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AIDS in Adolescents and Youngsters

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					AIDS in Adolescents and Youngsters




        Prof. Jorge Peláez Mendoza M.D.
     Obstetrics and Gynecology Department
      Havana University School of Medicine
AIDS in Adolescents and Youngsters

            WHO Reports:
The higher rates of Sexually Transmitted
Diseases (STDs) including AIDS and HIV
infection, have been reported in young
people 20 to 24 years old, followed by

 Adolescents from 15 to 19 years old.
 Population Reference Bureau,1996.
                                     JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

          WHO Reports:

•More than 34 millions have been infected

    by the HIV virus all over the World.

•Conservative estimates report that 50% or

     more are younger than 25 years.

                                    JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters
¡16 000 AIDS new cases are daily reported in
               the World !



                8 000 are youngsterss
               between 10 and 24 years

    “EVERY MINUTE FIVE NEW CASES
          ARE DIAGNOSED “
UN / AIDS / 1999.
                                         JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

   Reported cases do not include:
  Adolescents who are infected by the
    HIV and are asymptomatic.
  Adolescents whose symptoms do not
    meet the specific criteria for AIDS.
  Young adults who were infected as
    teenagers but became symptomatic
    in their 20s.
                                           JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

     Reported cases do not include:


Given the long period of latency between infection

and the onset of symptoms (mean:11 years), many

individuals 25 to 30 years of age with AIDS must

have acquired the disease as teenagers.


                                       JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

   Associated Risk Factors
   Physiologic Development
   Sexual Activity
   Sexually Transmitted Diseases
   Alcohol and Drug Use Behavior
   Gender and Sociocultural Factors

                               JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

AIDS in the United States of America
Rapidly becoming one of the leading causes
 of death among adolescents.
The number of adolescents diagnosed with
  AIDS is doubling every 14 months.
Heterosexual contact was the most frequent
 route of transmission among females.

                                      JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters
          Cuba Reported cases : 2810 - 100%


Adolescents and Youngters: 1120 - 39,8 %
                                   31,2 % of the adolescents

Females
                                       52,8 % of the females
     350
                                   12,4 % of all seropositives
                                   and AIDS patients.
.Epidemiologíc Dep. SSV/ 04-2000                               JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters
          AIDS in Cuba. Patients per years
800

700
                All Ages      Adol. And Young   Adol. And Young Girls

600

500

400

300

200

100

  0




         00
        86

        87

        88

        89

        90

        91

        92

        93

        94

        95

        96

        97

        98

Ap 999
      20
      19

      19

      19

      19

      19

      19

      19

      19

      19

      19

      19

      19

      19

      1
  ril
 Epidemiologic Dep. SSVApril 2000
                                                                        JPM/SIJ SCOG/2001
    AIDS in Adolescents and Youngsters

          Route of Expossure (10 - 24 years)
    Route of Expossure                   Female % Male           %

 Homo / Bisexual                          4    1,14   640      83,1

    Heterosexual                         343   98,0   128      16,6

    Others                                3    0,85     2        0,2

 N=1120

.Epidemiologíc Department SSV/ 04-2000

                                                        JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters
                        AIDS in Cuba, Sex Ratio
  2500                                                 2147

  2000
                                                              Female
  1500
                                                              Male
  1000                                           663
                      302                  468
    500        200
                                     150

        0
ages groups   10 to 19           20 to 24        all ages
                                                              N=1120

Epidemiologic Dep. SSV /April 2000
                                                                 JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

         Age at First Intercourse and AIDS
200
180
160
140
120
100
 80
 60
                                                               Males
 40
 20
                                                              Females
  0
      11 o <     12       13         14
                                                        .
                                          15   16 o >
                                                            N=1120
 Epidemiologic Dep. SSV/April 2000

                                                              JPM/SIJ SCOG/2001
         AIDS in Adolescents and Youngsters

                 Number of Sexual Partners and AIDS

                                                            350
                                                            300
                                                           250
    Males                                                 200
    Females                                               150
                                                           100
                                                           50
                                                           0
.
                                         7-10   +10   NR
              3o<                 4-6                      N=1120
     Epidemiologic Dep. SSV/April 2000
                                                       JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

Socials and Sexual Risky Factors(Females)
                                      55
            157

                                           207

               213


                                                 N=350


           Mothers                         Abortion
           Penal Records                   Use Drug/Alcohol

  Epidemiologic Dep. SSV/April 2000                       JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters
   Socials and Sexual Risky Factors
               (Males)
Fathers                             138   17,9 %
Others S.T.D.                       483   62,7 %
Penal Records                       487   63,2 %
Use drugs/alcohol                   343   44,5 %
N=770
Epidemiologic Dep. SSV/April 2000

                                            JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters
              AIDS in Cuba. Ocupation.


                               85
                                        85
              596
                                                           358




                                                           N=1120
                 Students     Workers   Nothing   Others


 Epidemiologic Dep. SSV/April 2000
                                                           JPM/SIJ SCOG/2001
  AIDS in Adolescents and Youngsters
                               Total of Dead



Adults
340                                                  274 Male
                                       384
                                 Adolesc and Young




         N=724                                       110 Female


   Epidemiologic Dep. SSV/April 2000

                                                        JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters
            Conclusions:

 •The sex ratio tends to be evened while the
 age at diagnosis descends.
 •Prevailed the heterosexual route of expossure
 in adolescents and young females, and the
 homo / bisexual in males.
 •The precedent of precocious sexual initiation
 and multiple sexual partners presented a
 high incidence.
                                       JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

            Conclusions:

•The majority of the adolescents and youngsters
 with HIV / AIDS were not studying neither
 working at the time of the diagnostic.
•More than half of the adolescents and young
 females had antecedent of Abortions.


                                          JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters

          Conclusions:

•More than half of the adolescents and
  youngsters had antecedents of risky

  and social behavior and even “Penal

             Records”.

                                 JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters




                            JPM/SIJ SCOG/2001
 AIDS in Adolescents and Youngsters
We can help reduce the risks by providing!!!
Information about HIV infection, transmission
 and prevention.
Education on purchasing and the proper use
 of condoms.
Information to help adolescents identify their
 own risk-related behaviors.
Training and role playing exercises to help
 adolescents develop communication and
 assertiveness skills needed for negotiations.
                                     JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters
   Adolescents will be benefited with:
Accurate, age-appropriate, culturally-relevant
 information.
Identification of high-risk adolescents and
Preventive intervention and risk reduction.
Training of different levels of care in risk-reduction
  counseling.
Medical and psychosocial treatments.
                                          JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters


        Recommendations:
All primary health care service providers
  who works with youngsters should
      become knowledgeable about
   HIV in order to incorporate methods
       of assessment, referral and
       treatment into their practice.



                                   JPM/SIJ SCOG/2001
   AIDS in Adolescents and Youngsters



         Recommendations:
This is particularly critical given that
the number of adolescent affected by
 the AIDS epidemic will continue to
  increase in the New Millenium..


                                   JPM/SIJ SCOG/2001
AIDS in Adolescents and Youngsters




     THANKS YOU VERY MUCH FOR
         YOUR ATTENTION    JPM/SIJ SCOG/2001

				
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