Z","timestamp":1787675563237,"version":"build-2784847793"},"reference-count":7,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T00:00:00Z","timestamp":1686009600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Increasingly, young women living with perinatally acquired HIV (YWLPaHIV) have transitioned from paediatric to adult services. There remains a paucity of data on the sexual and reproductive health (SRH) needs of YWLPaHIV and their access to youth-friendly care. Amidst healthcare changes due to COVID-19 pandemic restrictions, we explored SRH needs of a cohort of YWLPaHIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Evaluation of SRH needs of YWLPaHIV attending a UK NHS-youth HIV service with data collected from patient records and self-reported questionnaires amongst women attending between July and November 2020 following easing of the first lockdown and reintroduction of in-person appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>71 of 112 YWLPaHIV registered at the clinic completed questionnaires during the study period and were included in the analysis. Median age was 23\u00a0y (IQR 21\u201327, range 18\u201336). 51\/71(72%) reported coitarche, average age 17.6\u00a0y (IQR 16\u201318, range 14\u201324). 24 women reported 47 pregnancies resulting in 16 (34%) HIV-negative live-births, 19 (40%) terminations, 9(19%) miscarriages, with 3 pregnancies ongoing. 31\/48(65%) sexually active women reported current contraception: 10 (32%) condoms, 19 (62%) long-acting, and 3(10%) oral contraceptive pill. 18\/51(35%) reported a previous sexually transmitted infection; human papillomavirus (HPV) (11), Chlamydia trachomatis (9) and herpes simplex (2). 27\/71(38%) women had undergone cervical cytology including 20\/28(71%) women aged \u226525\u00a0y with abnormalities documented in 29%. HPV vaccination was reported in 83%, with protective hepatitis B titres in 71%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>High rates of unplanned pregnancy, STIs and cervical abnormalities highlight the continuing SRH needs of YWLPaHIV and requirement for open access to integrated HIV\/SRH services despite pandemic restrictions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624231179768","type":"journal-article","created":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T19:02:28Z","timestamp":1686078148000},"page":"791-794","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Sexual and reproductive health needs of young women living with perinatally acquired HIV"],"prefix":"10.1177","volume":"34","author":[{"given":"Veronica R","family":"Nott","sequence":"first","affiliation":[{"name":"Department of Medicine, Imperial College, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8473-9889","authenticated-orcid":false,"given":"George A","family":"Hazell","sequence":"additional","affiliation":[{"name":"Department of Medicine, Imperial College, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Ayres","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Kirkhope","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Fidler","sequence":"additional","affiliation":[{"name":"Department of Medicine, Imperial College, London, UK"},{"name":"Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Foster","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,6]]},"reference":[{"key":"bibr1-09564624231179768","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2012-050831"},{"key":"bibr2-09564624231179768","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001552"},{"key":"bibr3-09564624231179768","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-021-01183-y"},{"key":"bibr4-09564624231179768","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0205597"},{"key":"bibr5-09564624231179768","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0199555"},{"key":"bibr6-09564624231179768","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.071910"},{"key":"bibr7-09564624231179768","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-021-01275-3"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624231179768","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624231179768","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624231179768","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:44:44Z","timestamp":1777675484000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624231179768"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,6]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/09564624231179768"],"URL":"https:\/\/doi.org\/10.1177\/09564624231179768","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,6]]}}}