5th Conference on Retroviruses and Opportunistic Infections Chicago, IL - February 1-5, 1998

Conf Retroviruses Opportunistic Infect 1998 Feb 1-5; 5th:81 (abstract no. 14)

Simon P, Thometz E, Bunch G, Sorvillo F, Detels R; Centers for Disease Control and Prevention, Atlanta, GA.

OBJECTIVE: To describe recent sexual activity and identify risk factors for unprotected sex among men reported with AIDS in Los Angeles County (LAC).

METHODS: The analysis included men greater than 18 years old who were reported with AIDS to the local health department and completed a standardized interview between January 1995 and June 1997. Men were classified as having unprotected sex if they reported 1 or more sex partners over the past year with whom they had vaginal or anal sex and did not always use a condom. Bivariate and logistic regression analyses were done to examine the relationship between unprotected sex and selected sociodemographic variables, sexual orientation, drug use, delayed HIV diagnosis, and year of interview.

RESULTS: Of 617 men interviewed, 428 (69.4%) reported greater than or equal to 1 and 158 (25.6%) reported greater than or equal to 3 sex partners in the past year. Of 323 (52.4%) men who reported greater than or equal to 1 male partners. 113 (35.0%) reported unprotected anal sex, including 72 (22.3%) who reported unprotected insertive anal sex. Of 131 (21.2%) men who reported greater than 1 female partners, 77 (58.8%) reported unprotected vaginal and/or anal sex. Overall, the only factors independently associated with having unprotected sex were age less than 30 years (adjusted OR 2.3,95% CI 1.4,3.8), first learning of one's HIV+ status less than 12 months prior to interview (adjusted OR 2.5,95% CI 1.7,3.8), and trading money/drugs for sex (adjusted OR 1.6, 95% CI 1.0, 2.5).

CONCLUSIONS: HIV prevention programs in LAC should include early HIV detection efforts and include interventions designed specifically for HIV-infected men, particularly those in younger age groups and those with a history of trading money/drugs for sex. Routine HIV medical services should include ongoing behavioral assessment and, when indicated, risk reduction counseling and partner notification assistance.

1998-02-01
14

Copyright © 1998 - Foundation for Retrovirology and Human Health (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the Foundation for Retrovirology and Human Health. Licensed from National Library of Medicine.