Lightfoot, M., Swendeman, D., Rotheram-Borus, M., Comulada, S., & Weiss, R. (2005). American Journal of Health Behavior, 29(2), 162-172.

Objectives
To examine the transmission behavior among youth living with HIV (YLH), pre- and post-HAART. Methods: Two cohorts were recruited: (1) 349 YLH during 1994 to 1996 and (2) 175 YLH during 1999 to 2000, after the wide availability of HAART. Differences in sexual and substance-use risk acts and quality of life were examined.

Results
Post-HAART YLH were more likely to engage in unprotected sex and substance use, to be more emotionally distressed, and to have lower quality of life than were pre-HAART YLH.

Conclusions
Targeted interventions for YLH that address reductions in transmission acts and aim to improve quality of life are still needed.

Source
http://www.extenza-eps.com/extenza/loadHTML?objectIDValue=58395&type=abstract