6th International AIDS Conference


San Francisco, California, USA — Jun 20-23, 1990

Cite as: Int Conf AIDS. 1990 Jun 20-23;6:Abstract No. xx

HIV-positive speakers' bureau educates the community.
Int Conf AIDS 1990 Jun 20-23; 6:352 (abstract no. Th.D.907)
Arnold W, Bard M; "Being Alive", Los Angeles, CA. USA
OBJECTIVE: To share vital HIV/AIDS information with the community-at-large through trained HIV-positive speakers and to empower the speakers with respect, compassion and an understanding of self-worth. METHODS: Being Alive is an organization in Los Angeles of and for people with AIDS, people with ARC and people who are


The development of a dramatic film on AIDS prevention in Uganda.
Int Conf AIDS 1990 Jun 20-23; 6:352 (abstract no. Th.D.906)
Stone D, Riber J, Musevni F, Mukasa V, Rwakaagiri F; The Johns Hopkins University/AIDSCOM, Baltimore, MD, USA
OBJECTIVE: Through collaboration of local and international agencies, to produce a dramatic film on AIDS, set in Uganda , which would be used for training purposes in the AIDS in the Private Sector project. METHODOLOGY: Based on research conducted in other African countries on the use of Entertainment for Social Chang


Evolving rural, AIDS education program: an assessment.
Int Conf AIDS 1990 Jun 20-23; 6:352 (abstract no. Th.D.905)
Ostergren W, Meiger C; Life Planning/Health Services, Dallas, Texas, USA
OBJECTIVE: The purpose of this paper is to track a rural minority, AIDS education program through its 3 stage evolution and assess the efficacy of each stage. METHODS: The program was initiated by a perceptive dermatologist at the onset of the AIDS epidemic. His efforts which created Stage 1 through creation of an Ad H


HIV nurse clinician training program.
Int Conf AIDS 1990 Jun 20-23; 6:352 (abstract no. Th.D.904)
Mertz SA, Gates J, Mancuso B, Fitzhugh Z; AIDS Education and Training Center for Southern California University of Southern California School of Medicine, Los Angeles, California, USA
OBJECTIVE: To prepare skilled nurse clinicians to care for patients with HIV disease and to serve as HIV consultants to staff in their home agencies; to increase the number of clinicians caring for HIV-infected patients in the community by recruiting nurses who are in positions to effect the most change in improving th


Evaluation of AIDS peer education for university undergraduate students.
Int Conf AIDS 1990 Jun 20-23; 6:351 (abstract no. Th.D.903)
Varnhagen CK, Svenson LW; University of Alberta, Edmonton, Alberta, Canada
OBJECTIVE: The purpose of this research is to evaluate an AIDS Peer Education program for university students. The program uses undergraduate student educators to lead informal lecture/discussion/demonstration sessions on how AIDS is transmitted, the progression of the disease, and how to prevent it. The evaluation exa


A programme of home care for AIDS patients: two years of experience.
Int Conf AIDS 1990 Jun 20-23; 6:351 (abstract no. Th.D.902)
Arrizabalaga C, Garde C, Ugalde A, Cia A, Iribarren JA, Arrizabalaga J; Hospital Na Sa de Aranzazu. Servicio Vasco de Salud-Osakidetza. San Sebastian. Spain
OBJECTIVE: To evaluate the first programme in Spain of a home care scheme for Aids patients. METHODS: The programme of home care for Aids patients was set up in February of 1988. It involves a team of one doctor and a nurse who are part of the Infectious Diseases Unit of the hospital. They provide home care to Aids pat


Determinants of the public's priorities for allocating funds spent on AIDS.
Int Conf AIDS 1990 Jun 20-23; 6:351 (abstract no. Th.D.901)
Berry SH, Kanouse DE, Gorman EM, Yano E; The RAND Corporation, Santa Monica, California, USA
OBJECTIVE: Assess priorities among the general population for public spending on the AIDS epidemic and analyze the determinants of these priorities. METHODS: Analyze results of a telephone survey of 1292 randomly selected adults (with an over representation of blacks and Hispanics), residing in Los Angeles County. The


Evaluation of five NIDA sponsored video and training programs on AIDS and the IV drug user.
Int Conf AIDS 1990 Jun 20-23; 6:350 (abstract no. Th.D.898)
Kassiday D, Sowder B, Ashery R; T. Head & Company, Inc., Herndon, Virginia, USA
OBJECTIVE: -- To evaluate five training strategies in AIDS and IV drug use & prevention sponsored by the National Institute on Drug Abuse (NIDA). These include: (1) the use of NIDA training materials by States, (2) utilization of videos by treatment programs, (3) an experimental study of the Alicia video, (4) the i


An inverse relation between number of sex partners and condom use frequency among middle adolescents: cause for concern.
Int Conf AIDS 1990 Jun 20-23; 6:350 (abstract no. Th.D.897)
DiClemente R, Durbin M, Siegel D, Krasnovsky F, Lazarus N; University of California, San Francisco, California, USA
OBJECTIVE: To identify predictors of condom use among high risk adolescents in an HIV epicenter. METHODS: Data was collected from 386 sexually active ethnically diverse junior high school students (from a larger survey of 1,900 students). Predictors of condom use included: 1) demographics (age, gender, race, acculturat


HIV perceptions and sexual behavior changes of dental health professionals.
Int Conf AIDS 1990 Jun 20-23; 6:350 (abstract no. Th.D.896)
Cottone JA, Dove SB; The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
OBJECTIVE: To assess changes in sexual behavior, attitudes and perceptions of dental health professionals regarding HIV infection as a result of AIDS education. METHODS: A two page survey designed to assess the study objectives was distributed to participants at an international dental conference (DC, n=125) and to all


Centers for orientation and serological support for HIV infection (COAS).
Int Conf AIDS 1990 Jun 20-23; 6:349 (abstract no. Th.D.895)
Reichen I, Serafim D, Rodrigues L; National Division of STD/AIDS - MOH, Brasilia-DF, Brazil
OBJECTIVE: To offer an alternative manner of attention, the possibility of performing serology on a confidential, nameless and free of charge basis, specially meant for individuals with risk behaviour, also providing education and advice. METHODS: The COAS is implanted after the approval of a project with well-structur


HIV infected patients' view of their role in health care.
Int Conf AIDS 1990 Jun 20-23; 6:349 (abstract no. Th.D.894)
Gerbert B, Sumser J, Sebesta D, Barnes D; UCSF Center for AIDS Prevention Studies, San Francisco, California, USA
OBJECTIVE: At least since the proclamation of the Denver principles (1983) of the rights of people with AIDS to participate in decision making regarding their health care, people with HIV disease have challenged traditional roles of physicians and patients. We wished to document how gay men and IVDUs with HIV disease i


Provision of HIV related services to persons entering the Philadelphia prison.
Int Conf AIDS 1990 Jun 20-23; 6:349 (abstract no. Th.D.893)
van de Beek ML; Department of Public Health, Philadelphia, PA, USA
The Philadelphia Prison System admits 35,000 detainees on an annual basis, with 4,000 residents at any given time. Currently, 70% of entrants are charged with drug offenses; 4,000 prostitution arrests are made annually. The HIV program in the prison includes amongst its objectives: (1) The determination of HIV seroprev


A comprehensive program of health care for HIV-infected prisoners.
Int Conf AIDS 1990 Jun 20-23; 6:349 (abstract no. Th.D.892)
Dixon P, DeBuono B, Carpenter C, Laurie J, Zinner S, Scott H; Brown University AIDS Program (BRUNAP), Providence, Rhode Island, USA
OBJECTIVE: To develop a humane, responsive program of institutional health care and long-term follow-up for HIV+ prisoners. METHODS: All prisoners incarcerated in the RI Adult Correctional Institution (ACI), the only prison in the State, are tested for HIV at time of incarceration and, if initially HIV-, shortly before


Development and evaluation of empowerment model of AIDS education for female inmates.
Int Conf AIDS 1990 Jun 20-23; 6:348 (abstract no. Th.D.891)
Richie B, Rodriquez I, Florio S, Safyer S, Lee J, Freudenberg N; Hunter College Center for Community Action to Prevent AIDS CUNY, NY USA
OBJECTIVE: To test a curriculum designed to help women inmates at New York City jail to feel more in control of their lives; to test the effectiveness of this curriculum against a didactic presentation on AIDS prevention. METHODS: To assess educational needs of female inmates, researchers conducted focus groups and int


Gender and regional differences in HIV-1 antibody among entrants to US correctional systems.
Int Conf AIDS 1990 Jun 20-23; 6:348 (abstract no. Th.D.890)
Brewer F, Vlahov D, Munoz A, Ullrich J, Narkunas J, Castro K; The Johns Hopkins University School of Hygiene and Public Health, Baltimore, Maryland, USA
OBJECTIVE: Assess the prevalence of human immunodeficiency virus (HIV) antibody among geographically diverse prison and jail inmate populations. METHODS: Serum samples and demographic information routinely obtained at incarceration were obtained from 1,000 consecutive samples in each of ten prisons or jail systems; The


Prevalence of HIV antibody among a group of paraphilic sex offenders.
Int Conf AIDS 1990 Jun 20-23; 6:348 (abstract no. Th.D.889)
DiGiovanni C, Berlin F, Casterella P, Redfield R, Hiken M, Falck A; National Naval Medical Center, Bethesda, Maryland, USA
OBJECTIVE: To determine prevalence of HIV antibody among a group of paraphilic sex offenders in treatment at a major sexual disorders clinic. METHODS: Blood specimens are being collected under anonymous conditions from paraphilic sex offenders enrolled in treatment at the Sexual Disorders Clinic of The Johns Hopkins Ho


Legal, ethical and social complexities in conducting HIV-related research involving adolescents.
Int Conf AIDS 1990 Jun 20-23; 6:348 (abstract no. Th.D.888)
Sondheimer DL, English A, Hein K, Novello A; NICHD, Bethesda, MD, USA
OBJECTIVE: To address the legal, ethical and social concerns that have emerged in HIV-related research involving adolescents. METHODS: A review of the evolving legal standards and societal attitudes with respect to HIV-infection in adolescents in the USA and recommendations for future actions. Current trends in HIV-rel


Seroprevalence among the crime related population: prisoners & prostitutes.
Int Conf AIDS 1990 Jun 20-23; 6:347 (abstract no. Th.D.887)
Ravinathan R, Meeran MD, Durairaj VS, Venkateswaran K, Kantharaj K, Jayapaul K; Stanley Medical College, Madras, India
OBJECTIVE: HIV serosurveillance study was attempted to screen the convicts: men homosexuals & jail inmates; women prostitutes confined in Vigilance Homes and children in TamilNadu a southern state of India . METHODS: Between Apr. 1986 and Nov. 89, 3168 male convicts, 3133 women prostitutes and 975 juveniles were sc


Trends in HIV antibody testing and housing policies for infected prisoners among U.S. correctional systems, 1985-1989.
Int Conf AIDS 1990 Jun 20-23; 6:347 (abstract no. Th.D.886)
Moini S, Hammett T; Abt Associates, Cambridge MA, USA
OBJECTIVE: Identification and explanation of trends in policies regarding HIV antibody testing and housing of HIV-infected prisoners, two central indicators of the correctional response to the HIV epidemic. METHODS: Based on annual surveys of US federal, state and local correctional systems sponsored by the National In


Are incarcerated intravenous drug users (IVDU) interested in taking the HIV antibody test?
Int Conf AIDS 1990 Jun 20-23; 6:347 (abstract no. Th.D.885)
Kegebein VJ, Zack B; Santa Clara County Health Department, San Jose, CA, USA
OBJECTIVE: To determine predictors of interest in HIV antibody testing in inmates with histories of IV drug use following educational interventions. METHODS: We measured interest in HIV antibody testing among male inmates with histories of IV drug use in 1 state and 2 county penal institutions in California following e


Assessment of HIV/AIDS knowledge among prison officers in Scottish prisons.
Int Conf AIDS 1990 Jun 20-23; 6:347 (abstract no. Th.D.884)
Rowlands A, Power KG, Beveridge L; HM Prison, Perth, Scotland
OBJECTIVES: To assess Prison Officers knowledge about different aspects of HIV/AIDS. METHOD: Study of 128 male and 88 female Prison Officers, 108 newly recruited Prison Officers and a control group of 51 male and 77 female university students. Subjects were randomly selected and completed a questionnaire. Questions wer


Information campaign for the prevention of HIV-1 infection in prisoners in the province of Rome.
Int Conf AIDS 1990 Jun 20-23; 6:346 (abstract no. Th.D.883)
Turbessi G, D'Offizi GP, Mezzaroma I, Luzi G, Boccella P, Aiuti F; National Association for AIDS (ANLAIDS), Rome, Italy
OBJECTIVE: The information campaign carried out by ANLAIDS in closed communities such as schools or prisons was shown to be very profitable. There are today about 36,000 prisoners in Italian jails including 6,000-8,000 drug users. In 1989 a series of seminars on HIV-1 infection in the 9 prisons belonging to the provinc


Educational work performed in the Sorocaba city public prison.
Int Conf AIDS 1990 Jun 20-23; 6:346 (abstract no. Th.D.882)
Ramos Filho T, Anjos RM; Sao Paulo- Brazil
OBJECTIVE: Chiefly AIDS prevention inside the jail. METHODS: Lectures on AIDS, teaching basic elements and stressing the disease means of contagion and of prevention, followed by a question-and answer session and making of educative material by prisoners, to be divulged inside the prison itself. This prison has an aver


A consortium of UK voluntary organisations making links between prisons and community support/education groups.
Int Conf AIDS 1990 Jun 20-23; 6:346 (abstract no. Th.D.881)
Kelmanson A, Jay M, Gallwey J, Williams B; National AIDS Trust (NAT), London, England
OBJECTIVE: To maximise the involvement of external voluntary groups in educational and support activities related to HIV in the prison system in England and Wales. To engage voluntary organisations not primarily concerned with AIDS, in AIDS projects which need their specialist skills. METHODS: A series of legal contrac


Usefulness of an AIDS educational program for law enforcement professionals.
Int Conf AIDS 1990 Jun 20-23; 6:346 (abstract no. Th.D.880)
King T, Blake S, Khardori N, Rabinovich S, VonBehren LA; Southern Illinois University School of Medicine (SIU), Springfield, IL, USA
OBJECTIVES: Law enforcement personnel (LEP) are often the first responders to many accident/crime scenes. Since most of these incidents involve handling of blood/body secretions these personnel are at risk of being exposed to HIV. Furthermore, the misconceptions and fears involved in handling such items may interfere w


Grouse show!: an evaluation of a tour of an AIDS cabaret in tertiary institutions.
Int Conf AIDS 1990 Jun 20-23; 6:345 (abstract no. Th.D.879)
Grierson J, Misson A; AIDS/STD Unit, Health Department Victoria, Melbourne, Australia
OBJECTIVE: To assess the educational efficacy of a six week tour of the Outtheatre safe sex and safe use cabaret; All Thrills, No Spills. METHODS: The company toured 25 tertiary institutions, and 4 correctional institutions with an overall audience of approximately 5000. A log book of comments was kept for all performa


Survey of AIDS-related educational programs in the workplace.
Int Conf AIDS 1990 Jun 20-23; 6:345 (abstract no. Th.D.878)
Humes S, Miller R, Barr J, Warshaw L, Reinfeld M; Gay Men's Health Crisis, Inc., New York, New York, USA
OBJECTIVE: Although New York City has 20% of all AIDS cases in the United States , it has lacked a coordinated strategy to deal with HIV/AIDS education in the workplace. This study was designed to obtain data regarding New York City HIV/AIDS workplace policies, programming, and executive attitudes in order to develop e


AIDS interventions, public health and social factors in the sugar plantations of the Dominican Republic.
Int Conf AIDS 1990 Jun 20-23; 6:345 (abstract no. Th.D.877)
Kreniske J; HIV Center for Clinical & Behavioral Studies, New York State Psychiatric Institute, New York, USA
OBJECTIVE: To analyse short-term and long-term policies and strategies needed to prevent transmission of HIV infection in the sugar plantation communities of the Dominican Republic . METHODS: Analysis is based on literature research, visits, on-site interviews with community workers and families, and with social scient


A study of knowledge and attitudes of college students.
Int Conf AIDS 1990 Jun 20-23; 6:345 (abstract no. Th.D.876)
Hiramani AB; Central Health Education Bureau (Dte.G.H.S.), Ministry of Health and Family Welfare, New Delhi, India
OBJECTIVES: (1) To examine the extent of knowledge of the college students about AIDS. (2) To understand students attitudes towards preventive measures launched by the Government. METHODS: All 128 students of graduate class of Physical Education at Aurangabad in Maharashtra State, India were covered. The attitudes


Coping with religious objections to AIDS education.
Int Conf AIDS 1990 Jun 20-23; 6:344 (abstract no. Th.D.875)
Cole L, Cole D; University of California, Berkeley, California, USA
OBJECTIVE: Public agencies implementing AIDS curricula may encounter sharp resistance from conservative religious groups. We sought ways to most effectively deal with such challenges. METHODOLOGY: Interviews with school administrators who had dealt with the problem, public health officials, and spokespersons for conser


The role of religious/faith communities in HIV prevention and AIDS services.
Int Conf AIDS 1990 Jun 20-23; 6:344 (abstract no. Th.D.874)
Jimenez R; National AIDS Information and Education Program, Centers for Disease Control, Atlanta, Georgia, USA
This presentation will consist of an overview of a new religious initiative currently being undertaken by the Centers for Disease Control s National Partnerships Program. The main objective of the initiative, creating partnerships with religious denominations, groups and congregations, will be explained. Strategies whi


Why AIDS clinic patients do not return to work.
Int Conf AIDS 1990 Jun 20-23; 6:344 (abstract no. Th.D.873)
McMaster JR, Greenblatt RM, Yelin EH, Henke CJ, Hollander H; University of California, San Francisco, CA, USA
OBJECTIVE: To evaluate the association between disability benefits, Medi-Cal coverage (California s Medicaid system), and social support in the work place, on the decision to return to work by patients attending a University based AIDS clinic. METHODS: A longitudinal study that employed trimonthly structured telephone


Evaluation of an HIV education module integrated into comprehensive school-based health education.
Int Conf AIDS 1990 Jun 20-23; 6:344 (abstract no. Th.D.872)
Horan PF, DiClemente RJ, Stone CV; North Carolina State University, Raleigh, North Carolina, USA
OBJECTIVE: To evaluate an HIV education module integrated into a comprehensive, school-based health education curriculum. METHOD: Approximately 1800 high school students completed an anonymous self-report AIDS survey. Students who reported receiving HIV education were compared with students not exposed to HIV education


Education and technology about the condom and its use. Project RQTS.
Int Conf AIDS 1990 Jun 20-23; 6:343 (abstract no. Th.D.871)
Torres J, Garcia Huete E, Anabitarte H, Jaumot A, Usieto R, Mariscal J; Foundation F.A.S.E., Madrid, Spain
INTRODUCTION AND OBJECTIVE: The efficiency in the prevention against HIV by sexual way recommending the use of the condom is low; since it is a purely informative action which is not able to modify conducts or to break taboos. We know the effect of the passion as a motive of renunciation to the preventive measures. As


Complacency, risk perception and the problem of HIV education.
Int Conf AIDS 1990 Jun 20-23; 6:343 (abstract no. Th.D.870)
Macdonald G, Smith C; Institute for Health Promotion, University of Wales, Cardiff, UK
OBJECTIVE: AIDS has received less political and media attention in the UK in the last 18 months, which might have led to complacency and low risk perception of HIV infection. A survey of 1002 people in Wales was conducted to discover the degree of discriminatory and complacent attitudes and risk perception surrounding


Model of professional support for AIDS educators.
Int Conf AIDS 1990 Jun 20-23; 6:343 (abstract no. Th.D.869)
Robinson M, Sargeant D; Social Biology Resources Centre, Carlton, Victoria 3053, Australia
OBJECTIVE: To describe the key elements of an educational model underlying the AIDS Educational Strategies Group which has contributed to the competence and confidence of AIDS educators since 1984 in Melbourne, Australia . METHOD: Analysis of records of meetings, structured personal interview with planners of model, me


Educating the educators: methods to promote HIV content in university health care programs.
Int Conf AIDS 1990 Jun 20-23; 6:343 (abstract no. Th.D.868)
Katz S, Freudenberg N, Lee J; Hunter College Center for Community Action to Prevent AIDS, NY, USA
OBJECTIVE: To assess the quantity and quality of HIV/AIDS material in professional health programs in a public urban university; to develop interventions to better prepare these students to meet the needs of people with HIV/AIDS. METHODS: The School of Health Science, Nursing and Social Work of Hunter College of CUNY w


An assessment of AIDS knowledge, risk perception and behavior among public health students in South Sulawesi, Indonesia.
Int Conf AIDS 1990 Jun 20-23; 6:342 (abstract no. Th.D.867)
Bustan M, Sy F, Selassie AW, Noer NN; Hasanuddin University, Ujungpandang, South Sulawesi, Indonesia
OBJECTIVE: To determine knowledge, risk perception and risk prevention behavior concerning AIDS among public health students in South Sulawesi, Indonesia . METHODS: Questionnaire was administered in summer of 1989 to 154 public health students at Hasanuddin University. Data collected included demographic information, A


A model interdisciplinary university-wide course on AIDS.
Int Conf AIDS 1990 Jun 20-23; 6:342 (abstract no. Th.D.866)
Strauss R, Corless I, Luckey B, van der Horst C, Dennis B; University of North Carolina at Chapel Hill, NC, USA
OBJECTIVE: To develop and evaluate a large interdisciplinary university credit bearing course on AIDS for health professional and arts/sciences students. METHODS: Faculty from each of five health sciences schools at a large state university developed and taught a course on AIDS to a broad audience of 429 students, exam


Role of the community college: policy, education and service.
Int Conf AIDS 1990 Jun 20-23; 6:342 (abstract no. Th.D.865)
Redick M; San Francisco Community College District, California, USA
OBJECTIVE: To describe the AIDS transmission prevention activities of a community college of 60,000 students during the last six years. METHODS: The community college appointed an AIDS Advisory Committee in 1984 to develop policy, administrative guidelines and procedures to guide working groups in both the instructiona


Increasing AIDS awareness among college students using visual arts and student AIDS activists.
Int Conf AIDS 1990 Jun 20-23; 6:342 (abstract no. Th.D.864)
Goldstein MA, Van Ness J, Friis-Hansen D, Platt R, Seamans W; Massachusetts Institute of Technology, Cambridge, Massachusetts, USA
OBJECTIVE: To increase awareness of AIDS issues and promote behavioral change in a student population using a variety of visual art forms with assistance of student AIDS activists (ARMIT). METHODS: Our prior research has shown that traditional methods of raising awareness to AIDS issues have had limited success. Humani


Sexual behaviors and behavioral changes among high risk college students.
Int Conf AIDS 1990 Jun 20-23; 6:341 (abstract no. Th.D.863)
Kotloff K, Wasserman S, Tacket C, Cowan J, Bridwell M, Quinn T; University of Maryland School of Medicine, Baltimore, Maryland, USA
OBJECTIVE: To describe the variables associated with AIDS risk behaviors among a cohort of high risk college students. METHODS: In 1988 we conducted a voluntary serosurvey of 3394 undergraduate students attending the University of Maryland at College Park. Subjects donated a blood specimen for HIV-1 antibody testing an


AIDS education for people with intellectual disabilities.
Int Conf AIDS 1990 Jun 20-23; 6:341 (abstract no. Th.D.862)
Gourlay P, Horsley P; Family Planning Association, Victoria, Australia
OBJECTIVE: To describe and demonstrate use of STD/AIDS educational resources for people with intellectual disabilities produced by the Family Planning Association Victoria ( Australia ). METHOD: Discussion of the need for accessible information for people with intellectual disabilities. Demonstration of various educati


AIDS prevention programs among students: interest of a global approach.
Int Conf AIDS 1990 Jun 20-23; 6:341 (abstract no. Th.D.861)
Estournel JL, Leveque D, Delmas JB, Seguela M, Fayard A, Livrozet JM; MNEF/SG Adj. FSEF, France
OBJECTIVE: To identify modalities of an effective prevention program on AIDS among student population: test the interest of surveys to produce knowledge about youth mental representation in order to elaborate pertinent action. METHOD: Student population constitutes a specific social group, but motley, which produces it


Short-term impacts of student-designed AIDS prevention promotional activities in a school setting.
Int Conf AIDS 1990 Jun 20-23; 6:341 (abstract no. Th.D.860)
Thomas R, Otis J, Longpre D, Provencher S, Bastien R, Lonergan G; Departement de sante communautaire de l'Hopital Charles LeMoyne, Greenfield Park, Quebec, Canada
OBJECTIVE: This study was designed to evaluate short-term impacts of diverse AIDS prevention promotional activities. Designed by students and aimed at their peers, these interventions were held in the school setting, on WORLD AIDS DAY (December 1, 1989). METHODS: A week after the activities were held, we asked a random


Educative intervention package for AIDS prevention for young Latinamericans.
Int Conf AIDS 1990 Jun 20-23; 6:340 (abstract no. Th.D.859)
Mora JL, Santiago F, Valdespino JL, Sepulveda J; General Directorate of Epidemiology, Ministry of Health, Mexico
OBJECTIVE: To discuss the basis for the design of an AIDS educative package directed to Mexican urban high school adolescents. METHODS: Material prepared by the Health Ministry up to 1988 and its acceptance among adolescents was analyzed. The most accepted images and contents were identified according to the sociocultu


"A generation free of AIDS"; developing AIDS education materials for public and private schools of Malawi.
Int Conf AIDS 1990 Jun 20-23; 6:340 (abstract no. Th.D.858)
Dupree JD, Mkwinda EN, Kalilani JA; AIDSCOM, Washington, DC, USA
OBJECTIVE: Focus group research with teachers and pupils indicates that sexual experimentation often begins prior to adolescence. Because HIV is sexually transmitted, Malawi s National AIDS Committee set AIDS education to youth as its top priority activity. METHODS: Focus groups have been conducted among school-age boy


Plan of formal education about AIDS directed to young people in Costa Rica.
Int Conf AIDS 1990 Jun 20-23; 6:340 (abstract no. Th.D.857)
Paniagua ME; National AIDS, Committee, Ministry of Health, San Jose, Costa Rica
OBJECTIVE: To develop and implement a plan of information and formal education of students (15-20 years) in Costa Rica . METHODS: Capacitation and information in different levels of the formal education of professionals in the Ministry of Education as counselors, teachers and also parents and members of the community,


Changing the AIDS education of New York City youth: the AIDS Coalition To Unleash Power (ACT UP)/New York.
Int Conf AIDS 1990 Jun 20-23; 6:340 (abstract no. Th.D.856)
Ricks PM; ACT UP/NY Youth Brigade Caucus, NY, USA
OBJECTIVE: ACT UP/NY created its Youth Brigade Caucus in late 1989, in response to the alarming growth of AIDS cases among New York City (NYC) teenagers and the inadequate AIDS education within the schools. Our objective is to ensure that children in NYC obtain explicit, accurate and unbiased information regarding AIDS


Strategies for effective AIDS education in schools.
Int Conf AIDS 1990 Jun 20-23; 6:339 (abstract no. Th.D.855)
Epstein ER; ACT UP/NY, New York, NY, USA
OBJECTIVE: The need for effective AIDS education programs in U.S. schools continually intensifies as the number of HIV-infected adolescents leaps. Many students do not receive the information they need to preserve their health and to deal compassionately with those around them who have AIDS. Strategies for a meaningful


The Oakland schools AIDS project: a model of public agency-community partnership in junior high HIV prevention programs.
Int Conf AIDS 1990 Jun 20-23; 6:339 (abstract no. Th.D.854)
Krasnovsky F, Siegel D, Lazarus N, Durbin M, Kakimoto D, Davis M, Suminski G; University of California, San Francisco, California, USA
OBJECTIVE: To describe the interactions among public agencies in developing and implementing an HIV prevention program within an urban, multi-ethnic school district. METHODS: Administrators from the Oakland Unified School District approached investigators at the Center for AIDS Prevention Studies of the University of C


Knowledge of AIDS in a group of secondary school students.
Int Conf AIDS 1990 Jun 20-23; 6:339 (abstract no. Th.D.853)
Li PC, Yeoh EK, Leung FY, Ho YF, Lee YH, Chow NY; Affiliation not specified
METHOD: A self-administered questionnaire was distributed to 695 students in 9 secondary schools in Hong Kong . The answers concerning their knowledge and attitude towards AIDS were analysed. RESULT: TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSION: The secondary school students of Hong Kong are well informed about the ge


HIV-related beliefs, knowledge and behaviour among secondary school students in Ouagadougou.
Int Conf AIDS 1990 Jun 20-23; 6:339 (abstract no. Th.D.852)
Ouedraogo A, Lorenz N, Zina Y, Rehle T; Ministere de la Sante et de l'Action Sociale, Ouagadougou, Burkina Faso
OBJECTIVE: In order to plan school HIV education programs and to obtain baseline data on HIV-related beliefs, knowledge and behaviour, 466 secondary school students were interviewed. METHODS: The study population was chosen by random cluster sampling. An anonymous self-administered questionnaire was used. RESULTS: The


Don't point your life in the wrong direction.
Int Conf AIDS 1990 Jun 20-23; 6:338 (abstract no. Th.D.851)
Page I, McCausland J, Moore C; North York Public Health Department, North York, Ontario, Canada
OBJECTIVE: To use a popular medium (rap video) to communicate a direct powerful HIV/AIDS prevention message to youths and young adults in an entertaining and unthreatening manner that avoids the preaching syndrome . METHODS: Collaborative initiatives were undertaken with youth from various minority cultural groups, loc


HIV education program involving presentors with AIDS demonstrates significant impact on adolescents.
Int Conf AIDS 1990 Jun 20-23; 6:338 (abstract no. Th.D.850)
Evans NL, Fetro J; Department of Public Health, San Francisco, California, USA
OBJECTIVE: To determine the effectiveness of an adolescent HIV education program in promoting changes in sexual activity (abstinence) and condom use. METHOD: Two cross sectional surveys were administered to 565 adolescents in San Francisco participating in the Wedge Program. This 4 hour comprehensive HIV education prog


School aged HIV-infected children and access to education.
Int Conf AIDS 1990 Jun 20-23; 6:338 (abstract no. Th.D.849)
Haiken H, Hernandez M, Mintz M, Boland M; Children's Hospital of New Jersey, Newark, New Jersey USA
OBJECTIVE: Define the impact of school aged HIV-infected children on school systems in N.J. and the role of care providers in facilitating school entry. METHODS: In 1986, the N.J. Dept. of Education promulgated regulations supporting school enrollment of children with HIV infection. Children s Hospital AIDS Program (CH


Development and presentation of university level courses on HIV/AIDS policy and law.
Int Conf AIDS 1990 Jun 20-23; 6:338 (abstract no. Th.D.848)
Closen M, Isaacman S; The John Marshall Law School, Chicago, Illinois, USA
OBJECTIVE: The objective of this project was to prepare a course outline and teaching materials to encourage an increase in the number of full-scale university courses on HIV/AIDS policy and law. Research indicates that university students (including law and medical students) are not adequately informed about HIV/AIDS,


An analytic approach to determining the costs to society of HIV-related discrimination.
Int Conf AIDS 1990 Jun 20-23; 6:337 (abstract no. Th.D.847)
Fishback L, Guthrie A, Lewin L, Needleman J, Barnow B; Office of the Assistant Secretary for Health, U.S. Public Health Service, Washington, D.C., USA
OBJECTIVE: To develop an analytic approach to quantify the costs to society of HIV-related discrimination and then to apply the approach to estimate, where possible, costs of HIV-related discrimination in the United States and the distribution of those costs. METHODS: An analytic framework was developed for estimating


Physician breach of patient confidentiality among individuals with human immunodeficiency virus (HIV) infection: patterns of decision.
Int Conf AIDS 1990 Jun 20-23; 6:337 (abstract no. Th.D.846)
Schwartzbaum JA, Norton RW; University of Tennessee, Memphis, TN, USA
OBJECTIVE: To determine whether the sex, race, or sexual preference of a patient infected with the human immunodeficiency virus (HIV) influences a physician s decision to breach patient confidentiality. METHODS: Tennessee primary care physicians were mailed a questionnaire containing a case study in which an HIV-infect


Homophobia, knowledge of persons with AIDS, and AIDS attitudes.
Int Conf AIDS 1990 Jun 20-23; 6:337 (abstract no. Th.D.845)
Michaels S, Gagnon J, Laumann E; University of Chicago, Chicago, IL USA
OBJECTIVES AND METHODS: Data from the General Social Survey of 1988, a national household survey (N=1480) of the population of the United States , was analyzed to examine the relationship between homophobia, personal acquaintance of persons with AIDS and attitudes towards AIDS policies. FINDINGS AND CONCLUSION: About t


Survey results on how tolerant, caring and compassionate Canadians are towards those most affected by AIDS.
Int Conf AIDS 1990 Jun 20-23; 6:337 (abstract no. Th.D.844)
Garceau S; Health Promotion Directorate, Health & Welfare Canada, Ottawa, Canada
OBJECTIVE: To determine the degree of care, compassion, and tolerance Canadians have towards people most directly affected by AIDS. METHODS: Qualitative and quantitative techniques were used with a small (N=200), selective sample of: the general population, PLWA, HIV+, gay and bisexual men, IV drug users, street youth,


May a human subject waive the right to be treated as a human subject?
Int Conf AIDS 1990 Jun 20-23; 6:336 (abstract no. Th.D.843)
Novick A; Yale University, New Haven, Connecticut, USA
OBJECTIVE: Unorthodox clinical trials, in the HIV setting, have been implemented beyond federal regulations, omitting many elements of research with human subjects. Subjects have been asked to waive their rights to be treated as human subjects. Is that ethically acceptable? METHODS: 1) to analyze the components of clin


Psychosocial adjustment of HIV+ and HIV- high risk men: implications for targeted interventions.
Int Conf AIDS 1990 Jun 20-23; 6:336 (abstract no. Th.D.842)
Soskolne V, Eyal A, Avramov R, Bentwich Z, Maayan S, Engelhard D; Hadassah Medical Organization, Jerusalem, Israel
OBJECTIVES: To evaluate aspects of psychological distress and psychosocial adjustment among high-risk men and to compare seropositive to seronegative men. METHODS: A cross-sectional study of men attending HIV testing and follow-up clinics in 2 hospitals in Israel , 1988-89. Men with AIDS, HIV diagnosis of 2 months, or


Social network and stigmatization among HIV-positive haemophiliacs as compared to HIV-negative controls.
Int Conf AIDS 1990 Jun 20-23; 6:336 (abstract no. Th.D.841)
Bjorner J, Gandil P, Andersen T; University of Copenhagen, Denmark
OBJECTIVE: To study whether HIV-positive are more socially stigmatized and have reduced social network compared to HIV-negative haemophiliacs. METHODS: An anonymous self-administered questionnaire to all Danish haemophiliacs with factor level 5% or less registered at the 2 Danish haemophilia centers (N=212). Response r


A comparison of coping responses between gay men who know and do not know their HIV status.
Int Conf AIDS 1990 Jun 20-23; 6:336 (abstract no. Th.D.840)
Rodriguez RG, Herbert M, Kemeny ME, Schneider S, Taylor SE, Dudley J; University of California, Los Angeles, California, USA
OBJECTIVE: To compare psychological adjustment and coping with the risk of developing AIDS among 3 groups of gay men---those who have chosen not to know their HIV status (n=169), those who know they are HIV seropositive (n=238), and those who know they are HIV seronegative (n=312). METHODS: The sample consisted of gay


Support system availability of clients utilizing anonymous HIV antibody test sites in California.
Int Conf AIDS 1990 Jun 20-23; 6:335 (abstract no. Th.D.839)
Marelich WD, Ramirez AL, Barba B, Kizer KW; California Department of Health Services, Sacramento, California, USA
OBJECTIVE: To investigate psychosocial support systems (PSS) of at-risk and no-risk clients utilizing Anonymous HIV Antibody Test Sites (ATS). METHODS: A survey addressing individual PSS was presented to ATS clients during a two-week period in July, 1989. Only those clients completing HIV testing were used in subsequen


HIV testing in the University of Kinshasa: social and policy issues.
Int Conf AIDS 1990 Jun 20-23; 6:335 (abstract no. Th.D.838)
Bertrand WE, Bomboko B, Moore M, Kashala TD; Tulane University, New Orleans, LA, USA
OBJECTIVE: The purpose of the study was to determine the appropriateness of installing a HIV Testing Center at the University of Kinshasa as a preventive method. METHODS: 1189 students chosen randomly responded to a self-administered questionnaire. Descriptive statistics were used to analyse the data. RESULTS: Eighty f


Psychosocial factors influencing HIV testing.
Int Conf AIDS 1990 Jun 20-23; 6:335 (abstract no. Th.D.837)
Jaccard J, Endias R, Minkoff H; State University of NY, Albany, USA
OBJECTIVE: To identify social-psychological factors influencing HIV test taking behavior and to develop policies for increasing test taking in at-risk populations. METHODS: Approximately 300 sexually active, lower SES women were interviewed in clinics in a high risk area of New York City and given the chance to take an


The effect of HIV antibody counseling and testing on risk behaviors: are the studies consistent?
Int Conf AIDS 1990 Jun 20-23; 6:335 (abstract no. Th.D.836)
Higgins DL, Galavotti C, Johnson R, O'Reilly KR, Rugg DL; Centers for Disease Control, Atlanta, Georgia, USA
OBJECTIVE: To review the effects of HIV antibody counseling and testing (C&T) on risk behaviors in homosexual men, intravenous drug users (IVDUs), and high-risk heterosexuals. METHODS: We reviewed published and unpublished data from 45 studies that compared risk behavior prior to and following notification of seros


Decisionmaking about HIV antibody testing among gay and bisexual men and the general population in Los Angeles.
Int Conf AIDS 1990 Jun 20-23; 6:334 (abstract no. Th.D.835)
Gorman EM, Yano E, Kanouse D, Berry S, Bye L; RAND Corp., Santa Monica, CA, USA
OBJECTIVE: To ascertain attitudes and decisionmaking about HIV antibody testing among gay and bisexual men and the general population. METHODS: Bivariate analysis to obtain results of a telephone survey of 1299 randomly selected adults (520 males, 779 females) and 299 gay and bisexual male adults residing in Los Angele


Social issues surrounding HIV testing: provisional data from the 1990 national health interview survey.
Int Conf AIDS 1990 Jun 20-23; 6:334 (abstract no. Th.D.834)
Dawson DA, Hardy AM, Thornberry OT; US National Center for Health Statistics, Division of Health Interview Statistics, Hyattsville, Maryland, USA
Since August 1987, the U.S. National Center for Health Statistics has included questions on AIDS knowledge and attitudes in the National Health Interview Survey. In 1990, the questionnaire was revised to focus more heavily on issues of HIV testing. This session will present provisional data from the first quarter of 19


Mandatory HIV antibody testing of immigrants to the United States.
Int Conf AIDS 1990 Jun 20-23; 6:334 (abstract no. Th.D.833)
Warren N, Silver D, Lee J, Freudenberg N; Hunter College Center for Community Action to Prevent AIDS, NYC, NY, USA
OBJECTIVE: To assess how immigration groups and AIDS organizations in New York City are responding to the federal law requiring HIV antibody testing among all immigrants applying for permanent residency and to determine what problems they have encountered and solutions they have explored. METHODS: Our research was base


Naples group "C": center for anonymous HIV screening
Int Conf AIDS 1990 Jun 20-23; 6:334 (abstract no. Th.D.832)
Soscia M, Gnarini R, Izzo E, Guidetti E, Perrella O, Serpelloni G, Tarro G; Ospedale "D. Cotugno", Naples, Italy
OBJECTIVE: Anonymous screening of populations at-risk for HIV infection (drug abusers, homo-bisexuals, prostitutes, at-risk heterosexuals etc.), who, for fear of being recognized, avoid public health centers. METHOD: The anonymous screening for HIV infection that is being conducted in Verona and Naples is structured in


Anonymous testing considered essential, good follow-up results.
Int Conf AIDS 1990 Jun 20-23; 6:333 (abstract no. Th.D.831)
Gardner L, Trow R; Hassle Free Clinic, Toronto, Canada
OBJECTIVES: To determine whether 1. clients consider anonymity to be a necessary pre-condition when presenting for HIV Antibody testing; 2. seropositive clients tested anonymously will return for results; 3. an anonymous testing system can facilitate medical follow up and social support; 4. seropositive clients will co


Centres for free and anonymous screening: a prospective enquiry.
Int Conf AIDS 1990 Jun 20-23; 6:333 (abstract no. Th.D.830)
Auquier P, Connes H, Reviron D, Blanc AP, Larher MP, Enel P; Public Health Unit, Marseilles, France
OBJECTIVE: Centres for free and anonymous screening aim to promote prevention among a target-population attracted by these traits of no-cost and anonymity. The request for a screening-test -a high point in the development of individual awareness- provokes a contact with medical staff which can be adapted to each case a


Policy implications of the alternative test site program evaluation.
Int Conf AIDS 1990 Jun 20-23; 6:333 (abstract no. Th.D.829)
Ramirez A, Truax SR; Office of AIDS, California Department of Health Services, Sacramento, CA, USA
OBJECTIVE: Alternative Test Site (ATS) operations, counselor and client information was examined to assess program adequacy and effectiveness in serving all clients and reducing HIV infection risk. METHODS: A comprehensive, on-site evaluation reviewed the administrative structure, practices and composition of ATS progr


The continuous follow-up of HIV testing by general practitioners.
Int Conf AIDS 1990 Jun 20-23; 6:333 (abstract no. Th.D.828)
Massari V, Brunet JB, Valleron AJ; INSERM U263, Universite Paris7, Paris, France
OBJECTIVE: To evaluate the request for HIV antibody testing by general practitioners (GP) and/or their patients and to study its evolution over time. METHODS: A survey was developed by the French Communicable Diseases Network in March 1987 which links a 1% representative sample of French GPs to a central computer by el


Comparison of an HIV antibody testing team vs housestaff implemented testing at a major inner city public hospital.
Int Conf AIDS 1990 Jun 20-23; 6:332 (abstract no. Th.D.827)
Masterson A, Kitchens A, Graham V; Kings County Hospital Center, Brooklyn, New York, USA
OBJECTIVE: To compare the documentation of HIV antibody testing done by a Testing Team versus HIV antibody testing done by the resident housestaff. METHODS: All persons HIV antibody tested were inpatients at a major inner city public hospital from 1/1/87 to 12/31/89. Prior to 1/1/89 persons were tested by the housestaf


Routine HIV testing in an acute care hospital inpatient setting.
Int Conf AIDS 1990 Jun 20-23; 6:332 (abstract no. Th.D.826)
DeCiantis ML, DeBuono B, Scott HD, Carpenter C; Rhode Island Department of Health, Providence, RI, USA
OBJECTIVE: Routine and mandatory HIV testing was established by Rhode Island law in August, 1989. One provision included acute care hospitals whereby HIV testing was to be routinely offered to inpatients age 18-40 beginning January 1990. To assess the staff requirements, patient acceptance, and cost-effectiveness of th


Ensuring patient consent for HIV testing: an evaluation of the impact of policy on practice.
Int Conf AIDS 1990 Jun 20-23; 6:332 (abstract no. Th.D.825)
Capkin M, Phipps E, Peacock E; Albert Einstein Medical Center. Philadelphia, Pennsylvania. USA
OBJECTIVES: Our study was designed to evaluate the impact of a stringent hospital policy regarding informed consent on physician ordering of HIV antibody tests. Recognizing the well known practice of ordering HIV antibody tests without consent or counseling, we predicted that physicians who were ordering the tests on p


HIV reportability in a system with anonymous testing.
Int Conf AIDS 1990 Jun 20-23; 6:332 (abstract no. Th.D.824)
Jolly DH, Blankenship E, Adimora A, Petz W, Owen-O'Dowd J, Randall-David E, Meriwether R; AIDS Control Branch Raleigh, NC, USA
OBJECTIVE: To develop a new system of HIV reporting by name, case follow-up, and partner notification that allows HIV positive persons tested at anonymous sites to remain anonymous to public health officials even after seeking medical follow-up. DESCRIPTION: All 100 local health departments in North Carolina offer both


A comparison of alternate test site attendance in two cities under different HIV reporting policies.
Int Conf AIDS 1990 Jun 20-23; 6:331 (abstract no. Th.D.823)
Johnson WD, Sy FS, Miller JP; Univ of South Carolina, Columbia SC, USA
OBJECTIVE: To compare changes in attendance at two alternate HIV test sites (ATS) in Charleston, South Carolina (SC) and Augusta, Georgia (GA) after implementation of a statewide policy in SC beginning Jan 1, 1986 which requires mandatory reporting of seropositive results to the state health department. HIV testing is


The role of kin in care giving for persons with AIDS in New Jersey.
Int Conf AIDS 1990 Jun 20-23; 6:331 (abstract no. Th.D.822)
Schiller NG, Crystal S, Karus D; Institute for Health, Rutgers University, New Brunswick, New Jersey, USA
OBJECTIVE: To examine the role of kin in care giving for persons with AIDS (PWAs) in New Jersey. METHODS: A random sample of 275 individuals with diagnosed AIDS who live in New Jersey was drawn. Interviewing began 12/88 and 50 interviews have been completed to date. The distribution of transmission categories in the co


Hemophilia and HIV: an assessment of the psychosocial needs of couples.
Int Conf AIDS 1990 Jun 20-23; 6:331 (abstract no. Th.D.821)
Roy CM; Regional Hemophilia Clinic, Social Service Dept., Montreal Children's Hospital, Montreal, Canada
OBJECTIVE: To determine the needs and disposition towards psychosocial services of men with hemophilia and HIV and their partners. METHOD: Twenty couples, in which the man has hemophilia and HIV infection, were surveyed through the use of an anonymous self-administered questionnaire. The range of available psychosocial


The socio - cultural dimension of AIDS in Zimbabwe
Int Conf AIDS 1990 Jun 20-23; 6:331 (abstract no. Th.D.820)
Mhloyi G, Mhloyi M; Dexter Enterprises, Harare, Zimbabwe
OBJECTIVE: To identify the psycho-social problems that people with Aids encounter from the time they are diagnosed as HIV+ to the time they die. METHODS: We identified twenty cases which were HIV+: these cases were at different stages of the development of the syndrome which facilitated the mimicking of a full case. Pa


Family caregivers of PWAs: experiences with health care providers.
Int Conf AIDS 1990 Jun 20-23; 6:330 (abstract no. Th.D.819)
Powell-Cope GM; University of Washington, Seattle, WA, USA
OBJECTIVE: The study s purpose was to examine caring from health care professionals (HCP) as experienced by family caregivers (FCG) of PWAs. Caring is defined as a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility (Swanson-Kauffman, 1989). METHODS: Pheno


The essential role of the Church in AIDS care, prevention and control in Africa.
Int Conf AIDS 1990 Jun 20-23; 6:330 (abstract no. Th.D.818)
Campbell I, Rader A, Malama M, Bodwell S; The Salvation Army Chikankata Hospital, Zambia
OBJECTIVE: To describe the role of the Christian Church as an integrative influence in AIDS care and prevention, especially in Africa. METHOD: The concept of integration is defined, and the following areas are discussed: 1) why responses to AIDS by secular organizations will be significantly less effective without the


Distress profile of HIV-infected single parents: comparisons to target counseling interventions.
Int Conf AIDS 1990 Jun 20-23; 6:330 (abstract no. Th.D.817)
Earl W, Martindale C, Cohn D; Denver Disease Control Service, Denver, CO, USA
OBJECTIVE: To quantify the psychosocial distress levels experienced by heterosexual parents infected with HIV and to compare with gay and bisexual men (GM) in order to provide more useful counseling. METHODS: Three groups of single parents were compared to a random sample drawn from a longitudinal cohort study (LCS) of


Interactive training series for caregivers of HIV infected children.
Int Conf AIDS 1990 Jun 20-23; 6:330 (abstract no. Th.D.816)
Riley MW; Academy for Educational Development, Washington, DC, USA
OBJECTIVE: To identify the educational and emotional needs of caregivers and families (including birth, foster, adoptive, and extended) of children with HIV. To develop training materials for these families and other caregivers including home health aides, community volunteers, and child care providers. METHODS: Famili


New York State's response to elevated rates of HIV infection among women giving birth.
Int Conf AIDS 1990 Jun 20-23; 6:329 (abstract no. Th.D.815)
Whalen D, Holman S, Burke GR, Feldman I; AIDS Institute, New York State Department of Health, NY, USA
OBJECTIVE: To develop an HIV preventive and health services intervention targeted to high risk women giving birth, especially those who receive no prenatal care. METHOD: The Department has identified the HIV prevalence rate of women giving birth by hospital. Employing a phase-in approach and utilizing special grants an


Social characteristics, family behaviour and children psycho- motor development on HIV families.
Int Conf AIDS 1990 Jun 20-23; 6:329 (abstract no. Th.D.814)
Canosa CA, Picazo A, Jaime E, Herrero MA, Lono F, Canosa C; Department of Pediatrics. La Fe Childrens Hospital, Valencia, Spain
OBJECTIVE: To determine long term effect of HIV infection on social characteristics, family behaviour and children s psychomotor development. METHOD: From 1986-1989 120 HIV+ newborns (NB) were identified at LA FE Dpt. of Pediatrics. A prospective study utilizing an ad hoc instrument by a team of pediatricians, psycholo


The psychosocial needs of HIV infected mothers.
Int Conf AIDS 1990 Jun 20-23; 6:329 (abstract no. Th.D.813)
Mok JY, Cosgrove J, Hague RA; City Hospital, Edinburgh, Scotland, UK
OBJECTIVE: To assess the psychosocial needs of HIV infected mothers, with the aim of providing optimum services. METHODS: A standard questionnaire was administered to ascertain current sources of support for HIV infected mothers and children; and to determine if there was a need for a more structured system. RESULTS: F


Perceived discrimination in health care and employment among homosexual men.
Int Conf AIDS 1990 Jun 20-23; 6:329 (abstract no. Th.D.812)
Kass N; Kennedy Institute of Ethics, Georgetown University, Washington, D.C., USA
OBJECTIVE: To compare perceived discrimination in health care delivery and in employment among homosexual men who are seronegative, seropositive or have AIDS. METHODS: Self-administered questionnaires were distributed to Baltimore and Los Angeles MACS participants between October 1987 and December 1988 and to inpatient


Caregivers' perceptions of their school age children with perinatally acquired HIV infection.
Int Conf AIDS 1990 Jun 20-23; 6:328 (abstract no. Th.D.811)
Crandles S, Jean A; SUNY Health Science Center, Brooklyn, N.Y., USA
OBJECTIVE: To determine caregivers perceptions of how children with perinatally acquired HIV, age 4 years and older, are 1) coping with their medical condition; and 2) reacting to HIV related illness and loss in their family. METHOD: Caregivers of children, age 4 and above, were invited to participate in an interview s


Issues in providing services to developmentally disabled HIV infected children.
Int Conf AIDS 1990 Jun 20-23; 6:328 (abstract no. Th.D.810)
Susser PL, Miller S; Herbert G. Birch Services, New York, NY, USA
Birch Services provides residential, educational, clinical and family support and advocacy services to over 400 developmentally disabled children, adults and their families. Birch became involved with children with AIDS when research and experience indicated that in addition to their medical problems, 95% of the childr


Caregivers handbook for children with HIV infection.
Int Conf AIDS 1990 Jun 20-23; 6:328 (abstract no. Th.D.809)
Gleason-Morgan D, Kaplan M; Los Angeles Pediatric AIDS Network, Los Angeles, CA, USA
OBJECTIVE: To develop a handbook to serve as a practical guide for caregivers/family members of children with HIV infection. METHOD: Nurses representing ten HIV treatment centers and related programs in Los Angeles County collaborated with other health care providers in the writing of the handbook. Topics covered inclu


Follow-up study of a support group for parents and caretakers of children with HIV infection.
Int Conf AIDS 1990 Jun 20-23; 6:328 (abstract no. Th.D.808)
Aiges J, Hopkins S, Co M, Kaplan E, Pahwa S; Department of Social Work and Pediatrics, North Shore University Hospital-Cornell University, Medical College, Manhasset, New York, USA
OBJECTIVE: To perform a follow-up study of the first support group in Long Island, New York for parents and caretakers of children with HIV infection. METHOD: A support group, consisting of parents and caretakers of HIV-infected children, was evaluated over a three year period. RESULTS: Major positive connections and c


Newborns as research subjects in AIDS drug trials under ambiguous federal regulations.
Int Conf AIDS 1990 Jun 20-23; 6:327 (abstract no. Th.D.807)
Grodin MA, Mariner W; Boston University, Boston, Mass., USA
OBJECTIVE: Federal regulations governing children as research subjects focus on research involving children who are ill. Healthy children are not explicitly considered. This study analyzes difficulties in applying the regulations to research that offers no personal benefit and some risk to some children, but holds prom


Maternal perinatal history: inadequate predictor of HIV exposure.
Int Conf AIDS 1990 Jun 20-23; 6:327 (abstract no. Th.D.806)
Partridge JC, Wong DF, Sokal KB, Wara DW; University of California, San Francisco, Calif., USA
OBJECTIVE: To determine whether the maternal perinatal history is an adequate predictor of perinatal HIV exposure to the infant. METHODS: All delivered parturients (n=3328) were interviewed using standardized questionnaires during routine obstetric and nursery care. Mothers who admitted medical or social risks for HIV


Client compliance with perinatal AIDS research: the Bay Area Perinatal AIDS Center (BAPAC) experience.
Int Conf AIDS 1990 Jun 20-23; 6:327 (abstract no. Th.D.805)
Hauer LB, Shannon M, Mann L, Whidden R, Kahn W, Butler F; University of California, San Francisco, California, USA
OBJECTIVE: Recruit HIV+ pregnant women and controls into BAPAC to study maternal HIV progression, fetal outcome, maternal-fetal transmission, and HIV diagnosis and progression in infants. Ensure ongoing client compliance with research and clinical protocols. METHODS: 1) recruitment from hospital and community prenatal


AIDS concerns and women's reproductive intentions: HIV testing and pregnancy choices.
Int Conf AIDS 1990 Jun 20-23; 6:327 (abstract no. Th.D.804)
Balanon A, Fordyce EJ, Stoneburner R; New York City Department of Health, NYC, NY, USA
OBJECTIVE: To determine predictors of pregnancy intentions of women with perceived and/or real risks for AIDS if tested HIV+. METHODS: 1850 women in New York City households, aged 15-44 years were interviewed about their reproductive histories and intentions. Women who were pregnant or planning pregnancy (N=609) and wi


Pregnant women's attitudes about HIV testing.
Int Conf AIDS 1990 Jun 20-23; 6:326 (abstract no. Th.D.803)
O'Campo P, Kass N, Geller G, Gielen A, Faden R; Johns Hopkins School of Public Health, Baltimore, MD, USA
OBJECTIVE: To document the relationships among pregnant women s perceived risk of HIV infection, their reasons for choosing or not choosing to be tested during pregnancy, their beliefs about the consequences of testing and their public policy preferences regarding HIV screening for pregnant women. METHODS: First as a p


A community based family health service agency as a strategic site for perinatal AIDS prevention.
Int Conf AIDS 1990 Jun 20-23; 6:326 (abstract no. Th.D.802)
LaChapelle S, Gordon G, Belville R, Indyk D, Shapiro V, Dewart T; Little Sisters of the Assumption FHS, NY, USA
OBJECTIVE: This paper describes a perinatal risk assessment and intervention model at a community-based family health service providing case-management to an extremely high-risk population of hard-to-reach, young, single, inner-city minority mothers characterized by a high prevalence of illiteracy, drug use, poverty an


A statewide program of identification and early intervention of HIV positive women and children.
Int Conf AIDS 1990 Jun 20-23; 6:326 (abstract no. Th.D.801)
Grant CM, Coye M; New Jersey Department of Health, Trenton, NJ, USA
OBJECTIVE: New Jersey has developed approaches to differentially and more aggressively target public health policies to ensure that majority of asymptomatic HIV positive women/children are identified and access system of early intervention for their infection and to prevent further transmission. METHODS: Data from the


Consideration on maternal factors acting on HIV virus in vertical transmission.
Int Conf AIDS 1990 Jun 20-23; 6:326 (abstract no. Th.D.800)
Dos Anjos RM, Carneiro JL, Zaccharias RF; Affiliation not specified
OBJECTIVE: Since 1985 Sorocaba s Conjunto Hospitalar Specialized Clinic on Infectious Diseases takes care of HIV patients. Today women account for 104 (16,6%) of these subjects, from which 30 (28,8%) became pregnant during the last years; 8 (26,7%) of them had previous contact with our clinic, where warning about the w


HIV positive women infected through intravenous drug use in Ireland and their future plans for themselves and their children.
Int Conf AIDS 1990 Jun 20-23; 6:325 (abstract no. Th.D.799)
Foreman M, Flynn D, Pomeroy L, Foran D, Ross D, Mulcahy FM; Department of Genito Urinary Medicine, St. James's Hospital, Dublin 8, Ireland
OBJECTIVE: Of the women with HIV infection attending the GUM Clinic in St. James s Hospital in Dublin over 90% were infected through intravenous drug use. The study set out to determine their future plans for themselves should they develop a HIV related illness and where applicable their plans for their children. METHO


The evolution of dignity: role of Cook County Hospital (CCH) support group for HIV infected women.
Int Conf AIDS 1990 Jun 20-23; 6:325 (abstract no. Th.D.798)
Taylor D, Irvin Y, Rodriguez A, Cohen M, Williamson M; Cook County Hospital, Chicago, Illinois, USA
OBJECTIVE: To develop a culturally relevant group meeting at CCH, where HIV infected women regularly discuss topics of their choice and become empowered through the dynamics of both the collective and individual experience. METHODS: The group meets the same weekday as clinic session. Childcare and refreshments are prov


Reliability and validity of self-reported behaviors: implications for national and international studies.
Int Conf AIDS 1990 Jun 20-23; 6:325 (abstract no. Th.D.797)
Darrow WW; Centers for Disease Control, Atlanta, Georgia, USA
OBJECTIVE: To assess the reliability and validity of self reports of sex practices, sexually transmitted diseases, and intravenous drug use. METHODS: We reviewed confidential interview data from 1410 prostitutes for internal consistency (reliability) and compared responses to standardized questions with laboratory find


Condom use with clients and private partners among transvestites in Italy.
Int Conf AIDS 1990 Jun 20-23; 6:325 (abstract no. Th.D.796)
Covre P, Tirelli U, Serraino D, Corso C, Crosato I, Rezza G; Centro di Riferimento Oncologico, Aviano, Italy
OBJECTIVE: Male prostitution, though potentially important for HIV transmission, has received yet little attention, as compared to female prostitution. The aim of the present study was to investigate the sexual habits of transvestites, in particular the frequency of condom use. METHODS: The present data set concerns th


Sexual behavior in Brazil: a comprehensive compilation of existing data.
Int Conf AIDS 1990 Jun 20-23; 6:324 (abstract no. Th.D.795)
Pinel A; Ministry of Health, Brasilia, DF, Brazil
The sexually permissive image of Brazil , together with the fast and steady increase of AIDS cases in the country, has brought about great interest concerning the existing sexual practices. Nevertheless, inadequate dissemination of results and the lack of a proper database on the subject, among other problems, have mad


Developing AIDS education interventions for non-gay identified men having sex with other men.
Int Conf AIDS 1990 Jun 20-23; 6:324 (abstract no. Th.D.794)
Hartfield K, Smith K, Perdue T; Seattle-King County Department of Public Health, Seattle, WA, USA
OBJECTIVE: To describe a method to gather information for developing appropriate AIDS education interventions for non-gay identified men having sex with other men (NGIMWM). METHODS: We implemented a formal 4-phase community identification process to identify methods of accessing & intervening with NGIMWM, a difficu


Behavior changes in bisexual males in Belo Horizonte, Brazil (1986-1989).
Int Conf AIDS 1990 Jun 20-23; 6:324 (abstract no. Th.D.793)
Oliveira MR, Greco DB, Oliveira EI, Castro MJ, Carneiro RL, Cardoso M, Costa MF; Immunodeficiency Clinic, Infectious and Parasitic Diseases Service, Faculty of Medicine, Federal University of Minas Gerais, Brazil
OBJECTIVE: To evaluate behavior changes in bisexual males attending a reference outpatient clinic for HIV in Belo Horizonte, Brazil . METHODS: It was defined as bisexual, males who have had at least one male partner in the last 5 years and at least one female partner in the last 2 years; they comprised one third of the


Impediments to accessing services for black gay and bisexual men who choose not to be "gay identified".
Int Conf AIDS 1990 Jun 20-23; 6:324 (abstract no. Th.D.792)
Russell M; The New York Hospital-Cornell Medical Center, New York, N.Y., USA
OBJECTIVE: To examine how internalized homophobia in black gay and bisexual males impedes acceptance of gay identified services. METHOD: Data collected came from two sources: Review of 25 patient charts of black males who are self identified as having had same sex experiences, and interviews with clinic social workers.


AIDS knowledge and high risk behavior among gay black males.
Int Conf AIDS 1990 Jun 20-23; 6:323 (abstract no. Th.D.791)
Minns DR; National Task Force on AIDS Risk Reduction, San Francisco, California, USA
The objectives of this study were to (1) measure AIDS knowledge, attitudes, and behaviors among gay Black males in the U.S., (2) assess the effectiveness of AIDS education efforts for this group, and (3) provide information for improving prevention and treatment policy and planning for Black males. The methodology was


Condom use in homosexual men: cohort & cross-sectional studies.
Int Conf AIDS 1990 Jun 20-23; 6:323 (abstract no. Th.D.790)
Harrison J, Johnson E, Doll L, Lifson A, Bolan G, Hessol N, Joy D; Centers for Disease Control, Atlanta, GA, USA
OBJECTIVE: To examine self-reported reasons for homosexual men not using condoms in 2 San Francisco HIV studies: cohort and cross-sectional. METHODS: Homosexual men from 2 studies who reported unprotected anal (UPA) sex in the previous 4 months were compared, including 156 men from an ongoing cohort study of HIV infect


Representation and analysis of the structure of sexual behaviour in the context of HIV transmission.
Int Conf AIDS 1990 Jun 20-23; 6:323 (abstract no. Th.D.789)
Coxon AP, Davies PM; University of Essex, Colchester, England
OBJECTIVE: To meet the need for comparable and compatible reporting structures for studies of sexual (and primarily homosexual) behaviour by national and international studies: a logical structure has been developed describing sexual behaviour primarily in terms of modality (inserter/insertee etc.) sexual act (behaviou


Condom use among intravenous drug users.
Int Conf AIDS 1990 Jun 20-23; 6:323 (abstract no. Th.D.788)
Catanzarite L, Margolis E, Biernacki P, Feldman HW; Dept. of Sociology, Stanford University, Stanford, CA, USA
OBJECTIVE: To identify predictors of condom use among intravenous drug users (IVDUs) and their sexual partners in San Francisco. METHODS: Structured interviews were conducted with 752 IVDUs. Contingency table analysis was employed, where statistical significance was assessed with a chi-square statistic. Condom use was


Women's sexual risk behavior among parenteral drug users.
Int Conf AIDS 1990 Jun 20-23; 6:322 (abstract no. Th.D.787)
Ehrhardt AA, Meyer-Bahlburg H, Exner T, Gruen R, Lorenz G, Goetz R, El-Sadr W, Sorrell S, Gorman J; HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, N.Y., USA
OBJECTIVE: To compare among Parenteral Drug Users (PDU), HIV+ women with HIV- women as to number of sex partners and high risk sexual practices. METHODS: Thirty-nine HIV+ and 36 HIV- women of comparable age (mean 37 years), ethnic background (2/3 black), and socioeconomic status (mostly low) were recruited from an infe


Sexual and physical abuse as factors in continued risk behavior of women IV drug users in a South Bronx methadone clinic.
Int Conf AIDS 1990 Jun 20-23; 6:322 (abstract no. Th.D.786)
Worth D, Drucker E, Eric K, Pivnick A; Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA
OBJECTIVE: To explore the relationship between sexual and physical abuse, and drug related HIV risk-taking behavior of women IV drug users. METHODS: Participant observation and individual ethnographic interviews of 30 women were employed to collect descriptive data on their lives and individual patterns of drug and sex


Sexual risk taking among women at risk for HIV.
Int Conf AIDS 1990 Jun 20-23; 6:322 (abstract no. Th.D.785)
Nanda D, Endias R, Jaccard J, Minkoff H; State U. of N.Y. Health Sciences Ctr. Brooklyn, USA
OBJECTIVE: To describe the scope of sexual risk taking among women in a community endemic for HIV. METHODS: A convenience sample of 350 sexually active minority women were interviewed during clinic visits. Questions covered demographics, sexual behavior, contraceptive use, drug use, and attitudes about HIV and sexually


Unprotected vaginal and anal sex among young sexually active women.
Int Conf AIDS 1990 Jun 20-23; 6:322 (abstract no. Th.D.784)
Beirnes D, Eversley R, Newstetter A, Gotch L, Avins A; Planned Parenthood Alameda/San Francisco, CA, USA
OBJECTIVE: To determine the ethnic and risk-perception associates of unprotected sex among young sexually active women. METHOD: 210 White (87), Black (85), Latina (21) and Asian (17) young adult female family planning patients attending San Francisco Bay Area Planned Parenthood Clinics were interviewed to determine the


Condom usage and demand among Zaire river boat travellers.
Int Conf AIDS 1990 Jun 20-23; 6:321 (abstract no. Th.D.783)
Payanzo N, Kakera L, Wahlmeier G; IPN and Universite de Kinshasa, Kinshasa, Zaire
OBJECTIVE: As travelling on the Zaire river boat is a popular and reasonably priced way of travelling from Kinshasa to Kisangani and back, the study intends to assess the need and the possibility for the social marketing of condoms on the boat and along the river towns during a typical fourteen day journey upstream. ME


AIDS, STD's and condoms acceptability in high risk groups in Matadi, Zaire.
Int Conf AIDS 1990 Jun 20-23; 6:321 (abstract no. Th.D.782)
Payanzo N, Mivumbi N, Kakera L; IPN and Universite de Kinshasa, Kinshasa, Zaire
OBJECTIVE: To assess the knowledge, attitude and practices of condom use in order to make them an important means of protection, more acceptable, available and usable. METHODS: A series of three questionnaires were designed, adapting to three different samples of high risk groups; inhabitants of ages 15-55, transients


Educational video promotes knowledge and behaviour change among women in Kigali, Rwanda.
Int Conf AIDS 1990 Jun 20-23; 6:321 (abstract no. Th.D.781)
Muska S, Serufilera A, Allen S, McCarthy T, Tice J, Lindan C, Keogh P; Projet San Francisco, Kigali, Rwanda
OBJECTIVE: To determine the acceptability and usefulness of educational video in promoting knowledge and behaviour change among urban Rwandan women. METHODS: An educational video about AIDS and safer sex, using the local language and local actors, was developed for 1469 urban Rwandan women enrolled in a cohort study of


Law enforcement and the risk of HIV transmission among street-involved women.
Int Conf AIDS 1990 Jun 20-23; 6:321 (abstract no. Th.D.780)
Clay C, Kleyn J, McGough J, Freeman C, Nyrop K; Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA, USA
OBJECTIVE: To examine how Seattle s drug paraphernalia and probation laws shape the behavior of women at risk for HIV through IV drug use and street-based sex work. Moreover, to illustrate how sex workers and people using IV drugs have emerged as foci where the conflicting strategies of public health and law enforcemen


Prostitutes, search and find education: a report by the affected community.
Int Conf AIDS 1990 Jun 20-23; 6:320 (abstract no. Th.D.779)
Leigh C; National Task Force on Prostitution, San Francisco, California, USA
OBJECTIVE: This study presents an array of issues determined by national and international prostitutes rights organizations and HIV prevention/education organizations which target prostitutes. The main research question is: How can we develop humane HIV prevention/education programs within the context of legal systems


Determinants of effective AIDS education and counselling among Filipino women at high risk of HIV infection.
Int Conf AIDS 1990 Jun 20-23; 6:320 (abstract no. Th.D.778)
Bagasao TM, Quintos ML, Monzon OT, Giannone P, Asoy LA; Kabalikat ng Pamilyang Pilipino Foundation, Metro Manila, Philippines
OBJECTIVE: To identify determinants for effective education and counselling on AIDS of women sex workers in the Philippines . METHOD: Using a detailed interview, information on health and AIDS-related knowledge, attitudes and practices was obtained from 640 randomly selected female sex workers working in Metro Manila.


Analysis of factors related with HIV infection in 961 female sexual workers.
Int Conf AIDS 1990 Jun 20-23; 6:320 (abstract no. Th.D.777)
Uribe P, Hernandez AM, Ornelas HG, Jesus MR, Chavez PF, Sepulveda AJ; AIDS Information Center. CONASIDA. Mexico City. Mexico
OBJECTIVE: To characterize the prostitution population identifying the risk factors associated with seropositivity and with adoption of preventive methods. METHODS: 961 female prostitutes attending the AIDS Information Center in Mexico City from April 1987 to December 1989 were analyzed. The prostitutes and prostitutes


Belgian adolescents and AIDS. A survey of risk behaviour and prevention.
Int Conf AIDS 1990 Jun 20-23; 6:320 (abstract no. Th.D.776)
Nieuwinckel S, Knops N, Poppe E, Van Hove E; University of Antwerp - U.I.A., Antwerp, Belgium
OBJECTIVE: Survey of sexual behaviour of Belgian adolescents. METHODS: A random sample of 800 Belgian adolescents aged between 15 and 23 were asked to answer a predominantly closed-ended questionnaire. It was processed with bi and multivariate statistical analysis techniques. RESULTS: The nature of sexual contact (vagi


Adolescent education for sexuality--a strategy for AIDS prevention in developing cultures.
Int Conf AIDS 1990 Jun 20-23; 6:319 (abstract no. Th.D.775)
Shah B, Thakur V, Bhimani G, Gilada I; Indian Health Organisation, J. J. Hospital, Bombay, India
OBJECTIVE: Our interest has been to identify, cost minimizing and culturally congruent strategies towards AIDS and STD prevention within the relevant economically handicapped ethos of countries like India . METHOD: Effectivity of AIDS and STD prevention, embedded within an education program for Human Sexuality was revi


AIDS knowledge and sexual behavior among University of Puerto Rico students.
Int Conf AIDS 1990 Jun 20-23; 6:319 (abstract no. Th.D.774)
Cunningham I, Rodriguez Sanchez M; University of Puerto Rico, Rio Piedras Campus, Rio Piedras, Puerto Rico
OBJECTIVES: To study sexual behavior, drug experience, and knowledge of AIDS among University of Puerto Rico students and the interrelations of these factors. METHODS: A 122 item questionnaire was administered to a representative sample of 3905 students from 10 campuses of the University of Puerto Rico. RESULTS: Genera


Sexual behavior and knowledge about AIDS in students.
Int Conf AIDS 1990 Jun 20-23; 6:319 (abstract no. Th.D.773)
Elsing C, Musial F, Seifert B, Erckenbrecht JF, Strohmeyer G; Department of Medicine, Heinrich-Heine University, Dusseldorf, FRG
INTRODUCTION: Knowledge about different risk behaviors is an important basis for the success of AIDS information campaigns. For this reason, a 26 item questionnaire was given to 604 university students (44% male and 56% female) to evaluate sexual behavior and knowledge about AIDS. Students were divided into three subgr


Sexuality and AIDS in the Netherlands; results from a national survey.
Int Conf AIDS 1990 Jun 20-23; 6:319 (abstract no. Th.D.772)
Sandfort T, Van Zessen G, De Vroome E, Straver C, Tielman R; University of Utrecht, Utrecht, The Netherlands
OBJECTIVE: To describe the sexual behavior of Dutch citizens in the context of HIV transmission as it relates to: potential risk of transmission, awareness of this risk, knowledge about AIDS, the endorsement of misperceptions about transmission. METHODS: A representative sample of 1000 Dutch citizens between the ages o


Sexual behavior of a French population and precautions facing AIDS.
Int Conf AIDS 1990 Jun 20-23; 6:318 (abstract no. Th.D.770)
Lhomond B, Bouhet B, Denni B, Lagrange H, Zorman M; P.R.O.M.S.T, France
I. The study describes the sexual behavior of the population and focuses on multiple sexual partnership in relation to the diversity of sexual practices and use of condoms. II. The examined population is a representative sample (drawn by quota-sex, age, place of living) of 1511 people, 18 to 59 years old, living in Rho


Sexual behaviour in the City of Lisbon - Preliminary Results
Int Conf AIDS 1990 Jun 20-23; 6:318 (abstract no. Th.D.769)
Amaro F, Teles L, Dantas A; Technical University of Lisbon, Lisbon Portugal
OBJECTIVES: 1- Study sexual behaviour of the population in general to obtain more knowledge, in order to elaborate sexual programmes related to AIDS. 2- To develop a methodology to study sexual behaviour in random samples of the population in general. METHODS: 1- A questionnaire on sexual behaviour was designed upon th


Predicting risk behavior with the AIDS risk reduction model (ARRM) in a random household probability sample of San Franciscans: the "AMEN" study.
Int Conf AIDS 1990 Jun 20-23; 6:318 (abstract no. Th.D.768)
Catania J, Coates T, Kegeles S, Peterson J, Marin B, Fullilove M; University of California San Francisco, Center for AIDS Prevention Studies (CAPS), San Francisco, California, USA
OBJECTIVE: Data from the AIDS In Multi-Ethnic Neighborhoods survey are used to test Stages 1 & 3 of ARRM (a three stage process model of sexual risk behavior change; Catania, Kegeles, & Coates, 1990). Stage 1 analyses examine predictors of labeling one s sexual behavior in terms of HIV risk; Stage 3 concerns pr


Access to health care for HIV infection: a consumers perspective.
Int Conf AIDS 1990 Jun 20-23; 6:149 (abstract no. Th.D.64)
Ludington P; American Association of Physicians for Human Rights, San Francisco, CA, USA
"Buyers' clubs" and the legitimization of the AIDS treatment underground -- the PWA (people with AIDS) Health Group as case study.
Int Conf AIDS 1990 Jun 20-23; 6:149 (abstract no. Th.D.63)
Hodel D, Wilkinson SD; The PWA Health Group, New York, NY, USA
OBJECTIVE: To examine the history and development of the AIDS treatment substratum in the context of inferior treatment access systems in the United States . METHODS: The case history of the PWA Health Group (New York City) is documented and investigated in detail, via questionnaire, client and physician interviews, an


Insurance coverage for investigational drugs.
Int Conf AIDS 1990 Jun 20-23; 6:149 (abstract no. Th.D.62)
Austein C, Walkover M, Hadley E; U.S. Department of Health and Human Services, Washington, D.C., USA
OBJECTIVE: To study the possibility of providing insurance coverage for investigational drugs to treat life-threatening diseases. METHODS: The study includes an analysis of the various types of investigational drugs available for patients with AIDS or other life-threatening illnesses. These include treatment INDs, grou


A study of six home-care programmes for persons with HIV-infection in Africa.
Int Conf AIDS 1990 Jun 20-23; 6:149 (abstract no. Th.D.61)
Westphal Victor B, Widdus R, Schietinger H; The Nordic School of Public Health, Goteborg, Sweden
OBJECTIVES: To analyze and compare selected home care programmes for persons with HIV-infection and their families in Africa; to discuss the programmes in the context of national AIDS policies and strategies and WHO s Health for All strategy and WHO policy documents; to suggest ways of learning from and sharing the kno


Medical care for intravenous drug users with AIDS and ARC: delivering services at a methadone treatment program.
Int Conf AIDS 1990 Jun 20-23; 6:148 (abstract no. Th.D.60)
Batki SL, London J, Goosby E, Clement M, Wolfe R, Ryan C, French D, Young M, Miller D, Christmas R, et al; University of California, San Francisco, Department of Psychiatry, San Francisco General Hospital, San Francisco, CA, USA
OBJECTIVE: To examine the utilization of medical services provided for HIV-infected intravenous drug users (IVDUs) on-site at a methadone maintenance treatment (MMT) program. METHOD: On-site primary medical care was provided to serve 175 IVDUs in an MMT program at San Francisco General Hospital. Services were provided


Access, equity, and survival: use of ZVD and pentamidine by persons with AIDS.
Int Conf AIDS 1990 Jun 20-23; 6:148 (abstract no. Th.D.59)
Hidalgo J, Sugland B, Moore R, Chaisson RE; Department of Health and Mental Hygiene, AIDS Administration, Baltimore, Maryland, USA
OBJECTIVE: Earlier studies have concluded that zidovudine (ZVD) and pentamidine produce significant increases in survival among PWAs. Despite the historically high cost and limited availability of ZVD and pentamidine, researchers have not adequately investigated the impact of access to these treatments on survival. Thi


Feasibility of early intervention, counseling and follow up of HIV positives in the Haitian community.
Int Conf AIDS 1990 Jun 20-23; 6:148 (abstract no. Th.D.58)
Marcel AJ, Charles C, Pierre-Louis E, Romulus JR, Michel C, Landesman SH; SUNY Health Science Ctr./Kings County Hosp Ctr., Brooklyn, NY, USA
OBJECTIVE: Are early intervention, adequate counseling and follow up feasible in a population reluctant to seek medical care? METHODS: From 4/88 to 12/89 50 persons (22M, 28F) testing HIV+ for immigration purposes were referred to a Haitian physician. All underwent counseling in Creole, a brief physical exam and lab ev


Access to clinical trials: the "ACTU without walls" concept.
Int Conf AIDS 1990 Jun 20-23; 6:148 (abstract no. Th.D.57)
Kramer AS, Brownstein AP; The National Hemophilia Foundation, New York, NY USA
OBJECTIVE: To provide access to government-sponsored clinical trials for HIV-infected persons with hemophilia at the comprehensive hemophilia treatment centers (HTC) where approximately 50% of hemophilia patients in the U.S. receive care. METHOD: Of the 10 geographic regions (designated by the Department of Health and


Sex and power: young women's sexuality in the shadow of AIDS.
Int Conf AIDS 1990 Jun 20-23; 6:147 (abstract no. Th.D.56)
Holland J, Ramazanoglu C, Scott S, Sharpe S, Thomson R; Institute of Education, London University, UK
This paper reports a qualitative investigation of the sexual practices, beliefs and understanding of young women, including their ideas and experience of risk, danger and control in sexual encounters. The implications of this information for the spread of HIV infection and sex and AIDS education are examined. We have g


Serostatus and relationship formation in the gay community: the AIDS Behavioral Research Project.
Int Conf AIDS 1990 Jun 20-23; 6:147 (abstract no. Th.D.55)
Hoff CC, McKusick L, Coates T, Hilliard B; Center for AIDS Prevention Studies, University of California, San Francisco California USA
OBJECTIVE: As more gay men are tested for HIV antibody, it is becoming evident that serostatus will influence the nature of formation of primary partner bonds in this community. To investigate this question we compared tested seropositives, tested seronegatives, and those who did not know their serostatus or had not be


Preferred strategies for safe sex: relation to past and actual behaviour among sexually active men and women.
Int Conf AIDS 1990 Jun 20-23; 6:147 (abstract no. Th.D.54)
Gallois C, Kashima Y, Hills R, McCamish M; University of Queensland, St. Lucia (Brisbane), Queensland, Australia
OBJECTIVES: To determine the preferred sexual strategies for reducing risk of HIV infection among sexually active heterosexual men and women and homosexual men. To compare these preferences to past behaviour, intentions and behaviour at the next sexual encounter, using recent revisions of the Theory of Reasoned Action


Psychosocial predictors of intended condom use among Zimbabwean schoolpupils.
Int Conf AIDS 1990 Jun 20-23; 6:147 (abstract no. Th.D.53)
Wilson D, Lavelle S; University of Zimbabwe, Harare, Zimbabwe
OBJECTIVE: To identify psychosocial predictors of intended condom use among adolescents to develop optimally effective AIDS education approaches for this group. METHOD: Respondents were a purposive sample of 635 (388 male, 247 female) volunteers (mean age=18.2, SD=2.2) from urban and rural secondary schools in all Zimb


KAP-study and HIV-seroprevalence among prostitutes in rural Burkina Faso.
Int Conf AIDS 1990 Jun 20-23; 6:146 (abstract no. Th.D.52)
Didier B, Lorenz N, Ouedraogo LH, Zina Y, Barth P, Rehle T; Ministere de la Sante et de l'Action Sociale, Ouagadougou, Burkina Faso
OBJECTIVE: To obtain baseline data and to planify HIV education programs an HIV-seroprevalence-study combined with a KAP-Study were carried out among prostitutes working at a gold prospecting site in the North of Burkina Faso . METHODS: All 38 known prostitutes on the site were interviewed using a questionnaire and a b


Profile of the female prostitution in Mexico and HIV risk factors.
Int Conf AIDS 1990 Jun 20-23; 6:146 (abstract no. Th.D.51)
Valdespino JL, Loo E, Izazola JA, Garcia ML, Magis C, Sepulveda J; General Directorate of Epidemiology, Ministry of Health, Mexico
OBJECTIVES: To analyze the socio-demographic profile, sexual practices, knowledge and attitudes on AIDS, condom use, and risk factors in female sex workers (FSW). METHODS: Results of KAB surveys and pilot studies are analyzed in a group of 3,612 FSW in 20 cities in Mexico ; studied variables were: sociodemographic char


AIDS-related health behavior and sexual practices of gay men in Japan.
Int Conf AIDS 1990 Jun 20-23; 6:146 (abstract no. Th.D.50)
Sawazaki Y, Kehoe J; Department of Health Sociology, Graduate School of Medical Science, University of Tokyo, Tokyo, Japan
OBJECTIVE: Though the majority of HIV patients in Japan are Haemophiliacs, the sexual transmission of HIV is increasing. To date, there has been no social research carried out on the sexual transmission of AIDS in Japan. This study looks specifically at Gay Men, exploring their knowledge, attitudes and experience in re


Homosexually and nonhomosexually identified male blood donors who have sex with men: a behavioral comparison.
Int Conf AIDS 1990 Jun 20-23; 6:146 (abstract no. Th.D.49)
Doll L; Centers for Disease Control, Atlanta, GA, USA
OBJECTIVE: Describe nonhomosexually identified men who have sex with men. METHODS: From June 1988-September 1989, 200 seropositive male blood donors who had sex with men were interviewed regarding HIV-related risk behaviors. Self-reported sexual identity was measured on a 7-pt. Kinsey scale. Perception of HIV risk was


Workplace training in an international non-governmental organisation.
Int Conf AIDS 1990 Jun 20-23; 6:173 (abstract no. Th.D.223)
Couteau P, Wallace B, Michael L, Brever N; League of Red Cross and Red Crescent Societies, Geneva, Switzerland
OBJECTIVE: To describe AIDS workplace training in a multicultural international organisation, including policy development, in which non-discrimination and integration of AIDS activities into staff s on-going work are stressed. METHODS: Using extensive interviews and consultation with staff members from all regions of


Still on the job; the Army's experience with the workplace management of the HIV+ soldier.
Int Conf AIDS 1990 Jun 20-23; 6:173 (abstract no. Th.D.222)
Vernon DM; Walter Reed Retrovirology Research Working Group, Walter Reed Army Institute of Research, USA
OBJECTIVE: Examines the effect of the Army s AIDS policy on the military worksite. METHODS: Thirteen HIV+ soldiers were followed from diagnosis (late 1986, early 1987) until late November 1988. Initially diagnosed in Europe, these male soldiers and their commanders were interviewed pre-transfer to a US post (T1), one y


The "open-box" condom policy in the workplace in Africa: effects on attitudes and practices.
Int Conf AIDS 1990 Jun 20-23; 6:173 (abstract no. Th.D.221)
Tavrow PA; USAID, Dar es Salaam, Tanzania
OBJECTIVE: To test whether making condoms easily, reliably, and anonymously available to employees in workplaces in Dar es Salaam, in the absence of active promotion or counseling, leads to changed attitudes and practices in regard to sexual behavior of urban African men and women. METHODS: Starting in mid-1988, severa


The impact of workplace AIDS education on attitudes toward people with HIV/AIDS.
Int Conf AIDS 1990 Jun 20-23; 6:173 (abstract no. Th.D.220)
Leonard J, Hartfield K, Smith K; Seattle-King County Department of Public Health, Seattle, Washington, USA
OBJECTIVE: To measure the impact of workplace AIDS education on employee knowledge and attitudes about people with AIDS and people at risk for HIV infection. METHODS: We developed a two-hour curriculum, augmenting our standard AIDS 101 curriculum with additional materials on AIDS-related prejudice, discrimination, and


AIDS prevention in Brazilian enterprises.
Int Conf AIDS 1990 Jun 20-23; 6:172 (abstract no. Th.D.219)
Moreira Lima MD, Rodrigues LG, Rodrigues JF Jr; National Division of Sexually Transmitted Diseases/AIDS-Ministry of Health-Brazil
CONTEXT: Nearly 20 million individuals work in the approximately 3 million enterprises in Brazil . These individuals are predominantly in the age group 18-48, in which the majority of AIDS cases in the country falls. This fact led the STD/AIDS Division of the Ministry of Health in Brazil to start out actions targeted a


Large increase in health care utilization by HIV infected employees at a commercial bank in Kinshasa, Zaire.
Int Conf AIDS 1990 Jun 20-23; 6:172 (abstract no. Th.D.218)
Mposo N, Bertozzi S, Kamenga M, Doppagne A, Engele B, Ryder R; Projet SIDA, Kinshasa, Zaire
OBJECTIVE: To evaluate the impact of HIV infection on health care utilization at large service corporation in Zaire . METHODS: We used a previously identified cohort of HIV positive (ELISA/Western Blot) employees (n=90) at a large bank in Kinshasa and selected a seronegative control cohort of equal size, individually m


An evaluation of a workplace AIDS education intervention program focusing on HIV knowledge levels and attitudes toward gay men and people with AIDS.
Int Conf AIDS 1990 Jun 20-23; 6:172 (abstract no. Th.D.216)
Cowen E, Maddix J; DC Area Resource Center of Mid-Atlantic AIDS Education & Training Center, Georgetown U., Washington, DC, USA
OBJECTIVE: The effectiveness of the Whitman-Walker Clinic s AIDS in the Workplace intervention program was evaluated. METHODS: Prior to attending the AIDS in the Workplace workshop developed and presented by staff members of the Whitman-Walker Clinic (D.C. s primary community-based AIDS service agency), 289 federal and


Training managers and supervisors on the "law of AIDS" in the United States.
Int Conf AIDS 1990 Jun 20-23; 6:171 (abstract no. Th.D.215)
Nau CJ; Syntex Corporation, Palo Alto, California, USA
A key factor in the American civil rights revolution of the sixties and early seventies was not just the passage of federal and state anti-discrimination legislation but corporate America s response to those legal mandates and proscriptions. To properly recognize the rights of HIV-infected employees, as well as to prev


Why do persons with HIV-related illness stop working?
Int Conf AIDS 1990 Jun 20-23; 6:171 (abstract no. Th.D.214)
Yelin EH, Greenblatt R, Hollander H, McMaster J; University of California, San Francisco, USA
OBJECTIVE: To determine the risk factors (RF) for work disability (WD) among persons with HIV-related illness (HIV). WD is defined as total cessation of employment among those working at onset of illness. The RF analyzed include: symptoms and diagnoses of HIV, demographics, and the physical requirements and flexibility


HIV infectivity program on Tap Air Portugal.
Int Conf AIDS 1990 Jun 20-23; 6:171 (abstract no. Th.D.213)
Alves-Sa J, Sousa-Ura A, Sa-Leal A; Health Department, Tap Air Portugal, Lisboa, Portugal
At present, HIV infectivity in workplace is not only a medical problem since it concerns as well social, political, cultural, ethical and legal aspects. Any approach of workplace HIV infectivity must involve an increase in preventive measures in order to avoid new seropositives and protect against discrimination. The p


AIDS-education and prevention in the workplace in Uganda.
Int Conf AIDS 1990 Jun 20-23; 6:171 (abstract no. Th.D.212)
Rwakagiri F, Okware S; Federation of Uganda Employers, Uganda.
OBJECTIVE: The available data show that 85% of AIDS cases in Uganda is between 15 years to 55 years. This is the age that is in meaningful employment. In the absence of the drug nor vaccine against AIDS, in an effort to curtail the spread of AIDS, the employer has to devise means of letting the available information on


Adoption as a life plan for HIV-positive children.
Int Conf AIDS 1990 Jun 20-23; 6:165 (abstract no. Th.D.128)
Gurdin P, Wiznia A, Canepa L; Leake and Watts Children's Home Inc., Yonkers, NY, USA
OBJECTIVE: To demonstrate that, by means of innovative recruitment and supportive services strategies, families can be identified which will adopt HIV-positive children. METHODS: A historical data base describing the HIV-positive children placed with foster families by Leake and Watts pioneering AIDS specialized foster


AIDS orphans in Kinshasa, Zaire.
Int Conf AIDS 1990 Jun 20-23; 6:165 (abstract no. Th.D.127)
Kamenga M, DaSilva M, Muniaka K, Matela B, Batter V, Ryder R; Projet SIDA, Kinshasa, Zaire
OBJECTIVES: To determine the impact premature maternal mortality has had on children whose mothers have died of HIV/AIDS (AIDS orphans). METHODS: Since 1986 475 newborn infants of 466 HIV(+) women and 616 newborn infants of 606 matched HIV(-) women have been followed. Within this cohort, a nested case-control study has


Pediatric AIDS hospitalizations in New Jersey.
Int Conf AIDS 1990 Jun 20-23; 6:165 (abstract no. Th.D.126)
Conviser R, Grant C, Coye M; Children's Hospital AIDS Program, Newark, NJ, USA
OBJECTIVE: To determine correlates of inpatient utilization for all children with AIDS hospitalized in New Jersey during 1987. METHODS: All New Jersey hospital discharge abstracts from 1987 were scanned for AIDS diagnoses and matched to the state AIDS Registry to find those corresponding to children under 13 with AIDS.


Clinicians' attitudes about the aggressiveness of treatment for newborns at risk for AIDS: an ethical issue in the NICU.
Int Conf AIDS 1990 Jun 20-23; 6:165 (abstract no. Th.D.125)
Levin BW, Driscoll JM, Fleischman AR; Brooklyn College, Brooklyn, NY, USA
OBJECTIVE: To investigate attitudes about treatment for newborns in neonatal intensive care units (NICUs) who are at risk for AIDS. METHODS: Questionnaires were distributed to physicians, nurses, and ethics committee members in NICUs at six hospitals in New York City; 247 responded. Treatment recommendations were elici


Adult children of persons with AIDS: issues and treatment.
Int Conf AIDS 1990 Jun 20-23; 6:164 (abstract no. Th.D.124)
Greene D, McVinney D; Gay Men's Health Crisis, New York, New York, USA
OBJECTIVE: The objective of this paper is to: 1) identify psychological themes and behaviors expressed by adult children of Persons With AIDS (PWA s) and 2) to identify counseling strategies specific to this population. METHOD: Information presented will be based upon descriptive data collected through five years of cl


Treating the non-infected sibling: an AIDS dilemma.
Int Conf AIDS 1990 Jun 20-23; 6:164 (abstract no. Th.D.123)
Harris A, Nozyce M, Caffrey B, Wiznia A, Caspe W; Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, New York, USA
OBJECTIVE: To assess the entire family dynamics and to offer individualized services to the non-infected siblings. METHODS: The clinic is currently following 90 children: 29 are in foster care, 20 with relatives and 31 are living with their biological mothers. Seven families have relocated and three have been lost to f


Community impact of maternal HIV-1 infections on infant and childhood survival in a Haitian slum 1976-1989.
Int Conf AIDS 1990 Jun 20-23; 6:164 (abstract no. Th.D.122)
Boulos R, Halsey N, Coberly J, Holt E, Kissinger P, Brutus JR, Quinn T, Ruff A, Boulos C; The Centers for Development and Health, Port-au-Prince, Haiti
OBJECTIVE: To evaluate trends in seroprevalence of HIV-1 in pregnant women and the community impact of maternal HIV infection on survival of children. METHODS: From 1986-1989 women attending prenatal clinics in Cite Soleil were screened for antibodies to HIV-1. Infant mortality was estimated by conducting fertility and


Poor sustainability of birth control utilization and consequent high fertility rates in a cohort of 249 HIV(+) Zairian women aware of their serostatus and followed for 30 months post-partum.
Int Conf AIDS 1990 Jun 20-23; 6:164 (abstract no. Th.D.121)
Badi N, Nsuami M, Mundele L, Utshudi M, Matela B, Ryder R; Projet SIDA, Kinshasa, Zaire
OBJECTIVE: To measure the use and effect on fertility rates (FR) of BC techniques freely provided to a cohort of HIV(+) and HIV(-) mothers informed of their HIV serostatus during the immediate post-partum period. METHODS: 249 HIV(+) and 310 age-matched HIV(-) women were enrolled shortly before delivery in 1986-87. Foll


The impact of HIV infection on homophobia in the U.S.
Int Conf AIDS 1990 Jun 20-23; 6:163 (abstract no. Th.D.118)
Coles M; ACLU--San Francisco, CA, USA
Issues in AIDS related legislation: health control versus human rights.
Int Conf AIDS 1990 Jun 20-23; 6:163 (abstract no. Th.D.117)
Bhimani GV, Gilada IS, Thakur V; Indian Health Organisation, J.J. Hospital, Bombay, India
OBJECTIVE: Legislation is likely to be the most conflictual area of sociopolitical response to AIDS. The need for international consensus was highlighted by the experience of a case study. METHOD: As a test case we were involved in countermanding a legislation in one of the states in India , demanding compulsory iso


HIV seropositivity in Spanish prisons.
Int Conf AIDS 1990 Jun 20-23; 6:162 (abstract no. Th.D.116)
Granados A, Miranda MJ, Martin L; Ministerio Justicia, Madrid, Espana
OBJECTIVE: is to know the prevalence of HIV, hepatitis B and syphilis infection among the Spanish prison population, so as the risk factors which do determine it. In order to administer preventive or curative treatment. METHODOLOGY: A transversal study has been performed all over the Spanish prison population, in March


AIDS, human rights and discrimination in Mexico.
Int Conf AIDS 1990 Jun 20-23; 6:162 (abstract no. Th.D.115)
Galvan F, de la Pena R, Gonzalez R; Universidad Autonoma Metropolitana, GIS-SIDA, AC, Mexico
OBJECTIVE: To describe what kind of human rights are frequently violated in AIDS related conditions. Explain the function of sociopolitical, legal and cultural factors in shaping such aggravating. METHODOLOGY: In-depth interviewing, opinion polls in-live research, documentary testimonial and subject analysis. RESULTS:


AIDS and human rights in Czechoslovakia.
Int Conf AIDS 1990 Jun 20-23; 6:162 (abstract no. Th.D.114)
Machala L; Infections House, Bulovka Hospital, Prague, Czechoslovakia
The UK declaration of the rights of people with HIV and AIDS: voluntary organisations join to defend human rights.
Int Conf AIDS 1990 Jun 20-23; 6:162 (abstract no. Th.D.113)
Grimshaw J, Jay M, Kelmanson A; National AIDS Trust (NAT), London, England
OBJECTIVE: A group of voluntary organisations concerned with AIDS and HIV is seeking to raise awareness of the human rights dimensions of the treatment of people with AIDS and HIV in the UK and internationally. METHODS: A working group, convened by the NAT, established a list of shared concerns which have been related


Contraceptive use and HIV infection among women attending family planning clinics in Nairobi, Kenya.
Int Conf AIDS 1990 Jun 20-23; 6:158 (abstract no. Th.C.99)
Mati J, Maggwa A, Chewe D, Solomon M, Mbugua S, Bhullar V, Tukei P, Hunter D, Achola P; University of Nairobi, Kenya
OBJECTIVES: To investigate the relationship between HIV infection and contraceptive use among women not believed to be at high risk for HIV. METHODS: Between Oct. 1989 and Jan. 1990, consenting women attending two Nairobi family planning (FP) clinics were screened for HIV and other sexually transmitted diseases (STD),


Risk factors for HIV-1 infection in pregnant women in Malawi.
Int Conf AIDS 1990 Jun 20-23; 6:158 (abstract no. Th.C.98)
Chiphangwi J, Dallabetta G, Saah A, Liomba G, Miotti P; Ministry of Health, Malawi
OBJECTIVE: To assess the prevalence and associated risk factors for HIV-1 infection in pregnant women attending an antenatal clinic. METHODS: 1482 pregnant women presenting for routine care to the antenatal clinic of a large urban hospital in Malawi were interviewed to assess risk factors for HIV-1 infection in the pre


Non ulcerative sexually transmitted diseases (STD) as risk factors for HIV infection.
Int Conf AIDS 1990 Jun 20-23; 6:158 (abstract no. Th.C.97)
Laga M, Nzila N, Manoka AT, Malele M, Bush TJ, Behets F, Heyward WL, Piot P, Ryder R; CDC, Atlanta, GA, USA
OBJECTIVES: To identify risk factors associated with HIV infection among prostitutes in Kinshasa, Zaire . METHODS: Among 493 HIV (-) prostitutes followed prospectively for a mean duration of 11 months (with monthly STD checkups and HIV testing every 3 months), a case control study was conducted. Cases (n=42) were women


HIV seroprevalence study of involuntarily hospitalized mentally ill homeless: two time frames in New York City.
Int Conf AIDS 1990 Jun 20-23; 6:316 (abstract no. Th.C.767)
Empfield M, Cournos F, Weinstock A, Mayers M, Meyer I, Agosin B; Creedmoor Psychiatric Center, Queens, New York, USA
OBJECTIVE: To determine the changing rate of HIV seroprevalence and risk taking behavior among a group of high risk psychiatric patients, i.e., the homeless mentally ill who shun health care services and are involuntarily hospitalized by mental health teams in New York City. METHODS: The study is conducted on the Creed


Using seroprevalence and immunologic data to estimate ambulatory, laboratory and pharmaceutical needs of a largely asymptomatic population.
Int Conf AIDS 1990 Jun 20-23; 6:316 (abstract no. Th.C.766)
Rautenberg EL, Weisfuse IB; NYC Dept. of Health, AIDS Program Services, New York, NY, USA
OBJECTIVE: To project ambulatory, laboratory and pharmaceutical needs of a largely asymptomatic population by utilizing seroprevalence data combined with information on current immunologic status of seropositive persons. METHODS: A blinded, anonymous serosurvey was conducted in Sexually Transmitted Disease Clinics duri


HIV-1 serosurveys of various populations in Newark, N.J.
Int Conf AIDS 1990 Jun 20-23; 6:316 (abstract no. Th.C.765)
Brandon D, Altman R, Shahied S, Patel R, Pizzuti W, Robeson L; New Jersey State Department of Health, Trenton, NJ, USA
OBJECTIVE: The City of Newark has a very high AIDS case rate; in 1988 the AIDS incidence rate was 133/100,000. In order to determine the prevalence of HIV-1 infection in various populations in this high incidence city, we conducted HIV-1 testing of clients attending various Newark-based clinics and of infants born in N


HIV-1 surveys of premarital blood specimens in a high AIDS incidence state.
Int Conf AIDS 1990 Jun 20-23; 6:316 (abstract no. Th.C.764)
Altman R, Shahied S, Pizzuti W, Brandon D, Freund C, Dimasi L; New Jersey Department of Health, Trenton, New Jersey, USA
OBJECTIVE: Most statewide premarital HIV-1 testing has been done because of laws in low AIDS incidence states, with a low HIV-1 prevalence being found in these premarital specimens. Therefore, such testing was not considered to have public health value. We have looked at premarital HIV-1 testing in the state with the s


Prevalence of HIV infection and distribution of risk factors among heterosexuals in Southeast New England.
Int Conf AIDS 1990 Jun 20-23; 6:315 (abstract no. Th.C.763)
Zierler S, Feingold L, Laufer D, Carpenter C, Mayer K; The New England Behavioral Health Study, Brown University, Providence, Rhode Island, USA
OBJECTIVE: To describe pattern of occurrence of HIV infection in a heterosexual cohort. METHODS: Interviews and serologies from 653 participants of a population-based prospective study of heterosexual spread of HIV infection provided basis for mathematical modeling of exposure to blood, semen, race, gender, and partner


Second generation of heterosexual transmission of HIV.
Int Conf AIDS 1990 Jun 20-23; 6:315 (abstract no. Th.C.762)
Masiero J, Chen R, Armour G, Sone C, Fischl MA; University of Miami AIDS Clinical Research Unit, Miami, Florida, USA
OBJECTIVES: To evaluate the pattern of heterosexual transmission of HIV among adult AIDS cases reported to the Public Health Department (PHD) in a large urban area. METHODS: An active surveillance program emphasizing accurate, systematic retrieval of demographic information, risk information, and HIV disease patterns h


Risk for AIDS in multiethnic neighborhoods in San Francisco: the AMEN Study.
Int Conf AIDS 1990 Jun 20-23; 6:315 (abstract no. Th.C.761)
Fullilove M, Wiley J, Fullilove R, Catania J, Golden E, Hulley S; UCSF, Center for AIDS Prevention Studies (CAPS), San Francisco, CA, USA
OBJECTIVE: To assess the prevalence of HIV and AIDS risk behaviors in a probability sample of single adults in San Francisco, California. METHOD: The Amen Study is a population-based survey of 1781 single adults in three high risk San Francisco neighborhoods. A 45-minute interview was conducted in which respondents wer


Gonorrhea and syphilis trends during the AIDS epidemic: USA.
Int Conf AIDS 1990 Jun 20-23; 6:315 (abstract no. Th.C.760)
Moran JS, Peterman TA, Gershman KA, Rolfs RA, Nakashima AK, Zaidi A; Centers for Disease Control, Atlanta, Georgia, USA
OBJECTIVE: Gonorrhea (NG) and syphilis are markers for sexual behaviors that permit transmission of HIV. We analyzed trends in NG and syphilis incidence to learn how they have changed in the US and its subpopulations. METHODS: We reviewed NG and primary and secondary syphilis reported for 1981-88 to CDC. In this abstra


HIV infection among serially tested adult Americans.
Int Conf AIDS 1990 Jun 20-23; 6:314 (abstract no. Th.C.759)
Cowan DN, Pomerantz RS, Wann ZF, Goldenbaum M, Brundage JF, Miller RN, Burke DS; SRA Technologies, Inc., Alexandria, VA, USA
OBJECTIVES: Assess HIV infection prevalence, incidence, and risk factors in Army Reserve Components (RC) members. METHODS: Members of the RC are required to be tested for HIV infection every 2 years, providing prevalence and incidence information in a large, primarily civilian, geographically dispersed population. Fact


Trends of HIV-Ab rates in civilian applicants for military service since 1985.
Int Conf AIDS 1990 Jun 20-23; 6:314 (abstract no. Th.C.758)
Gardner L, Brundage JF, Goldenbaum MB, Burke DS, Miller RN; Walter Reed Army Institute of Research, Washington DC, USA
OBJECTIVE: To describe the demographic and geographic correlates of HIV prevalence, incidence and incidence acceleration in over 2 million U.S. civilian applicants for military service over the past 4 years. METHODS: Prevalence trends are examined by year of age separately for males and females. Geographic aggregation


Estimated incidence of HIV seroconversion in active duty members of the US Air Force, August 1988-December 1989.
Int Conf AIDS 1990 Jun 20-23; 6:314 (abstract no. Th.C.757)
Warner R, Wolfe W, Mathis R, Wright E; Epidemiology Division, US Air Force School of Aerospace Medicine, Brooks AFB, Texas, USA
OBJECTIVE: Total-force HIV screening of active duty US Air Force (USAF) members was begun to identify blood donor deferrals and to determine the incidence of seroconversion in this population. METHODS: Seroconverters were defined as USAF members who tested positive for HIV antibodies by repeated ELISA and Western blot


The temporal trend of incident HIV seroconversions among young adults in the United States Army: 1985-89.
Int Conf AIDS 1990 Jun 20-23; 6:314 (abstract no. Th.C.756)
McNeil J, Wann F, Renzullo P, Brundage J, Redfield R, Burke D, Miller R; Walter Reed Army Institute of Research, Washington DC, USA
OBJECTIVE: To describe temporal trends and demographic correlates of incident HIV seroconversion within the United States Army. METHODS: The Department of Defense has provided routine HIB-Ab screening for the uniformed services and for civilian applicants for military service since November 1985. Within the US Army, so


Significant increases in the annual number of reported HIV-infected patients in U.S. dialysis centers from 1985-1988.
Int Conf AIDS 1990 Jun 20-23; 6:313 (abstract no. Th.C.755)
Favero MS, Alter MJ; Centers For Disease Control, Atlanta, GA 30333 USA
OBJECTIVE: To determine the annual number and types of U.S. dialysis centers that report dialyzing HIV-infected patients, that routinely test patients for anti-HIV, and the trends in patient numbers. METHODS: Each year a mailed questionnaire was sent to all HCFA licensed dialysis centers to obtain information on the nu


Sentinel surveillance for HIV infection in primary care outpatients in the United States.
Int Conf AIDS 1990 Jun 20-23; 6:313 (abstract no. Th.C.754)
Petersen LR, Engel R, Herring N; Centers for Disease Control (CDC), Atlanta, Georgia, USA
OBJECTIVE: To monitor nationwide levels and trends of HIV infection in an accessible segment of the general population not selected on the basis of HIV risk factors and not self-selected. METHODS: Anonymous, unlinked (blinded) HIV-seroprevalence survey of leftover specimens submitted by 6,000 primary care physicians to


Undiagnosed HIV-positive deaths.
Int Conf AIDS 1990 Jun 20-23; 6:313 (abstract no. Th.C.753)
McCormick A; Office of Population Censuses and Surveys, London, WC2B 6JP, UK
OBJECTIVE: Standardised mortality ratios for ninety-five possibly HIV-related causes increased for never-married men aged 15-54 years from 100 in 1984 to 119 in 1988. HIV infection was stated as the cause for only 56% of excess deaths. The study aimed to establish for how many of the remainder HIV infection was undiagn


AIDS incidence and cause specific mortality among intravenous drug users in Rome, Italy.
Int Conf AIDS 1990 Jun 20-23; 6:313 (abstract no. Th.C.752)
Davoli M, Rapiti E, Forastiere F, Fiume A, Arca M, Perucci CA; Regional Epidemiology Unit, Rome, Italy
OBJECTIVE: To examine AIDS incidence, overall and cause specific mortality rates among intravenous drug users in Italy . METHODS: -A cohort of 4202 drug users attending (period 1980-88), at least once, three drug treatment centers in Rome followed-up until 12/31/1988; - AIDS incidence assessed through the Latium HIV Su


AIDS as an emerging cause of premature death in Italy.
Int Conf AIDS 1990 Jun 20-23; 6:312 (abstract no. Th.C.751)
Conti S, Farchi G, Greco D; Istituto Superiore di Sanita', Roma, Italy
OBJECTIVE: To analyze the impact on premature mortality of AIDS in Italy both in the present time and in the near future. METHODS: The demographic indicators referred to as the Years of Potential Life Lost before 65 years were used to evaluate the impact of a mortality cause in the early adulthood in the whole country


Incidence and mortality from HIV infection in workers and their spouses at 2 large Kinshasa, Zaire businesses.
Int Conf AIDS 1990 Jun 20-23; 6:312 (abstract no. Th.C.750)
Kaseka N, Batter V, Ndilu M, Kamenga M, Safi E, Kambale R, Ryder R; Projet SIDA, Kinshasa, Zaire
OBJECTIVES: To calculate the yearly HIV incidence, prevalence and mortality in 5766 employees of 2 large businesses and their 4917 spouses. METHODS: Between 1987 and 1989 all employees at 2 businesses and their spouses have undergone 3 annual physical examinations and HIV serology testing. A questionnaire to identify r


Prevalence and impact of AIDS among hospitalized internal medicine patients of a general hospital in Kinshasa, Zaire: clinical surveillance data.
Int Conf AIDS 1990 Jun 20-23; 6:312 (abstract no. Th.C.749)
Kapita B, Nyst M, Liambi L, Behets F, Perriens J; Mama Yemo Hospital, Kinshasa, Zaire
METHODS: Between Feb 1 and Oct 31, 1989 all consecutive admissions to the 209 bed internal medicine dept. of Mama Yemo Hospital were evaluated with a surveillance card containing demographic and risk factor information, entries corresponding to the modified WHO defined clinical case definition of AIDS, used to diagnose