7th International AIDS Conference


Florence, Italy — June 16-21, 1991

Cite as: Int Conf AIDS. 1991 Jun 16-21;7:Abstract No. xx

The social and economic impact of AIDS in Latin America and the Caribbean.
Int Conf AIDS 1991 Jun 16-21; 7:21 (abstract no. W.D.8)
Rivera-Dueno J, Borras F, Kouri Y, Shepard D, Sotomayor J, Rizek R; San Juan AIDS Institute, San Juan, Puerto Rico
1) to assess the direct and indirect costs of AIDS in Puerto Rico ; 2) to compare these data with those from other Latin American and Caribbean countries, 3) to discuss policy implications regarding alternative management models. Assess the number of AIDS cases, determine the use of health services


Forecasting the medical care costs of the HIV epidemic in the United States: 1991-1994.
Int Conf AIDS 1991 Jun 16-21; 7:21 (abstract no. W.D.7)
Hellinger FJ; Agency for Health Care Policy and Research, US Dept. of Health and Human Services
To forecast the cost of medical care for all people with the HIV in the United States during the years 1991-1994. Estimates of the number of persons with AIDS (PWAs) during the years 1991-1994 are derived using statistical models and data on the number of AIDS cases reported to the Centers for Disea


A successful recruitment effort for clinical trials on AIDS amongst difficult to reach HIV-infected populations in Harlem; the homeless, substance users and women.
Int Conf AIDS 1991 Jun 16-21; 7:38 (abstract no. W.D.62)
Hardy M, El-Sadr W, Guity C, Traynor M, Capps L, Khanyile C, Paul E, Fuentes L; Harlem Hospital Center
The Harlem AIDS Treatment Group (which includes 2 hospital-based clinics, 5 community clinics, 4 methadone treatment programs and a homeless men s shelter) was established to provide HIV-infected African American and Latino men and women with the opportunity to participate in clinical trials for AIDS. In ord


AIDS and its impact on family: an ethical and legal perspective.
Int Conf AIDS 1991 Jun 16-21; 7:38 (abstract no. W.D.61)
Boroni V; International Center on Ethical, Legal and Forensic-Medical Issues related to AIDS - San Raffaele Hospital, Milan, Italy
THE Of this study is to highlight how AIDS affects the life and the integrity of a family, especially in cases regarding marriage, children, divorce and moments whereby family needs social assistance. The study founds itself on a survey of European laws and Family Court sentences; it also takes into


Incorporating community input into AIDS research: the creation of the AIDS clinical trial group community constituency group.
Int Conf AIDS 1991 Jun 16-21; 7:38 (abstract no. W.D.60)
Barr D, Solis-Marich M, Fraser-Howze D, Killen J, Harrington M; Gay Men's Health Crisis, New York, NY, USA
Responding to calls from patient advocates, the AIDS Clinical Trial Group (ACTG), responsible for most AIDS clinical research in the US, determined it useful for community constituents to be involved in the development of AIDS research. A group of advocates was called on to create a structure for th


The demographic AIDS trap for women in Africa - implications for health promotion strategies.
Int Conf AIDS 1991 Jun 16-21; 7:21 (abstract no. W.D.6)
Decosas J; Canadian International Development Agency; Quebec; Canada
The population pyramid in most African countries is symmetrical with a broad base. However, in urban areas, one finds a prominent one-sided bulge caused by the migration of young males (18-35) into the cities for employment. The prevalence of HIV infection in urban populations in Africa is highest in the 25-35 age-grou


National AIDS control programmes, vertical versus horizontal approaches, the Zambian case study.
Int Conf AIDS 1991 Jun 16-21; 7:38 (abstract no. W.D.59)
Van Praag E, Kalumba K, Himonga HB, Chirwa BU, Haworth A; WHO-GPA Team Zambia
To describe and analyse degree of integration of various structures and operational realities of the Zambian AIDS Prevention and Control Programme (NAPCP) within Ministries and Non-Governmental Organisations (NGOs) at national, provincial, district and community levels. METHODOLOGY: Key variables identifying


Shifting focus; prostitute intervention to client intervention.
Int Conf AIDS 1991 Jun 16-21; 7:37 (abstract no. W.D.58)
Swaminathan S, Kumaresan G; Institute of Social Affairs, Madras, India
To gain an understanding of the factors which will best increase condom use among commercial sex providers and commercial sex seekers in the city of Madras. In May 1990, 100 female prostitutes were recruited for a pilot study to develop HIV intervention program. A series of focus groups were held to


Transforming AIDS groups from monocultural to multicultural.
Int Conf AIDS 1991 Jun 16-21; 7:37 (abstract no. W.D.57)
Rofes E, Paras M; Shanti Project, San Francisco, California, USA
What methods may be used to successfully transform AIDS service organizations so that they adequately serve diverse clients? The study focuses on Shanti Project, a San Francisco group based in the gay community confronting shifting demographics and increased numbers of women, children, people of col


Reaching marginalized groups through local non-governmental organizations.
Int Conf AIDS 1991 Jun 16-21; 7:37 (abstract no. W.D.56)
Crane SF, Filgueiras A, Row KA, Swaminathan S; Family Health International, NC, USA
To reach marginalized groups such as street children, gay men, commercial sex workers (CSWs), and their clients with AIDS prevention information through local non-governmental organizations (NGOs). Three local NGOs recognized the impact that AIDS was having on the marginalized groups they worked wit


Development of an informal education strategy for the prevention of AIDS and STD.
Int Conf AIDS 1991 Jun 16-21; 7:37 (abstract no. W.D.55)
De la Rosa CG, Suarez y T E, Wlsh M, Weiss E; Federacion Mexicana de Asociaciones Privadas de Desarrollo Comunitario, Cd. Juarez, Chihuahua, Mex
To develop, put into practice, and evaluate an informal education strategy in a community-based program of AIDS and STD for commercial sex workers in Cd. Juarez. METHODOLOGY: A quasi-experimental research design, using pre and post intervention KAP survey was implemented to measure change in attitudes and ov


Peer mobilization and widespread condom use by drug injectors.
Int Conf AIDS 1991 Jun 16-21; 7:36 (abstract no. W.D.54)
Friedman SR, Jose B, Neaigus A, Sufian M, Goldsmith D, Des Jarlais DC; Narcotic and Drug Research Inc., New York, NY, USA
To evaluate if mobilizing peer pressure among drug injectors increases condom use. Intervention: Peer pressure for risk reduction was mobilized during group meetings, during one-on-one counseling, and while distributing condoms, bleach, and other supplies. Sample: 243 neighborhood drug injectors (65


Promoting condom-only brothels through solidarity and support for brothel managers.
Int Conf AIDS 1991 Jun 16-21; 7:36 (abstract no. W.D.53)
Sakondhavat C, Werawatakul Y, Bennett A; Department of Ob-Gyn., Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
To test whether brothel managers in Khon Kaen City will adopt and successfuly implement a condom-only policy in their establishments. Brothel workers in Thailand are at high risk of HIV infection but they alone do not have adequate bargaining power to insist on condom use with all clients. Brothel m


Unsafe sexual behaviour among gay men: a critique of the relapse model.
Int Conf AIDS 1991 Jun 16-21; 7:36 (abstract no. W.D.52)
Hickson F, Davies PM, Hunt AJ, Weatherburn P, McManus TJ, Coxon AP; Project SIGMA, South Bank Polytechnic, London, UK
To examine the assumptions behind the notion of relapse as applied to the re-emergence of unsafe sexual behaviour after a period of safe behaviour among homosexual men. A cohort of 381 gay and bisexual men in England and Wales were interviewed in 1988 and again in 1989 about their sexual behaviour,


Using theoretical frameworks to evaluate HIV prevention programs.
Int Conf AIDS 1991 Jun 16-21; 7:36 (abstract no. W.D.51)
Cohen M; INSERM U21 & U263, Paris France
To suggest which types of HIV prevention programs are effective at different stages of the HIV epidemic. Epidemiology, meta- and content analysis are used; HIV incidence patterns are based on Hepatitis B cohorts from San Francisco (SF) and Amsterdam (AM). Theoretical frameworks were derived from a me


Home based care for HIV infected individuals in a rural Zambian community - a four year experience of integrated AIDS management.
Int Conf AIDS 1991 Jun 16-21; 7:21 (abstract no. W.D.5)
Siankanga Z, Chela C, Bailey B, Mwilu R; The Salvation Army Chikankata Hospital, Mazabuka, Southern Province, Zambia
To discuss how the home care programme is meeting the physical, psychological, social and spiritual needs of HIV infected individuals, their families and communities. To summarise locally relevant management principles such as decentralisation, administration systems, integration with existing primary healt


Domestic violence: its theoretical implications for transmission and prevention of HIV infection in women.
Int Conf AIDS 1991 Jun 16-21; 7:461 (abstract no. W.D.4295)
Herbert B, Isaac N; The Cambridge Hospital, Cambridge, Ma, USA
This presentation explores the theoretical connection between known epidemiology of woman battering and that of seropositive women whose risk factor is heterosexual transmission. It explicates specific links between known aspects of the battering syndrome encompassing controlling, intimidating and terrorizin


Women and AIDS: a challenge for Canada in the nineties, a framework for AIDS education programs.
Int Conf AIDS 1991 Jun 16-21; 7:461 (abstract no. W.D.4294)
Sourdif I, MacAmmond D, Liepold H, Jones B; AIDS Information and Education Services, Health Promotion Directorate, Health and Welfare Canada, Ottawa, Canada
To develop a framework for AIDS Education Programs among women in Canada to guide the federal government s action on education and prevention and serve as a basis for continuing discussion and planning with partners for future initiatives. A background paper outlining issues on women and AIDS has be


Behavioural transformations and impact of HIV prevention strategies in a community of women in prostitution - indicators of effectivity as modelled through an assessment over linear time.
Int Conf AIDS 1991 Jun 16-21; 7:461 (abstract no. W.D.4293)
Gilada IS; Dept. of Skin & STD, Grant Medical College, Bombay-400008, India
Effective strategies for contact and communication within the sex industry workers, a community hitherto isolated from the mainstream of society was determined as a research priority, in HIV prevention, given the Third World contexts. It was hypothesized that a step by step sequenced strategy would yield des


The rejection/denial syndrome re heterosexual women with AIDS.
Int Conf AIDS 1991 Jun 16-21; 7:461 (abstract no. W.D.4292)
Donnan K;
To demonstrate, through subjective and objective case histories, the obstacles facing North American heterosexual women who have AIDS, or are perceived as having AIDS. Personal experience; intense, fulltime experience counselling AIDS patients and their families; speaking/lecturing and dealing with


Women and minorities have less access to AIDS drug trials.
Int Conf AIDS 1991 Jun 16-21; 7:460 (abstract no. W.D.4291)
D'Eramo JE, Kirschenbaum DZ, McCarthy M, Davis T; AIDS Treatment Resourcces (ATR), New York, NY - USA
To determine whether women, African-Americans, Latinos and intravenous drug users (IVDU s) were less likely to be enrolled in certain AIDS Clinical Trial Group (ACTG) protocols than white males and to determine whether they were concentrated at certain trial sites. Demographic analysis of data gathe


Family therapists working with HIV/AIDS infected and affected people.
Int Conf AIDS 1991 Jun 16-21; 7:460 (abstract no. W.D.4290)
Stynes R, Carter L; HIV-Team Bouverie Family Centre Parkville 3052 Victoria Australia
To present the experience and findings of a team of family therapists who work with HIV-infected and affected individuals, couples and families. To outline the essential elements, as identified by this Team that have improved the impact of counselling interventions. The following elements will be ou


Free and anonymous HIV testing and counselling sites in France: assessing accomplishment of objectives.
Int Conf AIDS 1991 Jun 16-21; 7:460 (abstract no. W.D.4289)
Serfaty A, Micouraud M, Perrault M, Patris C, Debeaupuis J; AIDS Division, Ministry of Health, Paris
To identify discrepencies between objectives stated in the legal documents related to the implementation and the functionning of the HIV testing and counseling sites (CDAG) and attempted objectives. MATERIAL & Units of observation and analysis are the 119 sites implemented in 1988 & 1989 unde


HIV counselling conference abstract.
Int Conf AIDS 1991 Jun 16-21; 7:460 (abstract no. W.D.4288)
Anonymous;
-To examine HIV counselling issues. -To improve the quality and consistency of counselling services across the province. -To encourage professional counsellors to recognize the strength and resources in the community (e.g., families, friends, lovers of people with HIV) and develop a new approach to HIV couns


Experimental reduction of anxiety during HIV testing as a function of psychological counselling in Santo Domingo, 1989.
Int Conf AIDS 1991 Jun 16-21; 7:459 (abstract no. W.D.4287)
Tapia V, De Moya EA, Koenig H; Programa Control ETS/SIDA (PROCETS, MINHEALTH), Santo Domingo, Dominican Republic (DR)
To experimentally determine the critical moment and the optimal number of counselling sessions for anxiety reduction during the process of HIV testing in a laboratory setting. Eight experimental groups of 15 persons attending the DR National Laboratory for HIV testing during 1989 received different


Responding to psychosocial challenges of AIDS: an integrated multidisciplinary team approach.
Int Conf AIDS 1991 Jun 16-21; 7:459 (abstract no. W.D.4286)
Hanan JL, Wertman S, Moura EM, Morais-de-Sa CA; Gaffree & Guinle University Hospital, University of Rio de Janeiro - UNI-RIO, Brazil
1. Develop a multidisciplinary approach, teaming social workers and psychologists with physicians; 2. to help patients begin to express their emotional response and understand their life situation. METHODOLOGY: Patients were attended during 1990 using an existential - humanistic approach; were encouraged to


The evaluation of counseling programme in HIV testing.
Int Conf AIDS 1991 Jun 16-21; 7:459 (abstract no. W.D.4285)
Morosini P, Gigantesco A, Serpelloni G, Galvan U, Gnarini R, Guidetti E, Giuliani M; Lab. Epidemiologia e Biostatistica- I.S.S., Roma, Italy
The aims of this study are: 1) to compare the process of counseling in two different centers with a full counseling programme; 2) to evaluate the effectiveness of counseling other two centers in which counseling is left to individual staff attitude and skill are assessed as control. Subjects are eli


Environment of children born from mothers HIV+: how to prevent sudden family separations?
Int Conf AIDS 1991 Jun 16-21; 7:459 (abstract no. W.D.4284)
Dumaret A, Rosset DJ, Boucher N, Torossian V, Donati P; INSERM U.69 Montrouge F. ASE Paris F
The aim of the research is to study the environment of the children born to HIV+ mothers, the different ways of the families to cope with and the various care possibilities (familial or institutional). The study, based on a transversal approach, will compare 2 groups of children: children living in


Treating the HIV infected substance abuser: is it different?
Int Conf AIDS 1991 Jun 16-21; 7:458 (abstract no. W.D.4283)
Silverman F, Little D, Rice A; Beth Israel Medical Center, New York, New York, USA
To empower health care workers providing treatment to HIV infected patient who have a co-morbid substance abuse disorder. The increase in HIV seroprevalence for intravenous drug users can be as high as 14% yearly. Anecdotal evidence and case examples will show that as more HIV infected substance abu


Therapeutic conducts adequateness for IV cocaine users.
Int Conf AIDS 1991 Jun 16-21; 7:458 (abstract no. W.D.4282)
Moreira C, Tannus L, Bellucci S; Centro Corsini, Campinas, Sao Paulo, Brasil
To identify the differences in Occupational Therapy Process results with soropositeve cocaine users patients, using concrete activity or verbal attendance. Patients conducted to Occupational Therapy Sector behavior analysis during 1988 June to 1990 December follow-up period. The follow-up consists o


Effect of counseling on HIV risk behaviors in patients at a New York City sexually transmitted disease clinic.
Int Conf AIDS 1991 Jun 16-21; 7:458 (abstract no. W.D.4281)
Bevier P, Ewing W, Hildebrandt D, Castro K, Chiasson MA; New York City Dept. of Health, NY, NY
To determine if HIV risk behaviors are reduced after counseling, and to evaluate determinants of behavior change in STD patients. Questionnaires were administered at enrollment and 6 months after HIV risk behavior counseling. Behaviors during the 6 months prior to counseling are compared to post-co


Hyperactive disturbance in the behaviour of children with congenital HIV infection.
Int Conf AIDS 1991 Jun 16-21; 7:458 (abstract no. W.D.4280)
Corsi A, Albizzati A, Cervini R, Grioni A, Musetti L, Saccani M; Istituto Di Neuropsichiatria Infantile-Universita' Di Milano-Italy
Study on the prevalence of hyperactive behaviours in sero-positive children, infected by vertical transmission and its eventual correlations with the sero-positivity condition. 220 HIV+ children, aged from 0 to 9 years, belonging to different categories according to the CDC pediatric criteria, have b


HIV Ab-positive Italian patients' orientation to seeking professional psychological help.
Int Conf AIDS 1991 Jun 16-21; 7:457 (abstract no. W.D.4279)
Lazzari C, Campione F, Costigliola P, Ricchi E, Chiodo F; Inst. of Infectious Diseases and Dept. of Psychology - University of Bologna, Italy
To evaluate the HIV Ab-positive Italian patients orientation to seeking professional psychological help. 70 HIV Ab-positive patients (homosexual males, and male and female intravenous drug abusers (IVDAs)), answered the questionnaire of Fisher and Turner (J.Consult. and Clin.Psych., 1970, 35:79-90)


Cognitive group therapy for coping with HIV infection.
Int Conf AIDS 1991 Jun 16-21; 7:457 (abstract no. W.D.4277)
Emmott S; The Toronto Hospital, Toronto, Ontario, Canada
To assess effectiveness of cognitive group therapy for decreasing the distress of those infected with HIV. Specifically, to monitor changes in anxiety, depression and coping mechanisms among a sample of HIV+ homosexual men before and after their participation in one of three 10-week cognitive therapy groups.


Predictors of depression among persons with HIV infection.
Int Conf AIDS 1991 Jun 16-21; 7:457 (abstract no. W.D.4276)
Murphy DA, Kelly JA, Brasfield T, Koob J, Bahr R, St Lawrence J; Medical College of Wisconsin, Milwaukee, Wisconsin, USA
OBJECTIVES AND HYPOTHESES: Conflicting findings as to whether HIV+ patients exhibit significant levels of depression have been reported. Given the expanding HIV crisis, mental health professionals need to be prepared to deal with psychosocial distress among this population. This investigation was conducted to determine


The effect of AIDS education on Canadian university students' knowledge, attitudes, and sexual practices.
Int Conf AIDS 1991 Jun 16-21; 7:456 (abstract no. W.D.4275)
Wright NP; Queen's University, Kingston, Ontario, Canada
The objectives of the study were to (1) evaluate the effect of an AIDS education program on university students knowledge of AIDS, AIDS-related attitudes, and sexual practices, and (2) to determine the predictive value of the Health Locus of Control construct. One hundred and eleven Canadian univer


Development of an electronic information exchange system for communication of AIDS-related laboratory information and as a model for laboratory improvement.
Int Conf AIDS 1991 Jun 16-21; 7:456 (abstract no. W.D.4274)
Muir HW, Taylor RN, Schalla WO, Hearn TL, Mast GE, Glaude AL, Valdiserri RO; Centers for Disease Control, Atlanta, GA, USA
To develop a system which would permit laboratorians and other health workers to identify and correct AIDS-related laboratory testing problems. As part of its Model Performance Evaluation Program (MPEP), the Centers for Disease Control developed the Laboratory Performance Information Exchange System


The importance of social marketing techniques in creating effective media campaigns on AIDS.
Int Conf AIDS 1991 Jun 16-21; 7:456 (abstract no. W.D.4273)
Margo G, MacDonald G, Schneider A, Dayrit M, Abad M, Consunji B; AIDSCOM/Academy for Educational Development, Washington, DC, USA
CONTEXT: Low incidence of HIV infection and few diagnosed cases of AIDS permit Philippine government planners the time in which to analyze the opportunities available to them in communicating with the general public about HIV prevention. PURPOSE: To use social marketing techniques systematically to develop, implement a


Using AIDS hotlines to develop and evaluate AIDS communication campaigns: a four-country research report.
Int Conf AIDS 1991 Jun 16-21; 7:456 (abstract no. W.D.4272)
Jimerson A, Abejuela W, Weller P, Sevilla R, Hernandez E, Figueroa JP; AIDSCOM/Academy for Educational Development, Washington, DC, USA
To illustrate how data collected through telephone hotlines can be used to develop and evaluate AIDS prevention communication campaigns. Data sets and programs from Jamaica , the Philippines , Peru , and Brazil w


Audience understandings of media messages about AIDS.
Int Conf AIDS 1991 Jun 16-21; 7:455 (abstract no. W.D.4271)
Kitzinger J, Beharrell P, Miller D; Glasgow University Media Group, Scotland UK
To explore the process of production, the content and audience understandings of AIDS media messages. Two years of AIDS media coverage was subjected to detailed content analysis, 88 journalists and their sources were interviewed, 52 different pre-existing audience groups were engaged in guided discu


Pediatric AIDS and the print media: "innocent victims" and forgotten populations.
Int Conf AIDS 1991 Jun 16-21; 7:455 (abstract no. W.D.4270)
Klass PE; Department of Pediatrics, Division of Infectious Diseases, Boston City Hospital, Boston, Massachusetts, USA
To examine popular perceptions of pediatric HIV disease, I looked at coverage in the print media, using the explication of individual texts, broader thematic analysis, and quantitative surveys of the literature; I also drew on my own experience writing for The New York Times. Textual and semiotic an


Developing culturally sensitive HIV/AIDS prevention messages targeting US Hispanics utilizing the documentary format: a four year case study by KCET public television.
Int Conf AIDS 1991 Jun 16-21; 7:455 (abstract no. W.D.4269)
Lepicier R, Jimenez R; KCET-TV/Educational Enterprises/Hispanic Projects, Los Angeles, CA, USA
HIV/AIDS has been disproportionately affecting ethnic minorities in the United States . KCET, Educational Enterprises in Los Angeles with guidance and support from the Centers for Disease Control has sought to bring culturally sensitive HIV/AIDS prevention messages to the nation s Hispanic community utilizing the docum


Evaluation of information about AIDS and sexual behavior: a study of the Preventive Health Service in France.
Int Conf AIDS 1991 Jun 16-21; 7:455 (abstract no. W.D.4268)
Rene MN, Champeau J; Preventive Health Centers of the French Social Service
To assess the following questions: are people well informed about aids? How do they sexually behave? Who uses condoms? Who has undergone a HIV test? Do high risk populations behave in a preventive way? MATERIAL AND 5371 women and 5272 men, from 15 to 49 years, coming for a check up were inquired ano


AIDS communication programs in the African context: integrating mass media and interpersonal approachez in Zaire.
Int Conf AIDS 1991 Jun 16-21; 7:454 (abstract no. W.D.4267)
Convisser J, Momat K, Kambamba SA, Eiger R; Projet d'Education par les Medias sur le SIDA au Zaire, a project of Population Services International, USA
CONTEXT: Mass media is recognized as a powerful tool in any national AIDS education campaign. However, in the African context, where some communities do not have access to television or radio, the reach of these media may be limited. It is therefore necessary to seek innovative ways to amplify the reach and disseminati


"The Madonna Project" community based HIV/STD prevention program among young people attending popconcerts.
Int Conf AIDS 1991 Jun 16-21; 7:454 (abstract no. W.D.4266)
Haglind P, Ackerhans M, Falkenstrom G; Environmental and Health Protection Agency, Gothenburg, Sweden
ORGANIZATION: The Health Protection Agency in Gothenburg in cowork with health authorities and voluntary organizations. Recruitment among people aged 18-25 on voluntary basis to whom information about HIV/AIDS/STD is provided. PURPOSE: The purpose of the Red Army - about 30 persons dressed in red overalls - is to be se


Educating the media to play a responsible role in AIDS prevention.
Int Conf AIDS 1991 Jun 16-21; 7:454 (abstract no. W.D.4265)
Hernandez E, MacDonald G; Department of Health, Manila, Philippines
CONTEXT: Sensationalistic coverage of AIDS by the Manila media was fanning public fears of the disease and making it difficult for accurate information to be disseminated. PURPOSE: To increase the accuracy, timeliness and responsibility of the Manila print and broadcast media s coverage of HIV/AIDS in the


A social psychological evaluation of AIDS-educational videos.
Int Conf AIDS 1991 Jun 16-21; 7:454 (abstract no. W.D.4264)
Herek GM, Batchava Y, Capitanio J, Araba-Owoyele L, Castaneda D; Univ. of California, Davis, CA USA
To use social-psychological research and theory on communication and persuasion to evaluate existing English-language Aids-educational videotapes. STUDY 1: Thirty-four AIDS educational videos were content-analyzed, using variables selected from the social psychological literature. STUDY 2: Viewers (


Impact of AIDS information campaign on demand of counseling and testing.
Int Conf AIDS 1991 Jun 16-21; 7:453 (abstract no. W.D.4263)
Colaiacomo M, Alba L, Boumis E, De Carli G, Girardi E, Grisetti S, Lo Presti E, Nurra G, Puro V, Schito S, et al; AIDS Unit RM/10 at L. Spallanzani Hospital, Rome Italy
To evaluate the impact of an AIDS information campaign on public awareness of the risk of HIV infection and on its efficacy in leading to detect infected people. Italian Ministry of Health started on April 22, 1990 a new multimedia information campaign on AIDS, focusing on heterosexual risk. No mess


Sociological model for adolescents HIV prevention.
Int Conf AIDS 1991 Jun 16-21; 7:453 (abstract no. W.D.4262)
Orsi MG, Groppi C, Santi M; Health Service for Drug Addicts Florence (Italy) - National Secretariat Association of Drug Addicts Public Services
To propose a sociological strategic model based on opinion leaders promotion among specific groups of adolescents population. According to the epidemiological European infection pattern showing an increase of HIV infection rate among young female population, we analyzed the psycho-social aspects tha


Information, medicine and ethics - new responses to the HIV epidemic.
Int Conf AIDS 1991 Jun 16-21; 7:453 (abstract no. W.D.4261)
Aillot M, Le Bitoux J, Fontenay F, Mettetal JF, Edelmann F; ARCAT-SIDA/CIVIS
The improvement of information about AIDS as the epidemic progresses. Detailed analysis of written and audiovisual information; computerisation of data; interviews. The analysis reveals: 1) A marked reduction in serious errors. 2) Diminishing alarmism despite the spread of the epidemic. 3)


Press coverage of the VI International AIDS Conference: a comparison of the popular and medical press.
Int Conf AIDS 1991 Jun 16-21; 7:453 (abstract no. W.D.4260)
Babiak I, MacFadden D; Fisons Pharmaceuticals, Pickering, Ontario Canada
To compare the press coverage of the VI International AIDS Conference by both the lay and medical press in the period during and after the conference, to analyze the coverage in terms of emphasis placed on medical and non-medical issues and to compare the coverage locally in San Francisco to the Canadian pre


National HIV prevention information service.
Int Conf AIDS 1991 Jun 16-21; 7:452 (abstract no. W.D.4259)
Bird K, Lucas G, Stevens C; National HIV Prevention Information Service, London, UK
To improve the impact and effectiveness of prevention work through the provision of up to date and accurate information. The National HIV Prevention Information Service is a national information service for people working in HIV education and prevention that was launched in July 1990. NHPIS is uniqu


Health education and AIDS for young scholars.
Int Conf AIDS 1991 Jun 16-21; 7:452 (abstract no. W.D.4258)
Bueno SM, Gir E, Moriya TM, Oliveira MH, Tavares MS, Bueno JV; University of Sao Paulo, Ribeirao Preto - Sao Paulo - Brazil
We have tried to know the young scholars view on the meaning of sexuality, sexually transmissible diseases and AIDS, as well as their major concerns in life. We carried out a research on 1972 young students of Government s Schools, secondary schools, of a city in the country, in the State of Sao Paul


From complacency to panic: the representation of AIDS risk to heterosexuals in the Australian press.
Int Conf AIDS 1991 Jun 16-21; 7:452 (abstract no. W.D.4257)
Lupton D; Department of Public Health, University of Sydney, NSW, Australia
This study analyses the way in which the Australian press reported the threat of AIDS to heterosexuals over a period when the Australian government ran campaigns to persuade the general population that they were at risk of contracting HIV/AIDS. Every article which mentioned HIV/AIDS in an Australian


How do male prostitutes get information about AIDS?
Int Conf AIDS 1991 Jun 16-21; 7:452 (abstract no. W.D.4256)
Longo PH, Van Buuren NG, Pereira R, Basilia C, Macedo A; Instituto Brasileiro de Inovacoes em Saude Social, Rio de Janeiro, Brazil
To analyse how the general campaigns reach an especific high risk group like the male prostitutes, with a high HIV incidence. To reinforce the importance of the personal and constant contact. A psychosocial survey with a group of 185 male prostitutes aged 11 to 23, working at the streets of Rio de


AIDS education video project for incarcerated adolescents.
Int Conf AIDS 1991 Jun 16-21; 7:451 (abstract no. W.D.4255)
Firpo R, Dugan P, Roseman J, Zeljkovic S, Re O, Baker CJ; County of Los Angeles/Department of Health Services, Los Angeles, CA USA
To increase the perceived vulnerability to HIV and to reduce HIV risk behaviors of incarcerated adolescents in Los Angeles County Juvenile Halls through the creation of peer AIDS educational videotapes. After school wide HIV risk reduction education, a selected group of particularly high risk adole


Psychosociologic aspects during a campaign to distribute information on the education and prevention of AIDS: July-August 1990.
Int Conf AIDS 1991 Jun 16-21; 7:451 (abstract no. W.D.4254)
Ollivier B, Reboulot B, Cassuto JP; CHRU Nice - France
To reveal the characteristic reactions and apprehensions of the general public during an information campaign for the prevention of AIDS during the summer season. Analyse the behaviour in different setting (direct contact with the public, information booths, brochure distribution). The public targete


Remaides / the AIDES Paris and Paris region medical newsletter.
Int Conf AIDS 1991 Jun 16-21; 7:451 (abstract no. W.D.4253)
Lemoux Y, Beiso P, David R, Marty Lavauzelle A, Froidevaux R;
To provide realistic, general medical information in an easily accessible form to all people infected with the HIV virus (treated and untreated HIV-positive). A free, nationally distributed newsletter for the widest readership possible featuring the following sections: medical newsbriefs, personal ex


A study of knowledge and beliefs about AIDS among people with higher education in Rio de Janeiro, Brazil.
Int Conf AIDS 1991 Jun 16-21; 7:451 (abstract no. W.D.4252)
Linhares MI, Tame JM, Mourao P, Castilho E; Banco da Providencia da Arquidiocese do Rio de Janeiro
To measure knowledge and beliefs about AIDS among people with higher education level providing data to public health authorities for a better educational prevention campaign. In November 1990, a self conducted anonimous 20 items questionnaire was distributed during a philanthropic fair, to measure k


Socio-cultural aspects of transmissible diseases: AIDS in Baoule' and Bete' rural context.
Int Conf AIDS 1991 Jun 16-21; 7:450 (abstract no. W.D.4251)
Caprara A, Dedy S, DeGregorio GC, Parenzi A, Salazar CM, Tape G; International Course for Primary Health Care Managers, Istituto Superiore di Sanita Rome, Italy
The purpose of this study was to better understand the socio-cultural aspects related to AIDS, and to identify differences between and among two major Ivorian ethnic groups, Bete and Baoule, with respect to their knowledge, attitudes and practice (KAP) of AIDS. Such information will be useful for the plannin


Attitudes toward persons with AIDS and public information needs in the Dominican Republic, 1990.
Int Conf AIDS 1991 Jun 16-21; 7:450 (abstract no. W.D.4250)
Hasbun J, Hornik R, Pareja R, De Moya EA; COMPUMETODO
To explore AIDS knowledge, risk behavior, attitudes toward persons with AIDS and information needs in the general population, nationwide. 300 men and 300 women were interviewed in a general adult population KABP study through a multiphasic sampling method. A questionnaire appraised AIDS knowledge a


Information sources about AIDS in the Ivory Coast.
Int Conf AIDS 1991 Jun 16-21; 7:450 (abstract no. W.D.4249)
Messou E, Carballo; BP V47-Abidjan-Ivory Coast
CONTEXT: Study practiced on July 1989 within the framework of a medium term plan against AIDS. AIM: To determine the information sources about AIDS, to carry out a strategie of Health Education. A pool enquiry by bunches among a group of population aged 15-49 TV (41%), newspapers (28%) and radio (23%)


Sources of information used and the adoption of safer sex among gay men.
Int Conf AIDS 1991 Jun 16-21; 7:450 (abstract no. W.D.4248)
De Vroome E, Sandfort TH, Tielman R; Gay and Lesbian Studies Department, University of Utrecht, Netherlands
TABULAR DATA, SEE ABSTRACT VOLUME. Which sources of information regarding the prevention of HIV-infection have successively been used by Dutch homosexual men, and was the kind of information source related to the consistent adoption of safer sex. A cohort of 365 homosexual men was studied in 86, 87,


AIDS education in the workplace among Washington state employees.
Int Conf AIDS 1991 Jun 16-21; 7:449 (abstract no. W.D.4247)
Bolanos M, Fields M, Peppert J; Dept. of Health, Olympia, Washington, USA
To evaluate the impact of HIV/AIDS education in the workplace, a knowledge and attitude study was completed in 1,458 state employees over a 6 month period. 28% of the employees were licensed professionals in the health care field. 72% of the employees were non-licensed. An educational program was im


HIV/AIDS education in the workplace: a national survey of U.S. small businesses.
Int Conf AIDS 1991 Jun 16-21; 7:449 (abstract no. W.D.4246)
Gurvitch A, Bye L, Emery A, Randolph S; American Red Cross, National Headquarters Wash. D.C., USA
To survey decision-makers in U.S. small businesses to determine: 1) the scope of existing HIV/AIDS education and policies; 2) perceptions and experiences regarding HIV/AIDS; and 3) interest in providing HIV/AIDS education. A national probability sample (n=1493) of small businesses (100 or fewer empl


A UK employers' initiative to promote good practice in employment and workplace education on HIV and AIDS.
Int Conf AIDS 1991 Jun 16-21; 7:449 (abstract no. W.D.4245)
Meldrum J, Hardy V, Kelmanson A, Jay M; National AIDS Trust (NAT), London, England
To combat discrimination in the workplace; to promote education on HIV and AIDS, and to reinforce UK governmental guidance to employers issued in 1986 and renewed in 1990. Two development officers have been employed by the NAT to survey existing practice by employers and to develop a strategy for fu


Knowledge of AIDS and attitudes towards HIV-infected coworkers in the workplace.
Int Conf AIDS 1991 Jun 16-21; 7:449 (abstract no. W.D.4244)
Gryschek RC, Salvador DR, Segurado AA, Dias MA, Ciccotti SM, Grieco EB, Thomazini ME; AIDS Programme Coordination Group, Banespa/Cabesp, Sao Paulo State Bank, Sao Paulo, Brazil
1. To survey the knowledge of AIDS among employees of the Sao Paulo State Bank (Banespa) and their attitudes towards HIV-infected coworkers. 2. The survey was carried out by the filling out of a questionnaire by 1512 volunteers, during the annual cultural event of the company. Special interest is f


The Italian national training programme for health workers in HIV infections.
Int Conf AIDS 1991 Jun 16-21; 7:448 (abstract no. W.D.4243)
De Santi A, Bertinato L, Mezzabotta G, Rota C, Minnucci P, Ceccarelli S, Greco D; Istituto Superiore di Sanita, Rome, Italy
The Italian Government has identified an urgent need for training in HIV its health personnel, and particularly for those providing services to HIV-infected individuals. Funds have been authorized to support training for 8,750 nurses and doctors working in Italy s 21 regions. To reduce incidence of HIV infec


Educational program on AIDS in surgical centers.
Int Conf AIDS 1991 Jun 16-21; 7:448 (abstract no. W.D.4242)
Pereira MS, Moriya TM, Gir E, Oliveira MH, Tavares MS, Bueno SM; Federal University of Goias, Department of Nursing
To identify the types of educational programs on AIDS that have been developed on Surgical Centers and to identify the nursing team s attitudes and feelings concerning the AIDS patient s caring. A questionnaire was elaborated and answered by the nursing teams of Surgical Centers of nine general hos


Company policy on AIDS in Zimbabwe.
Int Conf AIDS 1991 Jun 16-21; 7:448 (abstract no. W.D.4241)
Jackson H, Pitts MK; School of Social Work, Harare, Zimbabwe
To examine to what extent companies in Zimbabwe are concerned about AIDS and the orientation of any policy they may be adopting. This is in the context of a widespread epidemic in which the workplace could play a leading preventive and supportive role. All 159 delegates from 110 companies attending a


HIV-related knowledge among military recruits before and after an health education program.
Int Conf AIDS 1991 Jun 16-21; 7:448 (abstract no. W.D.4240)
Bergamini F, Del Corno G, Giannelli F, Rastrelli M, Suprani A, Pilato T; University of Milan, Italy
So far the only available preventive measures for AIDS rely upon health information and education programs. For this purpose a survey on the HIV - related knowledge was carried out among 11,000 military recruits on duty at the 3 (o) Corpo d Armata , before and after an education program. Relevant in


On target: a comprehensive AIDS prevention program for the Ghana armed forces.
Int Conf AIDS 1991 Jun 16-21; 7:447 (abstract no. W.D.4239)
Apeagyei F, Mugrditchian D, Romocki L, Mamah I, Ardy-Kotei M, Osei M, Weir S; Ghana Armed Forces, Accra, Ghana
To reach men with effective sexual health programming for AIDS prevention. The Ghana Armed Forces (GAF) has designed and implemented a comprehensive AIDS/STD prevention program for all its soldiers to reduce the spread of AIDS and other STDS. A KAP survey of 800 soldiers and focus group discussions


Survey of sexually transmitted diseases as HIV risk factors in incarcerated adolescents.
Int Conf AIDS 1991 Jun 16-21; 7:447 (abstract no. W.D.4238)
Buscroft S, Baker CJ, Morris R, Re O, Zeljkovic S, Perez M; County of Los Angeles/Department of Health Services, Los Angeles, CA USA
To survey the history of sexually transmitted diseases (STDS) in detained minors as an indicator of high risk sexual activity, to assist in the implementation of AIDS risk reduction programs. Minors in Los Angeles Juvenile Halls who received AIDS counseling were interviewed by Health Educators using


Seropositivity among children at a juvenile detention center in Belo Horizonte, Brazil.
Int Conf AIDS 1991 Jun 16-21; 7:447 (abstract no. W.D.4237)
Greco D, de Paiva J, Pinto J, Adams I, Ottoni Z, Ude W, Ruff A, Halsey N; Federal Univ. of Minas Gerais, Belo Horizonte, Brazil
To define the HIV-1 seroprevalence among street youths. From July 1989 through December 1990, youth arriving at a state detention center who agreed to participate were randomly assigned to a psychosocial interview or medical history, examination and HIV serology. Three hundred twenty-seven (


Multivariable analysis of HIV infection in Spanish prisons.
Int Conf AIDS 1991 Jun 16-21; 7:447 (abstract no. W.D.4236)
Martin L, Granados A, Miranda M; Ministerio de Justicia, Madrid
To find out the risk factors which determine the HIV infection, in order to prevent it. A cross-sectional study has been carried out throughout Spanish prisons, except in Catalonia region. All prisoners who agreed voluntarily to take part in The Program for the Intravenously Transmission Diseases in


HIV/AIDS education and intervention strategies within the Massachusetts State prison system.
Int Conf AIDS 1991 Jun 16-21; 7:446 (abstract no. W.D.4235)
Hernandez V, Gagnon T; Bronx AIDS Services, Bronx, N.Y
Provide current and accurate HIV/AIDS information regarding transmission, infection, exposure, attitudes, behaviors, and prevention to state prison inmates (females and males, respectively) taking into account learning abilities; diverse cultural (language and customs) and socio-economic background; and cost


Assessment of health care needs of individuals with AIDS/HIV symptomatic disease released from correctional facilities.
Int Conf AIDS 1991 Jun 16-21; 7:446 (abstract no. W.D.4234)
Scheib R, McGowan K, Sager S, Florman J, Bradley O, DesRoche A, Morgan B, Gagnon T, Power M; Lemuel Shattuck Hospital, Dept. of Public Health, Commonwealth of Massachusetts, Boston, MA, USA
To evaluate follow up and specific healthcare needs in individuals with symptomatic HIV Disease/AIDS released from correctional facilities to the community. Comprehensive chart review of individuals with symptomatic HIV Disease (t4 less than 500, thrush ) or AIDS during the years Jan. 1989-Dec. 1990


IDU related HIV and prison medical care.
Int Conf AIDS 1991 Jun 16-21; 7:446 (abstract no. W.D.4233)
Joliffe D, Brettle RP, Leen CL; Her Majesty's Prison, Saughton, Edinburgh
Most interest has been on transmission of HIV in prison but a New York State study showed that inmates with PCP arrived at hospital in a worse state than community patients and fewer were on zidovudine treatment. A specific HIV medical service for the local prison was developed to encourage HIV positive indi


Taking care of prisoners infected by H.I.V. or suffering from AIDS and training of personnel.
Int Conf AIDS 1991 Jun 16-21; 7:446 (abstract no. W.D.4232)
Emmanuelli X, Chieze F, Raffin R, Lemaire M-H, Colin M, Gentilini M; Maison d'Arrg\et Fleury Merogis, France
OBJECTIVE. The objective of the Programme is to propose systematically a test to all prisoners and to take care clinically, biologically, and psychologically of those infected by H.I.V. or suffering from AIDS, including medical follow-up when they come out, in Fleury Merogis, where the largest prison in Europe is locat


Reaching family environment through school children. Characteristics and impact of a strategy applied in Benin.
Int Conf AIDS 1991 Jun 16-21; 7:445 (abstract no. W.D.4231)
Verbeke R, Fransen L; European Economic Community (EEC), AIDS Control Programme for developing countries
Spreading a sensibilisation brochure on AIDS amongst secondary school pupils in order to have it read and discussed by their families. METHODOLOGY: 1. Elaboration of a sensibilisation brochure on AIDS inspired on the language principles used in the marketing/publicity area: personalized messages, extensive i


Knowledge and beliefs about AIDS among high school students in two health zones in the Ubangi area of Zaire.
Int Conf AIDS 1991 Jun 16-21; 7:445 (abstract no. W.D.4230)
Duale S, Vangu N, Bauge N, Duale L, Munkatu M; Projet SANRU, Kinshasa
To assess basic knowledge, attitudes and beliefs about AIDS in high school students in northeastern Zaire . Multiple choice questionnaires were administered anonymously to 1000 students from 4 schools in a rural health zone (Karawa, HIV-1 seroprevalence in pregnant women 3-4% 1989) and 4 in semi-urb


Integrating HIV/AIDS education into the general university curricula.
Int Conf AIDS 1991 Jun 16-21; 7:445 (abstract no. W.D.4229)
Auleb A, Auleb L, Hertz D, Matson H; San Francisco State University, San Francisco, California, United States
To determine the extent to which, and how, HIV/AIDS education has been integrated into the general curricula of a university. All faculty members at San Francisco State University (1700) were sent questionnaires asking which classes they teach contain an HIV/AIDS component, how much time is allocate


Evaluation of a multicentered and interactive program on information and sanitary education related to HIV infection targeted towards the schools and workplaces.
Int Conf AIDS 1991 Jun 16-21; 7:445 (abstract no. W.D.4228)
Cesarani N, Borlone P, Citterio R, Agnoletto V, Tarocchi A; L.I.L.A. (Lega Italiana per la Lotta contro l'AIDS), Milano, Italia
This research was completed with a grant from the Ministry of health (Istituto Superiore di Sanita - progetto AIDS 1990 -Roma - Italia). The abstract limits its conclusions to the results of the first year of research in the school sector of the Lombardia region. To gather and evaluate data through the usage


Sexual behaviour and knowledge about AIDS in a representative sample of Athens.
Int Conf AIDS 1991 Jun 16-21; 7:444 (abstract no. W.D.4227)
Malliori M, Vaidakis N, Stefanis C; Department of Psychiatry, University of Athens, Greece
The main goal of this research designated by WHO - Global Programme on Aids was to collect information concerning patterns of sexual behaviour and the factors associated with them, as sexual contact has been shown to be the most common mode of transmission of HIV. A representative sample of 1980 Athe


HIV/AIDS health promotion: collaboration between governmental and non-governmental organizations (NGOs) and evaluation of program effectiveness.
Int Conf AIDS 1991 Jun 16-21; 7:444 (abstract no. W.D.4226)
Skelly RR, Rehberg P, Benenson M, Daniell FD; American Red Cross, Naples, Italy
An effective and coordinated HIV/AIDS health promotion (HP) initiative within the settings of overseas American worksites, schools and community groups utilizing: 1) a networking of activities between governmental and NGO groups; and 2) periodic surveys of knowledge, attitudes and beliefs to assess effective


Evaluation of theory-based high school AIDS education: Impact of teacher vs. peer-led and active vs. passive education, and an HIV awareness campaign.
Int Conf AIDS 1991 Jun 16-21; 7:444 (abstract no. W.D.4225)
Zimmerman RS, Langer LM, Starr R, Enzler N; Univ. of Miami, Coral Gables, FL, USA
While there has been great emphasis on AIDS education, theories of behavior change, careful evaluation methods, and assessment of the social environment in which the educational programs are provided have been largely ignored. The current study involved a 4-hour AIDS education unit provided by the local Amer


HIV education among school districts in the United States.
Int Conf AIDS 1991 Jun 16-21; 7:444 (abstract no. W.D.4224)
Daily L, Holtzman D, Greene B, Ingraham G, Kolbe L; Division of Adolescent and School Health, Centers for Disease Control, Atlanta, GA, USA
To determine the extent to which HIV education policies and practices are required by school districts in the United States . A national probability sample of U.S. public school districts was surveyed by mail in April and May 1990. Weighted prevalence estimates and 95% confidence intervals (CI) were


Teaching an upper division university AIDS course for all majors.
Int Conf AIDS 1991 Jun 16-21; 7:443 (abstract no. W.D.4223)
George C, Adler-Moore J; Biology Department, California State Polytechnic University, Pomona, CA., USA
To develop an upper division course in AIDS for science and non-science majors, familiarizing students with recent advances in AIDS research and its psychosocial impact. For 3 years, we have taught a 10 week, 40 hour upper division AIDS course to 60% science and 40% non-science majors. Topics covere


KAP study on AIDS among school pupils in Kabale District Uganda.
Int Conf AIDS 1991 Jun 16-21; 7:443 (abstract no. W.D.4222)
Bagarukayo H; African Medical & Research Foundation
To find out the knowledge, attitudes and practices of Primary School pupils that influence the spread of AIDS. 311 Primary School pupils (average age = 14) in Kabale district were randomly selected. Their knowledge, attitudes, practices related to AIDS were examined. 300/311 pup


A multidisciplinary and intersectoral roundtable discussion of actions to promote effective school-and community-based health education to prevent HIV infection among youth.
Int Conf AIDS 1991 Jun 16-21; 7:443 (abstract no. W.D.4221)
O'Bryne D, Yao F, Kolbe L, Meyers A, Kolybine VA, Feek W, Chui J; HED, WHO/HQ
To discuss actions, needs and resources for implementing and improving school- and community-based health education to prevent HIV infection among youth. A work session will be held prior to the roundtable discussion for international and national program leaders who have responsibility for improvin


Training teachers in AIDS education: evaluation of the first 12 courses in Latin America.
Int Conf AIDS 1991 Jun 16-21; 7:443 (abstract no. W.D.4220)
Erbstein S, Schenker I, Greenblatt C; School of Public Health and Community Medicine, Hebrew University, Jerusalem, Israel
12 training courses for teachers in five countries: El-Salvador, Guatemala , Costa Rica , Honduras and Peru were conducted by Israeli experts January 1989 - July 1990, in collaboration with local


The experience of an AIDS prevention programme for 12,000 adolescents.
Int Conf AIDS 1991 Jun 16-21; 7:442 (abstract no. W.D.4219)
Urbaneja A, Urcelay A, Urturi M, Zubia I, Elizalde B, Zulaica D; The AIDS Prevention and Control Plan of The Basque Health Service. San Sebastian. Spain
To stimulate the development of attitudes and behaviour amongst adolescents in the Basque Country (16-20 years old) which will prevent the spread of VIH and discrimination against those infected. The programme was based on the voluntary participation of both state and private secondary schools, hav


Evaluation of an AIDS-prevention program in West Berlin schools.
Int Conf AIDS 1991 Jun 16-21; 7:442 (abstract no. W.D.4218)
Schutte E, Oswald H; Freie Universitat Berlin, Federal Republic of Germany
To evaluate an AIDS information campaign in West Berlin schools conducted by experts (medical doctors, biology teachers) who were especially trained as schoolworkers. The sample consists of 1105 students aged twelve to eighteen years and is representative of the students of West Berlin. A questionna


HIV-related knowledge, attitudes and behaviors among nursing students.
Int Conf AIDS 1991 Jun 16-21; 7:442 (abstract no. W.D.4217)
Casella P, Gattari P, Spizzichino L, Valenzi C; Drug Dependence Unit H S. Spirito, Rome
To determine knowledge, risk perception, risk prevention behavior concerning AIDS, willingness to treat people with HIV disease, and main sources of information about AIDS among 132 nursing students in a hospital in Rome. An anonymous self-administered questionnaire was used. The students a


Problems in school attendance among children with HIV infection.
Int Conf AIDS 1991 Jun 16-21; 7:442 (abstract no. W.D.4216)
Erlicher P, Bertolini M, Ambrisi MA, Ferrari T; University of Milan, II Cattedra di Neuropsichiatria Infantile, Monza, Italy
The AA. evaluate how children with HIV infection attend the State Schools, which means to take into account how parents on one side and children on the other manage the problem of separating and fitting in social environment. They have considered 30 children belonging to class P2 of CDC; 9 of them a


AIDS: an essential topic for day care centers and kindergardens.
Int Conf AIDS 1991 Jun 16-21; 7:441 (abstract no. W.D.4215)
Hemme A, Knorr B, Ohm G, Schwarz G, Stahl C, Thelen H, Wagner W; Program: "Aids and Children"; Arbeitskreis zur Forderung von Pflegekindern e.V., Berlin, FRG
Fears of a horizontally HIV transmitted infection through means other than those currently given credence are widespread and the object of many AIDS antidiscrimination campaigns targeted at adult populations. The problems of HIV-infected children have been practically shut out of these actions, while theoretical risks


School integration of HIV (+) children in the Basque country.
Int Conf AIDS 1991 Jun 16-21; 7:441 (abstract no. W.D.4214)
Echeverria J, Aristegui J, Barez F, Gutierrez C, Urturi M, Delgado A, Zulaica D; Osakidetza
1. - Non traumatic school integration of HIV (+) children. 2. - Training of teachers dealing with HIV (+) children. Development of a Pediatric AIDS Committee. Periodical individual and joint meetings with all schools involved in the teaching of infected children. To assess the results after some tim


Psychological follow-up of haemophilic patients with HIV infection.
Int Conf AIDS 1991 Jun 16-21; 7:441 (abstract no. W.D.4213)
Zecca Mansueto G, Moroni P; Institute of Psychology, University of Genoa, Genoa, Italy
In July 1989, we started a psychological support programme for HIV haemophilic patients, the purpose being to elaborate psychological support instruments for increasing the haemophiliacs coping abilities in view of their new HIV+condition. 31 haemophiliacs, aged 8 to 59 (10 under 18, and 21 over) we


Social support networks of HIV-infected homosexuals.
Int Conf AIDS 1991 Jun 16-21; 7:441 (abstract no. W.D.4212)
Reisbeck G, Hutner G, Oliveri G, Seidl O, Ermann M; Psychiatric Hospital of Munich University, Munich, Germany
Social support is seen as an important factor in coping with life-threatening disease. The study reported here analyses the social support networks and strategies of HIV-infected homosexual men in order to evaluate individual and collective benefits for persons with HIV. 50 HIV-infected homosexuals


Patterns of sleep in asymptomatic HIV-seropositive individuals.
Int Conf AIDS 1991 Jun 16-21; 7:440 (abstract no. W.D.4211)
Funesti J, Rothenberg S, Zozula R, McAuliffe V; New York University Medical Center, New York, NY 10016
To determine the incidence of sleep disorders in asymptomatic, seropositive persons. A brief sleep questionnaire was given to 68 asymptomatic HIV-seropositive (HIV+) individuals enrolled in a double-blind placebo-controlled trial with AZT . Data was collected concerning major sleep episode


Bereavement of partner and immune parameters in HIV positive and negative homosexual men.
Int Conf AIDS 1991 Jun 16-21; 7:440 (abstract no. W.D.4210)
Kemeny ME, Duran RE, Weiner H, Taylor SE, Visscher B, Fahey JL; University of California, Los Angeles, CA, USA
To determine 1) if immune changes relevant to progression to AIDS occur in HIV seropositive men following the death of their partner, and 2) if depressed mood is associated with these immune changes. HIV seronegative men were studied for comparison purposes. 40 subjects whose intimate partners had d


The nutritional knowledge, attitudes, beliefs and practices of male HIV positive homosexuals.
Int Conf AIDS 1991 Jun 16-21; 7:440 (abstract no. W.D.4209)
Summerbell C, Gazzard B, Catalan J; Westminster Hospital, London, England
To describe and compare the nutritional knowledge, attitudes, beliefs and practices of male HIV seropositive and HIV seronegative homosexuals. Individuals were randomly recruited over an 8 week period from the outpatient clinic to fill in a self-administered questionnaire. The patients were stratifi


Stress levels in health care workers for AIDS patients: a pilot study.
Int Conf AIDS 1991 Jun 16-21; 7:440 (abstract no. W.D.4208)
Morasso G, Borreani C, Banchero B, Alberisio A, Santi L; National Cancer Institute of Genoa - Italy
Evaluate how socio-anagraphical variables, organizational and personality factors, kind of work and kind of patients influence working stress levels. Our aim is to evaluate the role of variable patient care in determining distress in health care workers in contact with dying AIDS and cancer patients and if t


Blue mountains AIDS taskforce: a model for a community based response to HIV/AIDS in a semi-rural community.
Int Conf AIDS 1991 Jun 16-21; 7:439 (abstract no. W.D.4206)
Ramsay JD; Western Sydney Area Health Service, Westmead, Australia
Presentation constitutes part of a larger analysis tracing evolution of community based response to HIV/AIDS in a service disadvantaged, semi-rural, dormitory population of 70,000. The area covers in excess of 1400 square kilometres, comprising 26 townships dispersed over lineal development greater than 100


Coping of HIV-infected I.V. drug users (IVDU) - outlines of an action-research-oriented investigation-design combining outreach, low threshold psychosocial care and coping-research.
Int Conf AIDS 1991 Jun 16-21; 7:439 (abstract no. W.D.4205)
Beerlage I, Kleiber D; Sozialpaedagogisches Institut Berlin, Berlin, Federal Republic of Germany
Points out the limitations in the administrative epidemiology as well as in the clinical-oriented coping-research concerning HIV-infected IVDU. Argues for an urgent change in the scientific orientations toward an outreach approach, which allows to document levels of need for social services in different scen


Section for people with AIDS and HIV.
Int Conf AIDS 1991 Jun 16-21; 7:439 (abstract no. W.D.4204)
Hengelein H; Deutsche AIDS-Hilfe, Berlin, Germany
The German AIDS Help (DAH), in its function as the umbrella organisation of the regional AIDS service organisation, offers approximately 300 workshops and seminars, each lasting 2 to 3 days, throughout the Federal Republic of Germany every year; about 60 of them are carried out by/for people with AIDS and HIV. This wor


A relapse and AIDS prevention intervention for methadone maintenance program participants.
Int Conf AIDS 1991 Jun 16-21; 7:438 (abstract no. W.D.4203)
Hadden B, Gilbert L, Muska S, Gray O, Gordon K, Ivanoff A, El-Bassel N, Schilling R; Columbia University, New York City
To test the feasibility of a group intervention designed to help methadone maintained men and women avoid relapse and HIV risk behavior. Led by two leaders, each conducting a same-sex group, 12 two-hour sessions were conducted twice weekly with 7 males and 7 females, randomly selected. Through mode


The anti-AIDS kit: a year's experience.
Int Conf AIDS 1991 Jun 16-21; 7:438 (abstract no. W.D.4202)
Zulaica D, Menoyo C, Zubia I, Urcelay A, Linaza I, Elizalde B; The AIDS Prevention and Control Plan of the Basque Health Service, San Sebastian. Spain
To evaluate the efficiency of the Anti-AIDS Kit (syringe, condom, plastic container for the disposal of the syringe, tissue wipe soaked in alcohol, and an information leaflet), one year after the setting up of an AIDS prevention programme for intravenous drug addicts, based on the collaboration of chemists.


Variations in support for HIV-seropositive patients by sexual partner.
Int Conf AIDS 1991 Jun 16-21; 7:438 (abstract no. W.D.4201)
Daniel T, Lupo P, Vardinon N, Yust I, Burke M; Department of Social Work, Tel Aviv Medical Center, Israel
To study the nature and degree of support for HIV1-seropositive patients by their seronegative sexual - either homosexual or heterosexual - partners. Sixteen HIV1-seropositive symptomatic male patients who had one principal sexual partner, who was seronegative were selected, during a one year period


The self-help group as challenge to catastrophe and uncertainty: from re-information model to an integrated prevention and support system.
Int Conf AIDS 1991 Jun 16-21; 7:438 (abstract no. W.D.4200)
Cocchetti P; Associazione Solidarieta AIDS, Milano, Italy
Self-Help groups have been organised by Associazione Solidarieta AIDS (ASA) since 1987; this paper is based on their experience. Groups meet once a week for a two-hour session and are made up of homosexuals or heterosexuals all of whom are HIV+ or have been diagnosed with AIDS. The first aim of the group is to build a


PWA use and evaluation of alternative therapies in Philadelphia.
Int Conf AIDS 1991 Jun 16-21; 7:437 (abstract no. W.D.4199)
O'Connor BB; University of Pennsylvania, Dept. of Folklore/Folklife
Pilot project to identify PWA use of alternative/complementary therapies in Philadelphia; to describe how PWAs discover, use and evaluate such therapies. Bi-weekly participant-observation (4 months) in healing workshops & alternative therapy discussion groups at a local grassroots PWA support org


Hospital costs of treating AIDS patients in Italy: an empirical analysis.
Int Conf AIDS 1991 Jun 16-21; 7:437 (abstract no. W.D.4198)
Visco Comandini V, Girardi E, Puro V, Visco G; Istituto di studi sulle Regioni-CNR, Rome, Italy
Cost estimation of care of patients with AIDS (PWA); analysis of economic impact of costs on organizational issues (outpatient versus inpatient care). A sample of 77 PWA treated in a public hospital (1985-88) was studied. Costs were estimated: from the top (budget and financial data, internal admist


Recourse to complementary therapies of HIV-positive patients continuing to seek conventional treatment.
Int Conf AIDS 1991 Jun 16-21; 7:437 (abstract no. W.D.4197)
Anderson WH, O'Connor B, Schwartz S, MacGregor RR; University of Pennsylvania
To identify recourse to alternative or complementary therapies among HIV+ patients who continue to attend medical clinics in the Philadelphia area. Demographic and behavioral information was obtained from standard, self-administered anonymous questionnaires distributed at four medical clinics in the


Involvement of body positives in national policies against AIDS in Kenya.
Int Conf AIDS 1991 Jun 16-21; 7:437 (abstract no. W.D.4196)
Lenya R, Awuor L; Tapwak - Nairobi, Kenya
To examine how people with HIV and AIDS can effectively be involved in governmental organs in policy making against AIDS in Kenya . Participation of PWAs in Ministry of Health KNACP at the IEC sub committee, to 1) Plan centres of information, 2) Prevention approaches and 3) Cultural and inbuilt triba


Health care for HIV-positive patients at the Gradignan prison (Bordeaux-France).
Int Conf AIDS 1991 Jun 16-21; 7:436 (abstract no. W.D.4195)
Beylot J, LaCoste D, Benezech M, Rager P; Internal Medicine Department, Regional University Hospital Center, Bordeaux
Establish the position of HIV-positivity since 1985 at the Bordeaux-Gradignan prison and describe the modalities of the health care administered to HIV+ prisoners. Statistical data are collected by SMPR since 1985. A medical consultation is provided weekly at the prison since October 1987 by a Hospi


Survey of drug abuse behavior as HIV risk factors in incarcerated adolescents.
Int Conf AIDS 1991 Jun 16-21; 7:436 (abstract no. W.D.4194)
Zeljkovic S, Huscroft S, Baker CJ, Re O, Morris R, Aquino K; County of Los Angeles/Department of Health Services, Los Angeles, CA USA
To survey drug abuse behavior prior to incarceration as it relates to the risk of HIV acquisition in order to assist with AIDS risk reduction programs. Minors detained within the Los Angeles Juvenile Halls and who had received in-house AIDS counseling were interviewed by certified Health Educators


Trends in AIDS litigation.
Int Conf AIDS 1991 Jun 16-21; 7:436 (abstract no. W.D.4193)
Kern JM, Croy BB; Crosby, Heafey, Roach & May; San Francisco, CA, USA
To analyze trends in AIDS litigation against physicians, hospitals, blood centers since 1984, and to identify resulting defense strategies. Actual trial of legal actions (1984-1990) against healthcare providers; analysis of trial and appellate court decisions, state/federal legislation, recommendati


The burn-out syndrome: a preliminary survey in four Italian hospitals.
Int Conf AIDS 1991 Jun 16-21; 7:436 (abstract no. W.D.4192)
Guidetti E, Gnarini R, Giuliani M, Gigantesco A, Cartia M, Soscia M, Concia E; Ospedale "D. Cotugno" Naples
The AA. have aimed at studying the socio-psychological problems underlying the burn-out syndrome that affects the medical and paramedical staff working in AIDS wards. The research has been organized with the collaboration of four working groups (Naples, Rome, Verona and Siracusa) formed by doctors a


The professional burn-out risk for the operators working in AIDS in patients units.
Int Conf AIDS 1991 Jun 16-21; 7:435 (abstract no. W.D.4191)
de Bertolini C, Lazzaretto M, Pantano M, Riolo R; Pellegrino L. Department of Psychiatry, University of Padua, Padua, Italy
The care of the HIV patients has many psychological implications, and obliges the health care workers to use defensive mechanisms that may, in some occasions, damage the therapeutic relationship. Often, such complicated psychological situation leads the medical and nursing staff to the burn-out syndrome. With the goal


Health care personnel and AIDS: how many risks of burn out syndrome?
Int Conf AIDS 1991 Jun 16-21; 7:435 (abstract no. W.D.4190)
Ancona L, Di Giannantonio M, Mattioni T, Lestingi L, Favetta S, Marasca G, Fantoni M; Istituto d Psichiatria e Psicologia, Roma, Italy
The aim of our research is to make a diagnosis, either qualitative and quantitative and to establish a global evaluation of Burn Out Syndrome (BOS) among health care personnel in touch with AIDS patients. We tested a random sample of 85 health care workers from Territorial Services and General Hospit


The group process in the consultation to a comprehensive hemophilia treatment team: reducing staff burnout relating to HIV.
Int Conf AIDS 1991 Jun 16-21; 7:435 (abstract no. W.D.4189)
Dinoi R, Brettler D; New England Hemophilia Center, Worcester, Massachusetts, USA
To describe the process in which a comprehensive hemophilia treatment team uses psychological consultation as a group, to reduce staff burnout. Background: The impact of HIV has a unique effect upon the hemophilic patient and his treatment provider. Patients were infected as a result of their medical treatme


Evaluation of knowledge, attitudes and practices (KAP) about tuberculosis associated to HIV/AIDS among health care workers (HCWs) from primary health services (PHS), a chest hospital and an infectious diseases department in Rio De Janeiro, Brasil.
Int Conf AIDS 1991 Jun 16-21; 7:435 (abstract no. W.D.4188)
Vieira MA, Kritski AL, Werneck E, Janini MC, Carvalho CE, Oliveira JR, Carreira MN, Marques MJ, Lucarevischi BR, Barroso PF, et al; Nucleo de Pesquisa em Tuberculose e Doencas Associadas-Instituto de Tisiologia e Pneumologia - UFRJ, Rio de Janeiro, Brasil
To obtain baseline data on TB associated to HIV/AIDS related to KAP of physicians from Health Services. Twenty two physicians (Group A) from PHS, 21 (Group B) from a Chest Hospital and 23 (Group C) from an Infectious Diseases Department, answered an anonymous, voluntary and self-administered questio


Low compliance with universal precautions among hospital employees despite high perceived risk.
Int Conf AIDS 1991 Jun 16-21; 7:434 (abstract no. W.D.4187)
Gershon R, Curbow B, Vlahov D, Celentano DD, Saah AJ; Johns Hopkins School of Hygiene and Public Health, Baltimore, MD, USA
To characterize predictors of compliance with Universal Precautions (UP) among hospital-based health care workers. Employees of two urban hospitals were mailed a confidential, self-administered questionnaire. The outcome measure was self-reported UP. Other variables were knowledge, perception of ris


Blood contamination of the laboratory slips and blood sample containers: an unappreciated risk of hospital acquired infection.
Int Conf AIDS 1991 Jun 16-21; 7:434 (abstract no. W.D.4186)
Singh S, Irshad M, Shrivastava AK, Rattan A; Dept. of Microbiology, New Delhi 110029, India
Much has been published on occupational HIV and Hepatitis B virus infections through needle pricks, peroperative injuries, blood splashes etc.; there is no documentation of the occupational risks through the blood contamination of lab slips and sample containers. METHODS & 4100 laboratory requi


Ability of the 1000 ml water leak test for surgical gloves to detect leakage of viruses.
Int Conf AIDS 1991 Jun 16-21; 7:434 (abstract no. W.D.4185)
Kotilainen HR, Cyr WH, Truscott W, Gantz NM, Lytle CD; Center for Devices and Radiological Health, U.S. Food and Drug Administration, Rockille, MD USA
To determine whether the official FDA 1000 ml water leak test for medical gloves can detect defects which might allow virus leakage. Four brands of latex surgical gloves were tested. To increase the number of leaks in some of the test gloves, we punctured some of the index, middle, and ring fingers


Zidovudine use after occupational exposure to HIV-infected blood.
Int Conf AIDS 1991 Jun 16-21; 7:434 (abstract no. W.D.4184)
Tokars JI, Marcus R, Culver DH, McKibben PS, Bell DM; Cooperative Needlestick Surveillance Group. CDC, Atlanta, GA, USA
To describe patterns of zidovudine ( AZT ) use and risk of HIV infection in health-care workers (HCWs) after exposure to HIV-infected blood. CDC began prospective surveillance of HCWs in Aug. 1983; in Oct. 1988, the project was expanded to collect data on AZT use and toxicity. From Aug.


Seroprevalence of HIV, HTLV, HCV and HBV among emergency department patients and potential risk to health care workers.
Int Conf AIDS 1991 Jun 16-21; 7:433 (abstract no. W.D.4183)
Kelen Gabor D, Chan DW, Green GB, Sivertson KT, Quinn TC; Johns Hopkins University, Baltimore, MD, USA
To determine the seroprevalence, epidemiologic features, and potential risk of nosocomial transmission to health care workers (HCWs) of HIV, HBV, HCV, and HTLV-I/II in an inner-city emergency department (ED). Excess sera from 2544 consecutive adult patients presenting to an inner-city emergency depa


Zidovudine prophylaxis for health care workers following occupational HIV exposure.
Int Conf AIDS 1991 Jun 16-21; 7:433 (abstract no. W.D.4182)
Papillon M, Houle L, Lebel F; Borroughs Wellcome Kirkland, Quebec, Canada
To describe the safety and tolerance of zidovudine (ZDV) post exposure prophylaxis in Canadian health care workers. Since May 1989, 37 HIV exposed health care workers were administered ZDV. The dose recommended was 200 mg p.o. every 4 hours (1200mg/day) for 42 days. There were 14 men and 23


HIV risk assessment and health planning methods used in a policy making for pregnant health care workers (HCWs).
Int Conf AIDS 1991 Jun 16-21; 7:433 (abstract no. W.D.4181)
Roy E, Robillard P; Centre for AIDS Studies, Hopital general de Montreal, Canada
To determine if occupational HIV risk should be considered in the application of a provision of the Occupational Health and Safety Act of Quebec concerned with the reassignment of pregnant workers. A health planning approach was used accounting for 1) occupational risk of HIV infection (based on the


Reconciling public health concerns regarding HIV-infected health care professionals and the legal rights of those professionals.
Int Conf AIDS 1991 Jun 16-21; 7:433 (abstract no. W.D.4180)
Closen ML, Issacman SH; John Marshall Law School, Chicago, Illinois, USA
To survey public health concerns regarding HIV-infected health care professionals and health care professionals concerns regarding their legal rights. First, past and present infection control practices are reviewed. Second, the risks posed by infected HCPs are analyzed. Consideration is given to ris


Progression of HIV-1 infection in an HTLV-IIIB (IIIB) infected laboratory worker (LW).
Int Conf AIDS 1991 Jun 16-21; 7:432 (abstract no. W.D.4179)
Blattner WA, Reitz M, Mann D, Robert-Guroff M, Matthews T, Bolognasi D, Waters D; NCI, Bethesda, MD, USA
Evaluate over a 5 year period changes in viral sequence, immunologic status, and response following accidental laboratory-acquired HTLV-IIIB infection. Serial virus isolates were cloned and full-length sequenced (1985, 1987, 1990). T-cell subsets were measured by FACS and class-specific antibody (Ab)


Occupationally acquired HIV infection, United States.
Int Conf AIDS 1991 Jun 16-21; 7:432 (abstract no. W.D.4178)
Metler R, Ciesielski C, Marcus R, Berkelman R; Centers for Disease Control (CDC), Atlanta, Georgia, USA
To describe occupational exposures in the United States which have resulted in transmission of HIV. We examined reports through 12/31/90 of occupationally acquired HIV infection in (a) U.S. AIDS cases reported to CDC; (b) CDC prospective evaluation of health care workers (HCWs) exposed to patients i


Occupational risk for HIV infection among non-health care workers.
Int Conf AIDS 1991 Jun 16-21; 7:432 (abstract no. W.D.4177)
De Gennaro M, Angarano G, Congedo P, Lo Caputo S, Maggi P, Carbonara S, Pastore G; Clinic of Infectious Diseases - University of Bari - Italy
To demonstrate that risk of contact with surely or possibly infected blood or body fluids can involve non-health care workers. Such risk appears high for dustmen when they sweep or gather syringes, and for policemen who get in touch with drugs addicts during body searches, fights or first aid missions. METHO


Assessment of risk in developing country health work.
Int Conf AIDS 1991 Jun 16-21; 7:432 (abstract no. W.D.4176)
Bailey M; Save the Children Fund, London, United Kingdom
To help managers to prioritise infection control measures so that attention is directed to those at greatest risk and to help developing country health workers to recognise, understand and control their own occupational infection risks. Observation and review of infection risk and risk control in dev


Epidemiologic characterization of professionally related high risk for HIV-1 infection.
Int Conf AIDS 1991 Jun 16-21; 7:431 (abstract no. W.D.4175)
Sanchez-Anguiano A, Garcia ML, Valdespino JL, Herrera C, Sepulveda J; General Directorate of Epidemiology, Ministry of Health Mexico
To identify the epidemiologic characteristics of health employees who are professionally exposed to HIV-1 infection and who have risky practices at work. For this cross-sectional study, 2100 employees from two large Mexico City hospitals volunteered to be included in the study. A case-control design


Occupational exposure to blood: a descriptive survey of risk management in assistance publique hospitals of Paris (APHP).
Int Conf AIDS 1991 Jun 16-21; 7:431 (abstract no. W.D.4174)
Abiteboul D, Fourrier A, Azoulay S, Pelletier A, Louet M, Marande J, Bouvet E, Brucker G, Descamps JM, Pernet M, et al; Occupational health department APHP, Paris, France
1) to identify devices and procedures at risk; 2) to assess the compliance of health care workers (HCW) with safety policies, and the reporting rate of blood exposures to occupational health physicians (OHP); 3) to estimate the risk of HIV transmission among exposed HCWs. In APHP (45 hospitals, 500


A one year prospective ongoing survey on blood exposures among 518 nurses in 17 hospitals in France.
Int Conf AIDS 1991 Jun 16-21; 7:431 (abstract no. W.D.4173)
Bouvet E, Abiteboul D, Fourrier A, Brucker G, Leprince A, Pernet M, Descamps JM; Geres - Paris - France
An active ongoing study have been conducted in 1990 among 518 nurses from 9 intensive care units (ICU) and 20 medical departments (MD): 1 - to estimate the annual incidence of exposures to blood 2 - to describe responsible mecanisms, devices and procedures 3 - and to evaluate compliance to universal precaut


HIV infection and health care workers: results of five years of epidemiologic surveillance in two general hospitals in Genoa, Italy.
Int Conf AIDS 1991 Jun 16-21; 7:431 (abstract no. W.D.4172)
Di Vito G, Rizzo F, Poli A, Guida B, Cassola G, Morandi N, Icardi GC; S. Martino Hospital, Genoa, Italy
Evaluation of the surveillance program on medical staff, in two General Hospitals ( S. Martino and Galliera ), following casual workplace exposure to blood and other infectious body substances from anti-HIV positive subjects. Management of health care workers (HCW) included, in addition to the immed


Frequency of parenteral and 'muco-cutaneous exposure of an infectious diseases staff to patients body fluids from 1981 to 1990.
Int Conf AIDS 1991 Jun 16-21; 7:430 (abstract no. W.D.4171)
Perna MC, Bragonzi G, Rigotti A, Bosio M, Ronchin M, Galli M, Arbosti G; Health Direction, L.Sacco Hospital, CEMOC USSL 75/VI, Milan, Italy
To describe the variation in risk of parenteral and muco-cutaneous exposure (R) in the staff of an Infectious Diseases Unit from 1981 to 1990. L.Sacco Hospital Infectious Diseases Departments admitted since 1984 more than 1000 cases of AIDS. Reports of parenteral and muco-cutaneous exposures among s


AIDS education in rural hospitals in the western United States.
Int Conf AIDS 1991 Jun 16-21; 7:430 (abstract no. W.D.4170)
Carwein V, Berry D; College of Health Sciences, University of NV, Las Vegas, NV, USA
1) To identify methods and reasons for providing AIDS education to employees of rural hospitals and surrounding communities in the western United States . 2) To evaluate satisfaction with and effectiveness of current educational programs and reasons for success or failure of programs. A 16 item sur


A randomized controlled intervention trial to improve AIDS-related attitudes and professional competence of health care workers (HCWs) in metro Manila hospitals.
Int Conf AIDS 1991 Jun 16-21; 7:430 (abstract no. W.D.4169)
Santana RT, Monzon O, Hearst N, Mandel J, Hall T; The Department of Health Research Institute for Tropical Medicine, Alabang, Metro Manila, Philippines
To improve AIDS-related practices of HCWs through an intervention targeting knowledge, attitudes and infection control (IC) practices (KAP). In a randomized controlled intervention study with pre-/post-intervention measures, physicians, nurses, orderlies and medical technologists were stratified acc


Teaching medical students to examine their own preconceptions about HIV/AIDS.
Int Conf AIDS 1991 Jun 16-21; 7:430 (abstract no. W.D.4168)
Elford J, Bor R, Cockcroft A; Royal Free Hospital, London, UK
To organize and evaluate a course which allowed undergraduate medical students to explore some of their preconceptions and anxieties about managing patients with HIV/AIDS. Intensive work with one group of 12 students, 3-6 hours a week over 8 weeks, as part of a course in sociology and epidemiology.


AIDS: a challenge to the nursing profession.
Int Conf AIDS 1991 Jun 16-21; 7:429 (abstract no. W.D.4167)
Byahuka E; Nurse Coordinator, Aids Control Program, Ministry of Health, Entebbe, Uganda
INTRODUCTION: NAAMARA, BYANGIRE, DUGGAN, RUSHOTA. The nursing profession has traditionally prepared nurses for provision of quality care to individuals, families and the community. AIDS can be the opportunity for nurses to recommit themselves to wholistic health care with the patient in the centre. Hither to has there


Nurses' willingness to perform AIDS patient care: differences between staff nurses in high, moderate, and low AIDS prevalence hospitals.
Int Conf AIDS 1991 Jun 16-21; 7:429 (abstract no. W.D.4166)
Kempainnen J, St Lawrence JS, Irizarry A, Weidema DR, Benne C, Fredericks CD, Wilson M; VA Medical Center, Jackson MS
The study evaluated whether staff nurses in hospitals with high-, moderate-, and low-AIDS patient admissions differed in their willingness to perform nursing tasks for AIDS patients. 580 nurses from V.A. hospitals with high (N=188), moderate (N=184), and low (N=197) AIDS patient admissions read a vig


Knowledge, attitudes and infection control practices as predictors of HIV/AIDS avoidance and discrimination in providing madical care for patients at the University of Brasilia teaching Hospital.
Int Conf AIDS 1991 Jun 16-21; 7:429 (abstract no. W.D.4165)
Rodrigues LG, Vechi DP, Moreira MD; Center for Health Sciences, University of Brasilia, Brasilia, Brazil
To determine wheter health professionals avoid or discriminat IV/AIDS patients and which factors may be responsible for it. 21.6% (71/328) of 328 health professionals interviewed at the Hospital responded to a survey measuring knowledge on transmission, prevention and infection control practices. In


Dentists and AIDS: knowledge, attitude and preventive behavior.
Int Conf AIDS 1991 Jun 16-21; 7:429 (abstract no. W.D.4164)
Okanurak K, Sornmani S, Mandel J, Luangjarmekorn L; Faculty of Tropical Medicine, Mahidol U., Bangkok, Thailand
To determine knowledge, attitude and infection control practice of dentists on AIDS and the care for AIDS and HIV positive persons. METHODOLOGY: Self-administered questionnaires were mailed to the dentists whom were selected by using simple random sampling techniques from the list of dentists in Bangkok. Th


Campinas dentists and HIV infection: knowledge, attitudes, and behavior.
Int Conf AIDS 1991 Jun 16-21; 7:428 (abstract no. W.D.4163)
Bertazzoli R, Reingold A, Guerbert B, Bellucci S; Centro Corsini, Campinas, SP, Brazil
To ascertain dentists attitudes, knowledge and behavior regarding AIDS and infection control. A questionnaire was mailed to 399 dentists. Subjects were selected randomly from the rosters of dentists (N=1197) in Campinas city and were asked to fill out a questionnaire regarding their knowledge about


An initial international dental survey of HIV knowledge/attitudes and infection control procedures.
Int Conf AIDS 1991 Jun 16-21; 7:428 (abstract no. W.D.4162)
Cottone JA, Dove SB, Marianos DW, Gooch BF; University of Texas Health Center, San Antonio, Texas, USA
Collect initial international HIV knowledge/attitudes and infection control (IC) practices data for dentistry. 99 surveys representing 28 countries were completed at HIV/IC programs at the 1990 FDI World Dental Congress in Singapore . Frequency distributions were calculated. Country comparisons were


Knowledge, attitudes and practices among Caribbean laboratory workers with reference to prevention of laboratory acquired HIV infection.
Int Conf AIDS 1991 Jun 16-21; 7:428 (abstract no. W.D.4161)
Wilson V, Mooteeram L, Gayle C, Hull B; Caribbean Epidemiology Centre, Port of Spain, Trinidad, WI
To assess safety management, knowledge and compliance among laboratory workers in the English-speaking Caribbean, with regard to adoption of Universal Precautions Policy (UPP). Laboratory workers were surveyed via an anonymous, self-administered, pre-coded questionnaire. Management and Polic


Tuberculosis (TB) infection and disease among health workers (HW) in a hospital AIDS service.
Int Conf AIDS 1991 Jun 16-21; 7:428 (abstract no. W.D.4160)
Cadeo GP, Costa P, Morandini B, Bna B, Melli F, Pajola F; Infectious Diseases Division Mantova (Italy)
The high prevalence of TB disease in AIDS patients prompted us to evaluate the relative risk of TB infection and disease among HW of our hospital AIDS service in order to evaluate the need of specific prophylaxis and surveillance schedule. 11 AIDS service HW (group A) and 102 HW of other divisions


HIV knowledge, attitudes, and practices of 15,000 US primary care physicians.
Int Conf AIDS 1991 Jun 16-21; 7:427 (abstract no. W.D.4159)
Rinaldi R, Henning J; American Medical Association, Chicago, IL, USA
To determine the extent to which family/general practitioners, internists, obstetricians/gynecologists, and pediatricians practice a variety of HIV prevention and treatment activities. 15,000 primary care physicians will be selected from the AMA computer masterfile. This survey will be completed by


Knowledge, attitudes and practices (KAP) about HIV infection and AIDS among health care workers (HCWs) in Rio de Janeiro, Brasil.
Int Conf AIDS 1991 Jun 16-21; 7:427 (abstract no. W.D.4158)
Lauria LM, Vieira MA, Werneck E, Janini MC, Carvalho CE, Oliveira JR, Carreira MN, Marques MJ, Lucarevschi BR, Kritski AL, et al; Programa de Controle da AIDS - Secretaria Municipal de Saude do Rio de Janeiro
To assess the KAP among HCWs employed by Public Health Services in order to set up an AIDS training program. A self-administered, voluntary and anonymous questionnaire was answered by physicians (PPHS), n=22, and nurses (NPHS), n=8, from Primary Health Services and by physicians (PH), n=44, and nurs


Knowledge, attitudes and practices of Greek health care workers in relation to AIDS.
Int Conf AIDS 1991 Jun 16-21; 7:427 (abstract no. W.D.4157)
Roumeliotou A, Kornarou E, Papaevangelou V, Spiropoulou P, Ktenas E, Stergiou G, Papaevangelou G; WHO National Centre for AIDS, Athens School of Hygiene, Athens, Greece
To improve educational programmes directed to health care workers we investigated their knowledge, attitudes and practices in relation to AIDS. An anonymous self completed questionnaire was distributed to 609 health care workers. Of them 59.6% accepted to participate (42.4% of the medical doctors, 7


Assimilation of recent knowledge about HIV/AIDS by physicians and nurses at a US ID teaching hospital: a comparative analysis.
Int Conf AIDS 1991 Jun 16-21; 7:427 (abstract no. W.D.4156)
Sullivan C, Campbell S, Henry K; St. Paul-Ramsey Medical Center, St. Paul, MN USA
In 1989-1990, the results of several large HIV-related studies have led to rapid changes in the standard of care for HIV/AIDS patients. We determined how widely the current recommendations concerning the use of zidovudine, PCP prophylaxis, and the natural history of HIV/AIDS infection have been assimilated b


Evaluation of a program designed to improve empathy of health care students towards AIDS patients.
Int Conf AIDS 1991 Jun 16-21; 7:426 (abstract no. W.D.4155)
Lapierre S, Jourdan-Ionescu C; Universite du Quebec a Trois-Riveeres
The goal of this research was to elaborate and evaluate a program designed to improve the quality of care that nursing students will provide to AIDS patients. This program was created to change the negative attitudes of health care workers who reject AIDS patients because of a fear of the illness. O


Risk of second-hand exposure to aerosolized pentamidine.
Int Conf AIDS 1991 Jun 16-21; 7:426 (abstract no. W.D.4154)
Hyland R, McIvor RA, Rachlis A, Bonner M, Varga R, Berger P, Chan CK; The Wellesley & Sunnybrook Hospitals, Toronto Central AP Clinic, University of Toronto, Toronto, Canada
To quantify the amount of pentamidine (P) dissipated from an aerosolized pentamidine (AP) clinic throughout an 8-storey medical building and to extrapolate the degree of second-hand exposure of individual health care workers (HCW) in different areas. Ambient air samples for P at various locations th


Postmortem puncture biopsy in patients with AIDS.
Int Conf AIDS 1991 Jun 16-21; 7:426 (abstract no. W.D.4153)
Guerra I, Agud J, Ayensa C, D de Otazu R, Viguri A, Busteros J, Aldamiz M; Txagorritxu Hospital. Osakidetza. Vitoria. Spain
Postmortem multiple percutaneous biopsies can be a valuable alternative to autopsies, to find out clinically unsuspected diseases and minimize occupational risk. Twenty AIDS patients were studied. Multiple punctures of thorax, abdomen and iliac crest were carried out using a tru-cut needle, and a tr


Differencies between health care workers with AIDS and AIDS patients.
Int Conf AIDS 1991 Jun 16-21; 7:426 (abstract no. W.D.4152)
Lot F, Laporte A, Bouvet E, Pinville H, Brunet JB; Ministry of health, Paris, France
To study the demographic and clinical characteristics of health care workers (HCW) with AIDS (HCW whose work may involve direct contact with blood and body fluids). Among 13145 AIDS cases reported up to December 1990. 8931 are in active life, 360 of whom are classified as HCW. Sex ratio, age, transm


AZT prophyaxis after occupational exposure to HIV in health care workers.
Int Conf AIDS 1991 Jun 16-21; 7:425 (abstract no. W.D.4151)
Puro V, Ippolito G; Coordinating Centre: AIDS Unit at L. Spallanzani Hospital Rome
To evaluate tolerability and toxicity of Zidovudine ( AZT ) prophylaxis after occupational exposures to HIV in health care workers (HCW). Since March 13, 1990 the Italian Ministry of Health authorized the use of AZT for HIV exposed HCW. A network was established to collect details of the exposure, t


Occupational exposures in public safety workers.
Int Conf AIDS 1991 Jun 16-21; 7:425 (abstract no. W.D.4150)
Strine PW, Martin LS, Mullan RJ; Centers for Disease Control, National Institute for Occupational Safety and Health, HIV Activity, Atlanta, GA
To characterize body fluid exposures in emergency first-responders in the normal course of their routine work duties in an attempt to determine what routine work functions provide the greatest chance of body fluid exposure to the worker. An estimated 508,000 U.S. fire and rescue, ambulance, and law/correctio


Barrier protection with gloving: double versus single.
Int Conf AIDS 1991 Jun 16-21; 7:425 (abstract no. W.D.4149)
Korniewicz D, Kirwin M, Cresci K, Tian Sing S, Tay Eng Choo J, Wool M; Johns Hopkins University, Baltimore, MD, USA
This study was conducted to test differences in barrier protection between double and single examination gloves after use. Eight research assistants were randomly assigned to perform a standardized clinical protocol designed to mimic patient care activities while wearing single or double gloves. Fol


Specialised training on harm minimisation and risk reduction: a course model developed by a national training and research project.
Int Conf AIDS 1991 Jun 16-21; 7:425 (abstract no. W.D.4148)
Cranfield S, Aldridge T, Woodward N; Drug Training Unit, LBTC: Training for Care, London
To develop and disseminate a model of specialised training on harm minimisation and risk reduction for staff groups working with injecting drug users. The Drug Training Unit, London, has been commissioned by the Health Education Authority (UK) to produce a modular training package on HIV/AIDS for st


Variables influencing nurses' attitudes toward AIDS patients.
Int Conf AIDS 1991 Jun 16-21; 7:424 (abstract no. W.D.4147)
Alexander R, Fitzpatrick J; Purdue University Calumet, Hammond, IN, USA
To identify potential new variables influencing nurses attitudes toward AIDS patients and to further explore previously isolated relationships of concern. The sample consisted of 136 registered nurses working in a large midwestern research institution in the United States . A questionnaire solicit


A model for community based clinical research.
Int Conf AIDS 1991 Jun 16-21; 7:424 (abstract no. W.D.4146)
Morris A, Thompson M; AIDS Research Consortium of Atlanta, Inc., Atlanta, GA, USA
To create a clinical research organization whereby HIV-infected patients in the metro Atlanta community have access to clinical trials within their primary care setting, whether private or public. To include patients traditionally left out of the clinical trial process: African Americans, Latinos, women and


Changes in Switzerland: condom use in casual sex.
Int Conf AIDS 1991 Jun 16-21; 7:424 (abstract no. W.D.4145)
Zimmermann E, Hausser D, Dubois-Arber F, Zeugin P; University of Lausanne, Lausanne, Switzerland
Effectiveness of the Swiss STOP AIDS prevention strategy is mainly assessed by self-reported condom use during casual sex. Five consecutive waves of phone surveys have been conducted since early 1987 among representative samples of the 17 to 30 years old Swiss (N=1200). The last two waves also inclu


Abused adolescents at risk for AIDS: implications for public health.
Int Conf AIDS 1991 Jun 16-21; 7:424 (abstract no. W.D.4144)
Cunningham RM, Stiffman A, Earls F, Dore P; Washington University, St. Louis, MO, USA
To identify predictors