BAKGRUND: Ungdomar med psykisk ohälsa är en utsatt grupp i samhället med större risk för ohälsa.SYFTE: Syftet med litteraturstudien var att ta reda på hur psykisk ohälsa påverkar ungdomars sexuella riskbeteenden.METOD: Litteratursökning genomfördes i databaserna PubMed, Cinahl och Cochrane för att hitta studier som undersökte påverkan av psykisk ohälsa hos ungdomar och deras utsatthet för sexuella riskbeteenden.  RESULTAT: Psykisk ohälsa hos ungdomar bidrar till en tidigare sexualdebut, fler sexuella partners, oskyddade sexuella kontakter och en ökad risk för könssjukdomar. Det kan även bidra till att ungdomar använder sex som självmedicinering och kombinerar det med alkohol och droger. SLUTSATS: En ökad kunskap kring hur psykisk ohälsa hos ungdomar påverkar deras sexuella riskbeteenden kan öka förståelsen för deras mående och bidra till att vårdpersonal som möter dessa ungdomar kan hjälpa till att fånga upp ungdomar med ökad risk. Att ge mer utbildning och stöd till ungdomar med psykisk ohälsa kan vara ett sätt att minska riskbeteenden. / BACKGROUND: Adolescents with mental health issues are part of a vulnerable group in society with a higher risk of health complications.AIM: The aim of this review was to see how mental health affects adolescents and their sexual risk behaviors.METHODS: A search in the databases PubMed, Cinahl and Cochrane were executed to find relevant articles that studied mental health in adolescents and their sexual risk behaviors. RESULTS: Mental health issues in adolescents can lead to an early sexual debut, a higher number of sexual partners, unprotected sex and a higher risk of contracting a sexually transmitted infection. It can also lead to adolescents using sex as a form of self medication and that they combine it with alcohol or drugs.CONCLUSIONS: Expanded knowledge about how mental health in adolescents affects their sexual risk behaviors can raise the comprehension of their health and help the medical professionals who care for these young people to identify those with a higher risk. More education and support for the adolescents with mental health issues could be a way to decrease their sexual risk behaviors.

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Approfondir les connaissances sur l'évolution et les facteurs associés aux comportements sexuels chez les PVVIH exposées aux traitements antirétroviraux en Afrique subsaharienne. Données collectées dans le cadre d'un essai randomisé conduit dans neuf hôpitaux de district ruraux au Cameroun. 459 PVVIH éligibles au traitement inclus et suivis sur 24 mois. Régression logistique à effets mixtes utilisée pour analyser les facteurs associés aux différentes variables réponses étudiées.La proportion des patients sexuellement actifs augmente de 32% à l'inclusion à 56% après 24 mois de traitement. Une augmentation supplémentaire du temps depuis l'initiation du traitement de 6 mois augmente de 30% de la probabilité de déclarer une activité sexuelle sous ARV. Proportion des patients ayant des comportements sexuels à risque (CSR) baisse significativement de 76% à l'inclusion à 66% au 24e mois, les patients obervants au traitement étaient moins susceptibles de rapporter les CSR. La proportion des patients susceptibles de transmettre le VIH par voie sexuelle (STVIH) baisse de 76% à l'inclusion à 27% après 24 mois de traitement ARV. Une augmentation du temps depuis l'initiation du traitement de 6 mois réduit de 66% la STVIH. Mes travaux montrent un impact positif des ARV sur l'activité sexuelle des PVVIH, les CSR et la STVIH, suggérant un effet positif de l'exposition des PVVIH aux traitements ARV sur la prévention de la transmission sexuelle du VIH. Mais, le risque potentiel de transmission du VIH persiste nécessitant le renforcement des interventions de réduction des risques dans les programmes d'accès aux ARV. / To evaluate the evolution and factors associated with sexual behavior among PLWHA exposed to antiretroviral therapy in sub-Saharan Africa. Data collected as part of a randomized trial conducted in nine rural district hospitals in Cameroon. 459 PLWHA eligible for treatment included and followed for 24 months. Mixed effects logistic regression used to analyze factors associated with different response variables studied. Proportion of patients sexually active increased from 32% at baseline to 56% after 24 months of treatment. An additional 6 months increase of the time since initiation of treatment increase in 30% the probability of reporting sexual activity. Proportion of patients with sexual risk behavior (SRB) decreased significantly from 76% at baseline to 66% at 24 months and patient obervants to treatment were less likely to report CSR. Proportion of patients likely to transmit HIV through sexual intercourse (STVIH) decrease from 76% at baseline to 27% after 24 months of HAART. Analyses shown that increasing in 6 months of time since initiation of treatment reduced STVIH by 66%. My dissertation show a positive impact of ART on sexual activity, CSR and STVIH among PLWHA, suggesting a positive effect of exposure to HAART on the prevention of sexual transmission of HIV. However, the potential risk of transmission of HIV persists requiring strengthening risk reduction interventions in HAART access programs.