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HIV prevention and high-risk behaviour in juvenile correctional institutions.


 It has been suggested that the penal system creates an environment in which sexuality is used both to assert control over others and to react against depression and frustration. Due to the tendency of closed institutions to vest power and decision-making in the upper-level hierarchy, institutional authorities are often reluctant to place the design, control, and implementation of AIDS intervention programs in the hands of juvenile inmates. A study investigated the sexual behavior and AIDS-related knowledge of pupils at an Industrial School for Boys in Cape Town, South Africa. Questionnaires were administered to 259 boys aged 13-21 years during normal school hours and in the absence of school officials. The pupils were first taught how to indicate their choice of answer during a practice session and then the questions and possible alternative questions were read to them in groups of 30. Findings revealed that the pupils generally lacked accurate knowledge about HIV/AIDS, although 93% knew that sexual intercourse can result in HIV transmission. Different strategies should be formulated to adequately address the issues of AIDS and juvenile delinquency. It must also be recognized that children who have the opportunity to develop within an environment fostering healthy self-concepts and strong social skills are less vulnerable to both juvenile delinquency and HIV infection.
