HIV Article 3

Question 1

Discuss HIV prevalence among Russian youth and the multiple factors that lead to youth living on the street

Answer 1

Youth 15-30 years old comprise of 80% of HIV infection in Russia
Multiple factors: abuse or neglect at home or in an orphanage, abandonment, and parental substance abuse or death

Question 2

According to HIV Seroprevlence in Street Youth, the strongest modifiable risk with greater than a 20 fold odds of HIV infection:

       a. condom use
       b. injection drug use
       c. reduction of sexual partners 
       d. all of the above

Answer 2

b. Injection drug use

Question 3

What was the article’s purpose and design?

Answer 3

To study HIV seroprevalence among Russian Street Youth

Rapid HIV testing for all consenting between the ages of 15-19 and interviewer-administered survey

Question 4

Discuss the results of the study and the implications of those results

Answer 4

Of 313 participants, 117 (37.4%, 95% confidence interval 26.1–50.2%) were HIV infected.

Street Youth have an extraordinarily high HIV seroprevalence. In street youth who are injection drug users, HIV seroprevalence is the highest ever reported for eastern Europe and is among the highest
in the world.

Question 5

The article states that 41% of participants knew they were HIV positive and that engaging in risky behaviors could lead to HIV transmission yet made no behavior changes. Reasons?

Answer 5

Hopelessness, perception of non- vulnerability, lack of access to effective care, education

Question 6

In HIV Seroprevlence in Street Youth, those who were previously diagnosed:

           a. were less likely to share needles
           b. more likely to use condoms consistently
           c. were sexually active
           d. all of the above

Answer 6

c. were sexually active