HIV Transmission and Risk Behaviors in Adolescents

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Questions and Answers

What percentage of new HIV infections among adolescents was transmitted through sharing infected needles?

Which gateway behaviors increase the risk of HIV transmission among Young Key Affected Populations (YKAP)?

Drinking alcoholic beverages and taking recreational drugs.

What proportion of male-to-same-sex males (M/TSM) reported experiencing sex while drunk in the past year?

45%

How many new HIV cases were diagnosed among adolescents aged 20 years in the 2011-2015 context?

The exact number is not specified in the provided content. Signup and view all the answers

What is one major risky behavior reported by female sex workers (FSWs) in relation to alcohol consumption?

52% experienced having sex while drunk. Signup and view all the answers

What percentage of male people who inject drugs (PWID) reported having sex while drunk?

35% Signup and view all the answers

Identify one trend in the newly diagnosed HIV cases among adolescents from 2011-2015.

The trend shows new infections being transmitted through various modes, including sharing infected needles. Signup and view all the answers

Which year group was associated with the first drug injection use among adolescents?

17 y/o. Signup and view all the answers

What percentage of adolescent M/TSM reported getting high on drugs within the past 12 months according to the 2015 IHBSS findings?

90% Signup and view all the answers

What percentage of adolescent female sex workers (FSWs) had sex while high on drugs in the past year according to the 2015 IHBSS?

26% Signup and view all the answers

What high-risk behavior is noted to start at an early age among M/TSM and FSWs?

Engaging in drug use and sexual activities. Signup and view all the answers

What was the percentage of FSWs who reported getting high on drugs in the same period?

15% Signup and view all the answers

How do the findings of the 2015 IHBSS reflect the adolescent demographic’s engagement in high-risk sexual behaviors?

The findings suggest a significant overlap between drug use and high-risk sexual behaviors among adolescents. Signup and view all the answers

What implications can be drawn from the data concerning the timing of high-risk behaviors in adolescents?

High-risk behaviors often begin during adolescence, necessitating early prevention efforts. Signup and view all the answers

In the context of the 2015 IHBSS, what does M/TSM stand for?

Men who have Sex with Men. Signup and view all the answers

According to the 2015 IHBSS findings, what is the relationship between drug use and sexual practices among adolescents?

There is a significant correlation where drug use increases the likelihood of engaging in sexual activities. Signup and view all the answers

What percentage of new HIV cases in the Philippines among young key affected populations were transmitted through male to male sex, according to the data?

58% Signup and view all the answers

By how much did newly diagnosed HIV cases among adolescents in the Philippines increase from 2011 to 2015?

230% Signup and view all the answers

What two predominant modes of transmission were identified for new HIV cases among adolescents in the Philippines?

Male to male sex and males who have sex with both males and females. Signup and view all the answers

What trend was observed in new HIV infections among adolescents in the Philippines from 2011 to 2015?

New infections doubled. Signup and view all the answers

According to the 2015 Integrated HIV Behavioral and Serologic Surveillance, what was one significant risk behavior identified among Filipino adolescents?

Early sexual activity. Signup and view all the answers

What influenced the data on HIV among adolescents, as mentioned in the content?

Evidence from HARP and IHBSS. Signup and view all the answers

What percentage of new HIV cases were infected through sex between males and females?

9% Signup and view all the answers

What was a key finding regarding condom use among adolescents in the context of HIV infections?

Delayed first condom use correlated with increased risk. Signup and view all the answers

What percentage of adolescent male who have sex with males (M/TSM) go to cruising sites to find partners?

65% Signup and view all the answers

Among adolescent female sex workers (FSW), what percentage go to bars and clubs to find paying partners?

51% Signup and view all the answers

What is the condom use rate among female sex workers (FSWs) at last sex?

65% Signup and view all the answers

What percentage of male people who inject drugs (PWID) reported condom use in the past 30 days?

15% to 17% Signup and view all the answers

What percentage of adolescent FSW engage in street and park activities to find paying partners?

40% Signup and view all the answers

What type of partners do young key populations (YKAP) report having?

Different types of partners. Signup and view all the answers

What was the condom use strategy among male or female non-paying partners in the last 12 months?

Data not provided for specific percentages. Signup and view all the answers

In terms of condom use, which group had the highest reported rate?

Female sex workers (FSWs) Signup and view all the answers

What percentage of male partners were non-paying among the partners of Male PWID in the past 12 months?

50% Signup and view all the answers

What proportion of adolescent M/TSM reported engaging in anal sex?

Almost half. Signup and view all the answers

How does self-perceived risk of HIV infection among YKAP affect their behavior?

It is particularly salient, suggesting heightened concern about HIV risk. Signup and view all the answers

What percentage of non-paying female partners had sex with Male PWID?

68% Signup and view all the answers

What is the rate of condom use among adolescent M/TSM?

Way below target. Signup and view all the answers

What was the DNA status for paid female or male partners in the report?

Data not available. Signup and view all the answers

What was the number of sex partners reported among the specified types of partners?

Varies based on partner type. Signup and view all the answers

What age groups were specifically highlighted in the data presented?

15-17 yo, 18-19 yo, 20+ yo. Signup and view all the answers

What percentage of M/TSM reported having non-paying male partners in the past 12 months?

79% Signup and view all the answers

How does the knowledge about HIV prevention and transmission vary among younger M/TSM as compared to older groups?

Knowledge among younger M/TSM (15 to 17 years old) is lower compared to older age groups. Signup and view all the answers

What is the median number of paying male clients reported by M/TSM in the past 12 months?

2 Signup and view all the answers

What are the reported percentages of paid male partners and anal sex partners met online by M/TSM?

Both reported at 10%. Signup and view all the answers

Among FSW, what percentage reported having first-time male clients?

74% Signup and view all the answers

Study Notes

HIV Epidemic Among Adolescents in the Philippines

New HIV infections among adolescents doubled from 2011 to 2015.
Male-to-male sex and males who have sex with both males and females are the predominant modes of transmission (58% and 26%, respectively), with heterosexual contact accounting for 9% and sharing infected needles making up 7%.

HIV Prevalence

HIV prevalence among adolescent males/transgender individuals who have sex with males (M/TSM) doubled in the last five years.
This increase is reflected in the 2015 Integrated HIV Behavioral and Serologic Surveillance (IHBSS).

High-Risk Behaviors

High-risk behaviors, such as alcohol and drug use, start early, often during adolescence.
A significant portion of young key affected populations (YKAP) reported being drunk in the previous year.
A substantial percentage of M/TSM, FSWs, and male PWIDs reported having sex while intoxicated.
Age of first drug use and first injection for PWIDs was 16 and 20 years old respectively.

Initiation of Protective Behaviors

Protective behaviors like condom use typically begin two to three years after the initiation of sexual activity.
The likelihood of condom use decreases as the time gap between the first sexual encounter and the first condom use increases.

YKAP Locations and Partners

YKAP are present in schools, social media, and cruising sites.
Adolescent M/TSM frequently use social media and cruising sites to find partners.
Adolescent FSWs typically visit bars, clubs, streets, and parks to find paying partners.
YKAP have diverse sexual partners, with varying levels of frequency and transactional sex, often involving multiple partners.

Condom Use

Condom use among adolescent M/TSM, particularly those who have anal sex, is low.
Only 35% of M/TSM who engaged in anal sex used a condom the last time they had sex, and consistent condom use with most recent partners was even lower at 11%.
Reasons for not using condoms include unavailability, dislike of condoms, partner opposition, and a perception that condoms aren't necessary.

Knowledge and Perception

Knowledge about HIV and self-perceived risk is low among YKAP when compared to older age groups.
Younger M/TSM and FSWs who are most at risk have the lowest level of knowledge about HIV prevention and transmission.
A significant percentage of YKAP perceive themselves as at risk for HIV infection primarily due to multiple sex partners and infrequent condom use.

Access to Prevention Commodities and Services

YKAP have limited access to HIV services, with low rates of needle and syringe provision and unequal access to condoms and lubricants.
Less than half of adolescent M/TSM reported finding condoms easy to obtain in their community.

HIV Testing and Care

The testing rate among YKAP is low.
Testing rates are significantly lower among 15 to 17 year olds.
Linkage to care amongst 15 to 19 year olds with HIV is limited, with only 10% ever diagnosed and 34% having linkage to care, fewer currently on medication, according to HARP data from December 2015.
Barriers to testing include fear, perceived lack of need, and limited awareness of testing facilities.

Interventions

Strategies to increase YKAP's knowledge about HIV and access to prevention are crucial.
Interventions should focus on improving HIV testing among YKAP while ensuring youth-responsive services to effectively address the growing HIV epidemic.
Encouraging high-risk behavior YKAP to receive free HIV testing services, including improving testing uptake rates and establishing community-based testing centers.

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Description

This quiz explores key data and trends related to HIV infections among adolescents, focusing on transmission methods and risky behaviors. It covers factors like needle sharing, substance use, and the experiences of Young Key Affected Populations (YKAP). Test your understanding of the statistics and behaviors linked to HIV among youth.