The impact of maternal HIV and family variables on sexual behaviors of early and middle adolescents was investigated. Data were collected from 118 pairs of HIV-positive mothers and their uninfected early/middle adolescents across four time points. Descriptive analyses show the prevalence of sexual behaviors in this sample was significantly lower than rates in a comparable sample of adolescents who participated in the Youth Risk Behavior Surveillance System. Multivariate longitudinal analysis using generalized estimating equation logistic regression showed adolescent sexual behavior was more likely to occur with adolescent alcohol use, lack of parental monitoring, and poorer physical functioning of HIV-positive mothers.

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