AEGiS-10IAC: Sexual practices among Latino men with hemophilia.

10th International AIDS Conference


Yokohama, Japan — Aug 7-12, 1994

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Sexual practices among Latino men with hemophilia.

Int Conf AIDS 1994 Aug 7-12; 10:401 (abstract no. PD0784)
Hoffman V, Marin BV, Baker J, Mandel J, Vallejo-Alviso L, Parra L; University of California, S.F.

OBJECTIVES: Latino hemophilic men represent an underserved population requiring culturally appropriate AIDS prevention strategies. The purpose of this study is to describe cultural issues in attitudes toward condoms, disclosure of HIV status to sexual partners, and sexual behavior among Latino men with hemophilia.

METHODS: Latino men with hemophilia in California were recruited through Hemophilia Treatment Centers (HTCs) and Hemophilia Foundation chapters. Participants were interviewed by telephone in their preferred language. Questionnaire (197 items) measured self-efficacy to use condoms, knowledge and attitudes toward condoms, sexual behavior, and access-to-care. HIV+ and HIV- men were compared on their self-efficacy to use condoms and sexual practices.

RESULTS: Respondents were 39 Latino men with hemophilia; median age was 28, 59% had steady partners, and 31% had children. Almost all (95%) were tested for HIV and knew their results. Among the 23 men (62%) who were HIV+, 70% had penetrative sex during the past year and 41% engaged in non-penetrative sex; 23% of HIV+ men reported their steady partners had not been tested. Significant differences, using ANOVA, were found between HIV+ and HIV- respondents on a 10-item self-efficacy scale: HIV+ men reported they could significantly (p < .05) use condoms when their partner is opposed (F = 6.20), carry condoms (F = 5.29), stop and put condoms on (F = 7.52), use them in a monogamous relationship (F = 6.51), and use them in addition to another method of birth control (F = 4.53). Among HIV+ men, 47% "always" used condoms with their steady partners, (compared with no (0%) HIV- men).

CONCLUSIONS: Higher self-efficacy scores and greater condom use among HIV+ (vs. HIV-) Latino men with hemophilia suggests Latino men are able to change their sexual behavior and argues for the importance of encouraging HIV antibody testing among Latino men with hemophilia. Continued work to increase specific types of self-efficacy is needed to encourage greater condom use among HIV+ men. Testing of steady partners and non-penetrative sex should be emphasized.

Keywords: AEGIS, Hemophilia A, Condoms, Hispanic Americans, Sexual Partners, Acquired Immunodeficiency Syndrome, HIV, HIV Infections, Questionnaires, HIV Seropositivity, Sex Chromosome Aberrations, HIV-1, California, Human, Male, Child, genetics, ICA10KWDaegis,hemophiliaa,condoms,hispanicamericans,sexualpartners,acquiredimmunodeficiencysyndrome,hiv,hivinfections,questionnaires,hivseropositivity,sexchromosomeaberrations,hiv-1,california,human,male,child,genetics,ica10
940807
PD0784

Copyright © 1994 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.