{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T01:41:45Z","timestamp":1791942105269,"version":"4.3.4"},"reference-count":0,"publisher":"Journal of Infection in Developing Countries","issue":"07","license":[{"start":{"date-parts":[[2021,7,31]],"date-time":"2021-07-31T00:00:00Z","timestamp":1627689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Infect Dev Ctries"],"abstract":"<jats:p>Introduction: Risk factors and outcomes of sexually-acquired human immunodeficiency virus infection were characterized in Jamaican children and adolescents.\r\nMethodology: Management was carried out by multidisciplinary teams in Infectious Diseases clinics during August 2003 through February 2019 using modified World Health Organization HIV criteria.\r\nResults: There were 78 clients, aged 6 to 19 years, with females:males = 4:1 (p &lt; 0.05). Sexual-initiation occurred in 60%, 47 before &lt; 16 years (median 13 years, with four &lt; 10 years; females:males = 7:1). Sexual-initiation preceded HIV diagnosis in all cases (median 2 years). Secondary education 93% (69\/77) and living with non-parental relatives 17% (13\/78) were associated with early sexual-initiation (p &lt; 0.042); as was later imprisonment in 6% (3\/52). Other sexually transmitted infections 36% (19\/53) were associated with sexual-initiation \u2265 16 years (p &lt; 0.01). Risks for ongoing HIV-transmission included infrequent condom use 74% (39\/53), body-piercings 50% (24\/48), illicit drug use 37% (28\/76), tattoos 36% (19\/52), transactional sex 14% (7\/53) and pregnancy 56% of girls. 77% (59\/77) had Centres for Diseases Control\u2019s Category A HIV infection; 82% (61\/75) initiated anti-retroviral therapy; 75% (56\/75) had first-line drugs, with helper T lymphocyte counts \u2265 500 cells\/\u03bcL in 61% (48\/78) and HIV viral load of &lt; 1,000 copies\/\u03bcL in 63% (40\/64). Complications included dermatological 39% (20\/52), respiratory 25% (13\/52) and neurological 15% (8\/52). Early sexual initiation was associated with depression 43% (33\/76; p &lt; 0.004) and suicidal attempt or ideation 23% (18\/77; p &lt; 0.096). Four (5%) died.\r\nConclusions: Sexually transmitted HIV\/AIDS in children and adolescents should preempt prompt medical, legal and psychosocial interventions.<\/jats:p>","DOI":"10.3855\/jidc.12156","type":"journal-article","created":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T19:16:13Z","timestamp":1628018173000},"page":"989-996","source":"Crossref","is-referenced-by-count":5,"title":["Sexual Abuse and Sexually-Transmitted HIV\/AIDS in Jamaican Children and Adolescents Aged 6-19 Years"],"prefix":"10.3855","volume":"15","author":[{"given":"Kadine","family":"Orrigio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell Bernard","family":"Pierre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diahann","family":"Gordon-Harrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaye","family":"Lewis-O'connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgiana","family":"Gordon-Strachan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celia Dana Claire","family":"Christie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2222","published-online":{"date-parts":[[2021,7,31]]},"container-title":["The Journal of Infection in Developing Countries"],"original-title":[],"link":[{"URL":"https:\/\/www.jidc.org\/index.php\/journal\/article\/download\/12156\/2569","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.jidc.org\/index.php\/journal\/article\/download\/12156\/2569","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T19:16:13Z","timestamp":1628018173000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jidc.org\/index.php\/journal\/article\/view\/12156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,31]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2021,7,31]]}},"URL":"https:\/\/doi.org\/10.3855\/jidc.12156","relation":{},"ISSN":["1972-2680"],"issn-type":[{"value":"1972-2680","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,31]]}}}