Determinants of HIV-related high risk behaviours among young offenders: a window of opportunity.

PURPOSE To study HIV-associated risk behaviours among young offenders. METHODS Juveniles aged 12 to 19 years entering correctional facilities in British Columbia volunteered in an unlinked anonymous study. Logistic regression was used to identify factors associated with high-risk sexual behaviours and injection drug use (IDU). RESULTS Despite low HIV prevalence (0.25%), patterns of risk behaviour were evident. IDU and homosexual/bisexual activity were equally prevalent among youth aged 12 to 15 and 16 to 19 years. For both age groups, IDU and female gender were significant predictors of sex for trade and sex with another drug user. Natives aged 12 to 15 years were five times more likely to inject drugs than non-Natives. However, predictors of IDU differed for older vs. younger youth. CONCLUSIONS Patterns of high-risk activity begin early and selective pressures may differ for younger vs. older young offenders. Youth in detention provide a window of opportunity for enhanced HIV/AIDS education.