@article {Croucher392, author = {Adam P Croucher and Sophie Jose and Susan McDonald and Caroline Foster and Sarah Fidler}, title = {Sexual and reproductive health in a UK cohort of young adults perinatally infected with HIV}, volume = {89}, number = {5}, pages = {392--394}, year = {2013}, doi = {10.1136/sextrans-2012-050831}, publisher = {The Medical Society for the Study of Venereal Disease}, abstract = {Objectives To assess sexual health and behaviour outcomes of young adults with perinatally acquired HIV-1 (PaHIV), and audit sexual health interventions against published standards of care. Methods Retrospective case note audit of 16{\textendash}25-year-olds with PaHIV attending a dedicated transition clinic from January 2005 to 2011. Results Fifty-two young adults, 31 women, median age 20 years. 41 were sexually active; median age of coitarche 16 years. Median number of lifetime partners was 3.5, and five reported non-consensual sex. All had a sexually transmitted infection (STI) screen; 6 were diagnosed with an STI, genital warts (human papilloma virus) most frequently. The median interval from coitarche to first STI screen was 2 years. The pregnancy incidence was 103 per 1000 person years. 18/25 (72\%) sexually active women had a cervical smear, four had colposcopy. All patients had hepatitis B virus (HBV) serology. 47 had not been vaccinated against HBV prior to transition. 23 completed HBV vaccination of which 11 had surface antibody \>100 IU/ml at 1 year. Conclusions The majority of our cohort was sexually active while still under the care of paediatric health services. Cervical screening and hepatitis B vaccination rates fell short of audit standards. Vaccination for hepatitis B should be considered prior to transfer of care to adult HIV services.}, issn = {1368-4973}, URL = {https://sti.bmj.com/content/89/5/392}, eprint = {https://sti.bmj.com/content/89/5/392.full.pdf}, journal = {Sexually Transmitted Infections} }