Advertisement
Review Article| Volume 1, ISSUE 2, P73-82, 1988

Human immunodeficiency virus infection in adolescence: A rationale for action

  • Karen Hein
    Correspondence
    Address reprint requests to: Karen Hein, M.D., Department of Pediatrics, Albert Einstein College of Medicine, Montefiore Medical Center NW674, 111 East 210th Street, Bronx, NY 10467, USA.
    Affiliations
    Department of Pediatrics, Albert Einstein College of Medicine, Montefiore Medical Center NW674, Bronx, New York
    Search for articles by this author
  • Marsha Hurst
    Affiliations
    Health Advocacy Program, Sarah Lawrence College, Bronxville, New York
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      At present, less than 600 American adolescents have been diagnosed as having AIDS, but the prevalence of human immunodeficiency virus (HIV) infection among youth is unknown. Though attention is currently focused on groups that account for a higher percent of cases, there are reasons to believe that adolescents are a low-incidence, but potentially high-risk group for AIDS. Analysis of recent data about the AIDS epidemic's geographic distribution, age, sex, and ethnic/racial characteristics provide a rationale for extension of infection into certain segments of the adolescent population. Aspects of adolescent physiology, sexual and drug-related behavior, and development are examined in the context of AIDS risk. Legal, ethical, economic, and sociopolitical ramifications are explored. A model is proposed that provides a conceptual framework for analysis of relative risk of HIV infection in various adolescent subgroups. This model can be used as a basis for recommendations related to HIV infection in adolescents.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric and Adolescent Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Confronting AIDS
        Directions for public health, health care and research.
        in: Institute of Medicine, National Academy of Sciences. National Academy Press, Washington, DC1986: viii
        • Koop E
        Surgeon General's Report on AIDS. US Department of Health and Human Services.
        Public Health Service. 1986; October: 5
        • Centers for Disease Control
        AIDS Weekly Surveillance Report—US. Feb. 8, 1988;
        • Women's Health Outreach
        Women and AIDS Clinical Resource Guide. Department of Public Health, San Francisco1986
        • Peterman TA
        • Curran JW
        Sexual transmission of HIV.
        JAMA. 1986; 256: 222-226
        • Centers for Disease Control
        AIDS among black and Hispanics—US.
        MMWR. 1986; 35: 655-666
        • Centers for Disease Control
        HTLV III/LAV Antibody prevalence in US military recruit applicants.
        MMWR. 1986; 35: 421-424
        • Quinn TC
        AIDS in Africa: Evidence for heterosexual transmission of HIV.
        NY State J Med. 1987; 87: 286-290
        • Quinn TC
        • Mann JM
        • Curran JW
        • Piot P
        AIDS in Africa.
        Science. 1986; 234: 955-963
        • Manoff MD
        • Rogers M
        • D’Angelo
        • et al.
        The epidemiology of AIDS in adolescence and young adults.
        in: Centers for Disease Control. Poster session, Society for Adolescent Medicine Annual Research Meeting, Seattle WashingtonMarch 1987
        • Hein K
        Acquired immune deficiency disease in adolescence.
        NY State J Med. 1987; 87: 290-295
        • Bell T
        • Hein K
        The adolescent and sexually transmitted diseases.
        in: Holmes K Sexually transmitted diseases. McGraw-Hill, New York1984: 73-84
        • Hein K
        • Marks A
        • Cohen MI
        Asymptomatic gonorrhea: prevalence in a population of urban teenagers.
        J Pediatr. 1977; 90: 634-635
        • Howley P
        On human papillomaviruses.
        N Engl J Med. 1986; 315: 1089-1090
        • Hein K
        • Schreiber K
        • Cohen MI
        • Koss LG
        Cervical cytology: the need for routine screening in the sexually active adolescent.
        J Pediatr. 1977; 91: 123-126
        • Rosenfeld W
        • Vermund S
        • Saed S
        • et al.
        HPV infection of the cervix in adolescents.
        Pediatr Res. 1987; 21: 177A
        • Teenager Pregnancy
        The Problem That Hasn't Gone Away. The Alan Guttmacher Institute, New York1981
        • Sorenson RE
        Adolescent Sexuality in Contemporary America. World Publ, New York1973
        • Zelnick M
        • Kantner JF
        Sexual activity, contraceptive use and pregnancy among metropolitan area teenagers: 1971–1979.
        Family Planning Perspectives. 1980; 12: 230-231
        • Zelnick M
        • Kantner JF
        Sexual activity, contraceptive use and pregnancy among metropolitan area teenagers: 1971–1979.
        Family Planning Perspectives. 1980; 12: 233-237
        • Hein K
        • Cohen MI
        • Marks A
        • et al.
        Age at first intercourse among homeless adolescent females.
        J Pediatr. 1978; 93: 147-148
        • American Academy of Pediatrics, Committee on Adolescence
        Homosexuality and adolescence.
        Pediatrics. 1983; 72: 249-250
        • Remafedi G
        Adolescent homosexuality.
        Pediatrics. 1987; 79: 331-337
        • Randolph LA
        • Gesche M
        Black adolescent pregnancy: prevention and management.
        J Community Health. 1986; 11: 10
        • Hein K
        • Cohen MI
        • Litt IF
        Illicit drug use among urban adolescents.
        Am J Dis Child. 1979; 133: 38-40
        • Berger DK
        • Perez J
        • Bistrite ZJ
        Hepatitis B markers and antigenemia in adolescents.
        Am J Dis Child. 1987; 141: 268-269
        • Hein K
        • Cohen MI
        • Litt IF
        • et al.
        Juvenile detention: another boundary issue for physicians.
        Pediatrics. 1980; 66: 239-245
        • Drucker E
        AIDS and addiction in New York City.
        Am J Drug Alcohol Abuse. 1986; 12: 165-181
        • Schoenbaum E
        • Selwyn P
        • Cox C
        Prevalence and risk factors associated with HTLV III/LAV antibodies among IV drug abusers in a Methadone program in New York City.
        in: Intl AIDS Conf, Paris, FranceJune 1986
        • Keeling RP
        The Chronicle of Higher Education. Feb 1987;
        • Reuben N
        • Drucker E
        • Hein K
        • et al.
        Assessing adolescence for AIDS information (abstract).
        Ambulatory Pediatric Association Proc. 1987; : 28
        • Strunin L
        • Hingson R
        AIDS, andadolescents: Knowledge, beliefs, attitudes and behaviors.
        Pediatrics. 1987; 79: 825-828
        • DiClemente RJ
        • Zorn J
        • Temoshor KL
        Adolescents and AIDS: A survey of knowledge, attitudes and beliefs about AIDS in San Francisco.
        Am J Public Health. 1986; 76: 1443-1444
        • Bayer R
        • Levine C
        • Wolf S
        HIV antibody screening.
        JAMA. 1986; 256: 1768-1774
        • Hein K
        Impact of mass media on adolescent sexual behavior.
        Am J Dis Child. 1980; 134: 133-134
        • Jones E
        • Forrest JD
        • Goldman N
        • et al.
        Teenage pregnancy in developed countries.
        Family planning perspectives. 1985; 17: 53-62
        • New York City Department of Health
        Impact of AIDS on patterns of premature deaths in New York City.
        City Health Information. 1986; (June 11–25, Special AIDS Issue No. 3)
        • New York City Department of Health
        AIDS estimated incidence, prevalence and mortality 1986–1991.
        City Health Information. 1986; (August 13–27, Special AIDS Issue No. 4)
        • Rogers MF
        • Lifson AR
        Acquired immunodeficiency syndrome and HTLV-III/LAV infection.
        Sem Adolesc Med. 1986; 2: 163-173