{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:03:23Z","timestamp":1773273803146,"version":"3.50.1"},"reference-count":27,"publisher":"Guttmacher Institute","issue":"2","license":[{"start":{"date-parts":[[2010,4,23]],"date-time":"2010-04-23T00:00:00Z","timestamp":1271980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:p> <jats:italic>\n            <jats:bold>CONTEXT:<\/jats:bold> Both perinatally and behaviorally infected HIV\u2010positive youth engage in sexually risky behaviors, and a better understanding of the perceptions of these youth and of health care providers regarding disclosure of HIV status and risk reduction would aid in the development of behavioral interventions for such youth.<\/jats:italic> <\/jats:p><jats:p> <jats:italic>\n            <jats:bold>METHODS:<\/jats:bold> In spring 2007, some 20 HIV\u2010positive inner\u2010city youth (aged 13\u201324) and 15 health care providers who work with HIV\u2010infected youth participated in in\u2010depth, semistructured interviews. Youth were recruited at an HIV clinic, AIDS clinics and an AIDS service organization, and had received care from participating providers. Detailed contextual and thematic discourse analysis was performed on interview transcriptions.<\/jats:italic> <\/jats:p><jats:p> <jats:italic>\n            <jats:bold>RESULTS:<\/jats:bold> Eighteen of the 20 youth had disclosed their HIV status to another individual at least once. Eleven reported being sexually active, and three of these had been perinatally infected. Qualitative analysis revealed four subthemes related to disclosure: stigma and emotions, trust issues, reasons for disclosing and strategies for addressing disclosure. Five subthemes were identified related to sexual risk reduction: dating challenges, attitudes toward condom use, self\u2010efficacy for condom use negotiation, pregnancy attitudes and sexual risk reduction strategies. Providers reported that access to more engaging and interactive educational tools within the clinic setting could enhance their risk reduction counseling with HIV\u2010positive youth.<\/jats:italic> <\/jats:p><jats:p> <jats:italic>\n            <jats:bold>CONCLUSIONS:<\/jats:bold> HIV\u2010positive youth experience multiple challenges regarding disclosure and sexual risk reduction, and health care providers need innovative tools that can be used in clinic settings to improve adolescents' skills in reducing risky sexual behavior.<\/jats:italic> <\/jats:p>","DOI":"10.1363\/4211010","type":"journal-article","created":{"date-parts":[[2010,4,23]],"date-time":"2010-04-23T11:20:53Z","timestamp":1272021653000},"page":"110-116","source":"Crossref","is-referenced-by-count":19,"title":["Lowering the Risk of Secondary HIV Transmission: Insights From HIV\u2010Positive Youth and Health Care Providers"],"prefix":"10.1363","volume":"42","author":[{"given":"Amy D.","family":"Leonard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine M.","family":"Markham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanh","family":"Bui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Shegog","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary E.","family":"Paul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"259","published-online":{"date-parts":[[2010,6]]},"reference":[{"key":"e_1_2_5_2_2","author":"Centers for Disease Control and Prevention (CDC), Division of HIV\/AIDS Prevention","year":"2002","journal-title":"Young People at Risk: HIV\/AIDS Among America\u2019s Youth"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(01)00287-7"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1026213905034"},{"key":"e_1_2_5_5_2","article-title":"HIV+ adolescents: HIV testing experiences and changes in risk related sexual and drug use behavior","volume":"3","author":"Futterman D","year":"1990","journal-title":"International AIDS Society, Abstracts of the Sixth International Conference on AIDS"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2006.18.1.1"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.90.1.115"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.17.3.105.62906"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.3.400"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(01)00285-3"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(01)00286-5"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-006-9162-y"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2008.08.004"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701867099"},{"key":"e_1_2_5_15_2","unstructured":"LemosDet al. Provider perceptions of the challenges faced by youth newly diagnosed with HIV in: American Public Health Association (APHA) Abstracts of the 135th APHA Annual Meeting & Exposition Washington DC: APHA 2007."},{"key":"e_1_2_5_16_2","author":"CDC, Division of HIV\/AIDS Prevention","year":"2008","journal-title":"HIV\/AIDS Among Youth"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540129850124578"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2005.03.024"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-008-9315-6"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0165025406063636"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1363\/3816206"},{"issue":"1","key":"e_1_2_5_22_2","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1542\/peds.95.1.96","article-title":"Comparison of HIV+  and HIV\u2013 adolescents: risk factors and psychosocial determinants","volume":"95","author":"Hein K","year":"1995","journal-title":"Pediatrics"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.25.5.648"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.2307\/3350109"},{"issue":"1","key":"e_1_2_5_25_2","first-page":"90","article-title":"Reproductive decisions of women at risk for acquiring HIV infection","volume":"10","author":"Ahluwalia IB","year":"1998","journal-title":"AIDS Education and Prevention"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/019394599701900104"},{"key":"e_1_2_5_27_2","author":"Panel on Antiretroviral Guidelines for Adults and Adolescents","year":"2009","journal-title":"Guidelines for the Use of Antiretroviral Agents in HIV-1\u2013Infected Adults and Adolescents"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61697-9"}],"container-title":["Perspectives on Sexual and Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1363%2F4211010","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1363\/4211010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T02:59:03Z","timestamp":1695783543000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1363\/4211010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1363\/4211010"],"URL":"https:\/\/doi.org\/10.1363\/4211010","archive":["Portico"],"relation":{},"ISSN":["1538-6341","1931-2393"],"issn-type":[{"value":"1538-6341","type":"print"},{"value":"1931-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6]]}}}