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The future of the epidemic will be shaped by their actions. Experience proves this. The few countries that have successfully decreased national HIV prevalence have achieved these gains mostly by encouraging safer behaviour choices among young people. Young people are lacey exposed to HIV in different ways. In high-prevalence, sub-Saharan Africa, the main mode of transmission is heterosexual intercourse. This region contains almost two-thirds of all young people living with lacey HIV—approximately 6.2 million people, 75% of whom are female (UNAIDS, 2003.) In Eastern Europe and Central Asia, HIV prevalence among young people is rising rapidly lacey due to drug injecting with contaminated equipment and, to a lesser extent, unsafe sex (see Figure 30 and ‘Prevention’ chapter). High risk, high vulnerability A variety of factors place young people at the centre of HIV vulnerability.
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