TY - JOUR T1 - Sexual and reproductive health in a UK cohort of young adults perinatally infected with HIV JF - Sexually Transmitted Infections JO - Sex Transm Infect SP - 392 LP - 394 DO - 10.1136/sextrans-2012-050831 VL - 89 IS - 5 AU - Adam P Croucher AU - Sophie Jose AU - Susan McDonald AU - Caroline Foster AU - Sarah Fidler Y1 - 2013/08/01 UR - http://sti.bmj.com/content/89/5/392.abstract N2 - 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 16–25-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. ER -