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By means of computer-assisted thematic analyses, we examined transcribed focus group responses on HIV education, contributors to HIV transmission, and pre-sex HIV status disclosure. The 68 participants had the following characteristics: mean age HIV risk behaviors included the perception of condomless sex Likert scale mean: 8. Participants felt the use of social media, need for immediate gratification, and lack of concern about HIV disease were risk factors for AYAs.
Discussing HIV status with sex partners was uncommon. Key reasons included: fear of rejection, lack of confidentiality, discussion was unnecessary in temporary relationships, and disclosure negatively affecting the mood. HIV prevention strategies for AYAs should include improving condom use frequency and HIV disclosure skills, responsible utilization of social media, and education addressing HIV prevention including the risks of transactional sex.
The state of Georgia is ranked fourth highest in the nation for total number of new HIV diagnoses, with the HIV infection rate in being Georgia participates in the Youth Risk Behavior Survey YRBS ; however since it is at the states and local agencies discretion to add or delete questions based on policy or programmatic need, the state of Georgia does not include the questions regarding sexual behavior, and there is no other available systematic data collection system.
Understanding risk factors in AYAs and behaviors leading to HIV infection is essential to improving prevention efforts. This alarming rise in infection rates among AYAs likely reflects several challenges in healthcare access and delivery. First, AYAs historically have poor utilization of healthcare and prevention services, which affects individual outcomes and decreases the effectiveness of HIV treatment as prevention.
In Atlanta, broad gaps along the HIV care continuum among youth are evidenced by extremely low rates of testing, linkage to care, and viral suppression.
Atlanta’s HIV ‘epidemic’ compared to third world African countries
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