16th International AIDS Conference


Toronto, Canada — August 13-18, 2006

Cite as: Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. xx

Table of Contents
Main  Monday Tuesday  Wednesday  Thursday  Late-Breakers
Monday
Oral Abstracts
Track A
MoAa01 HIV Attachment, Penetration and Tropism
MoAa0101 ATTACHMENT IN HIV ENTRY PROCESS BY ELECTRON MICROSCOPIC TOMOGRAPHY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0101
Goto T.1, Hasegawa T.2, Kajimura N.2, Iwabu Y.3, Yamamoto D.4, Ikuta K.3, Takaoka A.2
At the first contact point, the distance between the virus and the cell membrane corresponds very well to the length of the extended gp41 molecule. Further stages have been investigated and will be discussed.
MoAa0102 CELL-TO-CELL HIV-1 TRANSMISSION THROUGH A CLATHRIN-DEPENDENT ENDOCYTIC PATHWAY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0102
Bosch B.1, Grigorov B.2, Senserrich J.1, Blanco J.1, Clotet B.1, Darlix J.-L.2, Muriaux D.2, Este J.1
Taken together these results suggest that HIV-1 cell-to-cell transmission probably occur through a caveolin-independent but clathrin-dependent endocytic process leading to the formation of endosomal vesicles containing complete HIV-1 particles.
MoAa0103 ROLE OF THE HIGHLY CONSERVED LWYIK MOTIF OF THE TRANSMEMBRANE PROTEIN gp41 OF HIV IN ENV-MEDIATED MEMBRANE FUSION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0103
Chen S.S.-L., Chan W.-E.
Our study shows that localization of Env in lipid rafts is not sufficient for Env-mediated membrane fusion. The results also demonstrate that the immediate membrane-proximal LWYIK motif is not necessary for Env maturation or incorporation into the virus, but does play a critical role in membrane fusion by promoting formation of a functional fusion pore.
MoAa0104 CXCR4 ANTAGONIST-INDUCED CORECEPTOR SWITCH FROM X4 TO R5 PHENOTYPE IN VITRO DETERMINED BY A SINGLE AMINO ACID SUBSTITUTION IN THE V3 REGION OF HUMAN IMMUNODEFICIENCY VIRUS TYPE 1 gp120
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0104
Maeda Y., Yusa K., Harada S.
These results indicated that the coreceptor switch from X4 to R5 phenotype was easily occurred in vitro when intermediate phenotypes of HIV-1 (R5X4 variants) were used.
MoAa0105 THE MECHANISM OF HIV-1 ESCAPE FROM SMALL MOLECULE CCR5 ANTAGONISTS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0105
Pugach P., Kuhmann S., Ketas T., Moore J.P.
We interpret these findings to indicate that the resistant viruses are utilizing CCR5 receptors to which the small molecule have already bound in a way that blocks PSC-RANTES binding. The appearance of "plateaus" of incomplete resistance suggests that these viruses utilize drug-bound CCR5 less efficiently than drug-free receptors.
MoAa02 Neutralizing Antibodies to HIV
MoAa0201 PROBING THE PROMISCUITY OF THE HIV-1 NEUTRALIZING 2F5 ANTIBODY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0201
Julien J.-P., Bryson S., Pai E.F.
The results presented here give new insights in the structure-based design of a peptide-like molecule potentially capable of stimulating 2F5 antibody production and help in the bigger quest of creating a potent vaccine for HIV-1.

MoAa0203 THE E2DISP ANTIGEN DISPLAY SYSTEM: A NOVEL HIV VACCINE APPROACH
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0203
Lauman D.N.1, Caivano A.2, Domingo G.3, Meoli L.2, Thomas S.4, Sutton W.F.5, Kaja M.-K.4, Haigwood N.L.5, De Berardinis P.2, Doria-Rose N.5
Both pure and hybrid E2DISP-HIV particles are immunogenic in non-transgenic mice. The successful boosting of HIV-specific antibodies despite the presence of antibodies to the E2DISP backbone suggests that higher titer responses may be elicited with additional immunizations. Future studies will evaluate the immunogenicity of E2Env, E2Nef and E2Rev constructs, and alternative adjuvants will be used to enhance CTL responses. Generation of NAbs will be evaluated following immunizations with E2Env constructs, such as E2Env-gp41EC, which contains a target of broad NAbs, the Membrane Proximal External Region.
MoAa0204 VACCINE-RELEVANT MIMOTOPES SELECTED WITH NEUTRALIZING IGG PRESENT IN PLASMA FROM LONG-TERM NON-PROGRESSORS (LTNP) BY PHAGE DISPLAY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0204
Humbert M.1, Antoni S.1, Landersz M.1, Rodes B.2, Soriano V.2, Knechten H.3, Staszewski S.4, von Laer D.1, Dittmar M.5, Dietrich U.1
The phage display technology was successfully applied to identify HIV-1 specific mimotopes for neutralizing antibodies supposed to have a protective role in LTNP. These mimotopes represent candidates for the derivation of vaccine-relevant immunogens.
MoAa0205 MATERNAL NEUTRALIZING ANTIBODIES TO A CRF01_AE PRIMARY ISOLATE ARE ASSOCIATED WITH LOW INTRA-PARTUM TRANSMISSION OF HIV-1 IN THAILAND
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0205
Samleerat T.1, Jourdain G.2, Braibant M.3, Ngo-Giang-Huong N.2, Lallement M.2, Leechanachai P.4, Sirithadthamrong S.5, Surasaerneewongse V.6, Warachit B.7, Hotrawarikarn S.8, Barin F.3
Our analysis confirmed our previous observation that high levels of NAb to MBA were associated with low risk of MTCT, and this was mainly due to a lower risk of intra-partum transmission. Such data support the hypothesis that passive immunization could be efficient in preventing MTCT. Further studies are needed to understand why levels of Nab to MBA are more relevant to MTCT than other Nab.
MoAa0206 LOOP DELETIONS IN gp120 EXPOSE THE CD4 BINDING SITE FOR IMPROVED BINDING OF 1b12 AND F105 ANTIBODIES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAa0206
Berkower I., Ni Y., Patel C., Spadaccini A.
These results suggest that naturally occurring features of the gp120 structure may inhibit antibody binding and reduce the induction of antibodies to the CD4 binding site. These structures can be removed without upsetting the overall conformation. Exposure of the CD4 binding site could occur by reducing steric hindrance or through an allosteric effect on the excursion between open and closed forms of the protein, as occurs during CD4 binding. Open forms of gp120 bearing an exposed CD4 binding site may favor the induction of broadly cross-reactive neutralizing antibodies.
Track B
MoAb01 Challenges in Tuberculosis
MoAb0101 ELISPOTs IN THE DETECTION OF MYCOBACTERIUM TUBERCULOSIS INFECTION IN A POPULATION WITH HIGH PREVALENCE OF HIV AND HIGH EXPOSURE TO BCG AND ENVIRONMENTAL MYCOBACTERIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAB0101
Mutsvangwa J.1, Corbett E.L.2, Chaka-Boyd K.3, Vundla R.4, Muzangwa J.4, Mavhudzi T.4, Cheung Y.5, Mason P.R.6, Millington K.7, Ewer K.7, Lalvani A.7, Butterworth A.E.8
A proportion of positive TSTs and PPD responses may be attributable to exposure to organisms other than MTB. Both TSTs and PPD ELISPOTs are substantially reduced in HIV-infected individuals, whereas RD1 ELISPOTs are unaffected. Thus, this study supports that the RD1 ELISPOT is a useful marker of MTB infection in individuals from areas with a high prevalence of HIV infection and high exposure to BCG or cross-reactive environmental mycobacteria.
MoAb0102 CHARACTERISTICS OF PEOPLE LIVING WITH HIV-1 (PLWH) SCREENED FOR ISONIAZID PREVENTIVE THERAPY (IPT) - BOTSWANA, 2004-2005
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0102
Samandari T.1, Mosimaneotsile B.2, Nyirenda S.3, Agizew T.2, Motsamai O.4, Kilmarx P.H.5, Talbot E.A.6, Wells C.D.6
Many PLWH seeking IPT in Botswana have advanced HIV disease, and were ineligible for IPT due to current illness at first-round screening or an abnormal CXR in second-round screening. As these exclusions were most likely related to advanced HIV disease, national IPT programs may best target candidates for IPT by targeting HIV screening to healthier individuals.
MoAb0103 FACTORS ASSOCIATED WITH MULTIDRUG-RESISTANT TUBERCULOSIS IN HIV-INFECTED PATIENTS, PERU
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0103
Vargas D.1, Bernabé A.2, Gilman R.H.3, Kawai V.1, Soto G.1, Moore D.A.1, Caviedes L.4, Bautista C.T.5, Tovar M.1, Chávez V.6, Huaroto L.6, Ticona E.6, Evans C.A.1
Amongst this population of HIV-positive subjects, the risk factors associated with MDR-TB were previous antituberculosis chemoprophylaxis with isoniazid, recent hospital admission and the close contact witn another tuberculosis patient. These results emphasize the importance of ruling-out active tuberculosis before administering isoniazid preventive therapy and optimizing infection control practices to prevent nosocomial and domiciliary dissemination of MDR-TB.
MoAb0104 TUBERCULOSIS INCIDENCE AND RISK FACTORS AMONG ADULT PATIENTS RECEIVING HAART IN SENEGAL: A 7-YEAR COHORT STUDY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0104
Diouf A.1, Etard J.-F.2, Ndiaye I.3, Ngom Guèye N.F.4, Guèye P.M.5, Ba Fall K.5, Thierry-Mieg M.2, Dieng A.B.1, Cilote V.6, Lanièce I.6, Christian L.2, Sow P.S.3, Ndoye I.6, Delaporte E.2, ANRS 1290
This study provides the first estimates of tuberculosis incidence following HAART initiation in Senegal.
MoAb0105 UNMASKING OF MYCOBACTERIA TUBERCULOSIS IN PATIENTS INITIATING FREE ARVS IN AN URBAN HIV CLINIC IN KAMPALA UGANDA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0105
Wandera B.1, Kigonya C.2, Kambugu A.3, Thomas D.4, Kamya M.R.5
There is an appreciable risk of unmasking of TB in patients starting ARVs in this urban HIV clinic and therefore TB and HIV treatment programs in sub Saharan Africa need to be designed in partnership. Innovative interventions are needed to control TB in HIV-infected populations. Detailed analyses and results will be discussed.
MoAb0106 BLOOD BASED METHODS OF IDENTIFYING TUBERCULOSIS INFECTIONS IN HIGH HIV/TB INCIDENCE AREAS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0106
Rangaka M.1, Wilkinson K.1, Shey M.2, Seldon R.1, Mouton P.2, van Cutsem G.3, Goemare E.3, Meintjes G.4, Maartens G.5, Wilkinson R.6, Mycobacterial Immunology Group
Compared to HIV uninfected, the recall response to PPD in HIV-infected people is impaired. By contrast, the responses to antigens secreted by dividing M. tuberculosis are well preserved. This has implications for immunodiagnosis: There is a role for RD1 assays in the HIV context and these tests may identify more people for TB prophylaxis. HIV may not quite be the Achilles’ heel of T cell based assays!
MoAb02 Scaling Up ART for Children - Negotiating the Access Gap
MoAb0201 CHILDREN ENROLLED IN A PUBLIC HIV CARE AND TREATMENT PROGRAM IN LUSAKA, ZAMBIA: RAPID SCALE-UP AND FIRST-YEAR CLINICAL OUTCOMES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0201
Mbewe M.1, Bolton C.1, Levy J.1, Sinkala M.2, Bulterys M.3, Chi B.1, Wilfert C.4, Stringer J.1, Dumas A.1, Chintu N.1, Stringer E.1
In this population without full access to infant HIV diagnostics, more than two-thirds of HIV-infected children presenting for care were eligible for ART. Providing quality HIV care and treatment to children on a large scale in a resource-limited setting is feasible but requires a strong commitment to pediatric care.
MoAb0202 IMPACT OF FREE AND UNIVERSAL ACCESS TO ANTIRETROVIRAL TREATMENT ON THE SURVIVAL AMONG BRAZILIAN CHILDREN WITH AIDS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0202
Matida L.H.1, Novaes A.2, Moncau J.E.C.3, Marcopito L.F.3, Marques H.H.S.4, Succi R.C.M.3, Della Negra M.5, Hearst N.6, Brazilian Group of Survival Study in Children with HIV
A free and universal access to ART, even in a country that lacks an ideal health infrastructure, can make a substantial difference in survival. These results argue strongly for making such treatment available to children elsewhere in the developing world.
MoAb0203 OUTCOMES OF CHILDREN, STRATIFIED BY IMMUNE STATUS, RECEIVING ANTI-RETROVIRAL THERAPY (ART) IN MÉDECINS SANS FRONTIÈRES (MSF)-SUPPORTED PROJECTS IN RESOURCE-POOR COUNTRIES (RPCS)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0203
Olson D.1, Sauvageot D.2, Ferradini L.2, O' Brien D.3, Humblet P.4, The MSF AIDS Working Group
Young children can be successfully treated with ART in RPCs, as measured by treatment continuation and immunologic criteria. Extent of baseline IS does not appear to impact on treatment outcome by month 12.
MoAb0204 ANTI-RETROVIRAL THERAPY (ART) OUTCOMES IN CHILDREN < 13 YEARS OF AGE IN RESOURCE-POOR COUNTRIES (RPCS): A MÉDECINS SANS FRONTIÈRES (MSF) COHORT
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0204
Olson D.1, Sauvageot D.2, Ferradini L.2, Humblet P.3, the MSF AIDS Working Group
In RPCs, children < 13 years of age appear to do well on ART, based on survival and immunologic criteria, with a low incidence of significant adverse side effects. Continuing efforts at treatment scale-up should include increased attention on ART for children.
MoAb0205 FORECASTING HIV TREATMENT NEEDS IN CHILDREN TO GUIDE POLICY, PLANNING AND SCALE UP: A MULTI-COUNTRY EXPERIENCE FROM INDIA, MALAWI, CAMEROON, RWANDA AND COTE D’IVOIRE
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0205
Ngashi N.1, Luo C.1, Mulenga D.2, Little K.3, Gass R.1
National programs have started using this information to revise national policies on pediatric care and to define realistic population-based targets, scale up plans and strategies for achieving these targets. The estimation of country-specific burden of disease and treatment needs is a powerful tool for advocacy and scale up planning and should be roll out.
MoAb03 Complications of HIV-Infections
MoAb0301 Neurodevelopmental functioning in HIV-infected children before and after the introduction of highly active antiretroviral therapy (HAART)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0301
Lindsey J.1, Malee K.2, Brouwers P.3, Hughes M.1
Suppression of HIV-1 RNA levels and subsequent benefits in survival and immunologic status brought about by HAART have been followed by decreasing differences in developmental functioning between HIV+ and HIV- children during the first three years of life.
MoAb0302 NEUROCOGNITIVE IMPAIRMENT, SYMPTOMATIC PERIPHERAL NEUROPATHY AND DEPRESSION ARE HIGHLY PREVALENT IN HIV INFECTED OUTPATIENTS WITHIN THE ASIA PACIFIC REGION: FINDINGS OF THE ASIA PACIFIC NeuroAIDS CONSORTIUM (APNAC) STUDY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0302
Wright E.1, Brew B.2, Kongsaengdao S.3, Arayawithchanont A.4, Samintarapunya K.5, Imran D.6, Lun W.7, Kamarulzaman A.8, Li P.9, Tau G.10, Vonthanak S.11, Sarim C.11, Huffam S.11, Kishore K.12, Ali S.T.13, Robertson K.14, Lal L.15, Lim M.15, Devadson D.15, Bain P.2, Dwyer R.16, McCormack G.1, Scholten C.1, Cherry C.15, McArthur J.17, Wesselingh S.15
HIV-related NCI, symptomatic PN and depression are common under-diagnosed conditions in HIV-infected outpatients at sites in Thailand, Indonesia, China and Malaysia and require further study.
MoAb0303 TRENDS AND RISK FACTORS FOR COMMUNITY-ACQUIRED PNEUMONIA AMONG HIV-INFECTED AND HIV-UNINFECTED INTRAVENOUS DRUG USERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0303
Stein K.1, Astemborski J.2, Mehta S.2, Vlahov D.3, Galai N.2, Kirk G.2
CAP incidence is declining among IDUs. Among HIV-infected IDUs, CAP risk from lifestyle-related factors has diminished while effects of HIV disease status predominate. HAART greatly reduces CAP risk, but HIV-infected IDUs remain at high risk even with relatively intact immune function.
MoAb0304 INCREASING RATES OF COMMUNITY-ACQUIRED MRSA INFECTIONS AMONG HIV-INFECTED PERSONS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0304
Crum-Cianflone N.1, Hale B.2, Burgi A.1, Utz G.2, Truett A.2, Chun H.2, Bavaro M.2, TriService AIDS Clinical Consortium
Community-acquired MRSA infections are rapidly increasing among HIV-infected patients. HIV patients have a 18-fold higher risk for CA-MRSA than the general population. Risk factors for CA-MRSA include recent use of B-lactam antibiotics and high-risk sexual activity as demonstrated by syphilis infection.
MoAb0305 STUDY OF IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME (IRIS) IN RESOURCE LIMITED SETTINGS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0305
Bhrushundi M., Mishra P.
After initiating ART in individuals with low CD4+T-helper cells, meticulous follow up and patients awareness can detect the IRIS early. TB IRIS tops too followed by PCP. IRIS increases cost of the treatment especially with CMV, Hepatitis C and Cryptococcal meningitis IRIS. IRIS can have fetal outcome also.
MoAb04 Nutrition and HIV
MoAb0401 A PILOT RANDOMIZED TRIAL OF NUTRITIONAL SUPPLEMENTATION IN FOOD INSECURE PATIENTS RECEIVING ANTIRETROVIRAL THERAPY (ART) IN ZAMBIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0401
Megazzini K.1, Washington S.1, Sinkala M.2, Lawson-Marriott S.3, Stringer E.1, Krebs D.1, Levy J.1, Chi B.1, Cantrell R.1, Zulu I.4, Mulenga L.1, Stringer J.1
In this pilot study, a monthly household food ration for food insecure patients commencing ART improved adherence by 40% and resulted in a better CD4+ response at 12 months of therapy. Further study is warranted of food supplementation as an adjunct to ART in food insecure patients.
MoAb0402 MICRONUTRIENT SUPPLEMENTATION INCREASES CD4 COUNT IN HIV-INFECTED INDIVIDUALS ON HAART: A PROSPECTIVE, DOUBLE-BLINDED, PLACEBO-CONTROLLED TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0402
Kaiser J.1, Baum M.2, Campa A.2, Ondercin J.3, Leoung G.4, Pless R.5
Micronutrient supplementation can significantly improve CD4 cell count reconstitution in HIV-infected patients taking HAART. The micronutrient supplement tested was well-tolerated and may hold promise as an adjuvant therapy in the treatment of HIV. Further investigation is warranted.
MoAb0403 THE ROLE OF SELENIUM AS ADJUNCT TO HAART AMONG HIV INFECTED INDIVIDUALS WHO ARE ADVANCED IN THEIR DISEASE
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0403
Odunukwe N.N.1, Onwujekwe D.1, Ezechi O.O.1, Ezobi P.1, Gbajabiamila T.1, Anyanwu R.1, Iloka E.1, Adu R.1, Nwogbe O.1, Audu R.1, Herbertson E.1, Idigbe E.O.1, Kanki P.2
Selenium supplementation resulted in higher CD4. This supports Selenium supplement as an adjunct to HAART in HIV positive individuals with severe immune suppression.
MoAb0404 GROWTH AND BODY COMPOSITION IN CHILDREN BEGINNING OR CHANGING ANTIRETROVIRAL THERAPY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0404
Chantry C.1, Hughes M.2, Alvero C.2, Cervia J.3, Hodge J.4, Borum P.5, Moye J.6, PACTG 1010
HIV+ children beginning or changing ART demonstrate greater gains in weight, height and lean mass than age/sex/race-adjusted norms. Baseline characteristics, but not virologic response to therapy, immune reconstitution nor specific ART class(es) in the new regimen are associated with growth or body composition changes. IGF-1 increases and IGFBP-1 decreases in these children may relate physiologically to growth and body composition changes.
MoAb0405 IMPACT OF HIV STATUS ON PATTERNS OF MORTALITY IN HIV INFECTED SEVERELY MALNOURISHED CHILDREN, ADMITTED TO 3 NUTRITION REHABILITATION UNITS IN THE CENTRAL REGION OF MALAWI
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAb0405
Chinkhumba J.1, Fergusson P.2, Thurstans S.3, Nyirenda G.1, Mafupa H.1, Tomkins A.4
HIV positive severely malnourished children have a greater risk of dying in early rehabilitation and the average admission in the NRU is nearly twice as long in HIV positive children than HIV negative. There is need for prompt referral of malnourished children to NRUs and need for early identification of HIV status in children and caretakers for essential access to HIV treatment. More effective treatment regimes for HIV positive children in early rehabilitation need to be developed and tested.
Track C
MoAc01 What is Working (or not) for HIV Prevention Among MSM?
MoAc0101 SURVEILLANCE OF HIV PREVALENCE AMONG POPULATIONS OF MEN WHO HAVE SEX WITH MEN IN THAILAND, 2003-2005
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0101
van Griensven F.1, Varangrat A.2, Naorat S.2, Sinthuwattanawibool C.2, McNicholl J.M.1, Mock P.A.2, Siraprapasiri T.2, Jommaroeng R.3, Phanuphak P.4, Tappero J.W.5, the Thailand MSM Study Group
Data show that by 2005, HIV was widespread in Thai populations of men who have sex with men. Among MSM in Bangkok, HIV prevalence increased over 50% between 2003 and 2005. In 2005, more than 20% of Bangkok MSM ≤22 years old were HIV-infected, suggesting high underlying HIV incidence. Thai populations of men who have sex with men should be considered for the implementation and evaluation of preventive interventions.
MoAc0102 BEING POSITIVE ABOUT STAYING NEGATIVE; THE POWER OF FIRST PERSON NARRATIVE IN HIV PREVENTION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0102
Grierson J.1, Batrouney C.2, Mclean M.3, Kennedy M.4
This approach will continue informing our thinking in relation to the work of the program while allowing us a ‘snapshot’ of current issues facing homosexually active men (both HIV positive and negative) living in the midst of an ongoing epidemic.
MoAc0103 EVALUATION OF A COMMUNITY-LEVEL PEER-BASED HIV PREVENTION INTERVENTION ADAPTED FOR YOUNG BLACK MEN WHO HAVE SEX WITH MEN (MSM)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0103
Jones K.1, Gray P.2, Wang T.1, Johnson W.1, Foust E.2, Dunbar E.1, The North Carolina Men's Health Initiative
We observed significant decreases after implementing the adapted intervention. We concluded that adapting evidence-based interventions is a key step in increasing the number interventions for black MSM.
MoAc0104 A THEORY-BASED, TAILORED, INTERACTIVE INTERVENTION DIRECTED AT MSM WHO MEET SEXUAL PARTNERS THROUGH INTERNET CHAT SITES: EFFECTIVE FOR MSM WHO PRACTICE UAI WITH CASUAL PARTNERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0104
Harterink P.1, Hospers H.2, Vriens P.1, Kok G.2, De Zwart O.1
Interactive tailored interventions linked to chat sites can be an effective instrument in HIV prevention for MSM who practice unprotected anal intercourse (UAI) with casual partners.
MoAc0105 HIV SEROSORTING? INCREASES IN SEXUALLY TRANSMITTED INFECTIONS AND RISK BEHAVIOR WITHOUT CONCURRENT INCREASE IN HIV INCIDENCE AMONG MEN WHO HAVE SEX WITH MEN IN SAN FRANCISCO
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0105
Truong H.M.1, Kellogg T.2, Klausner J.2, Katz M.2, Dilley J.2, Knapper K.3, Chen S.2, Prabhu R.2, Grant R.4, Louie B.2, Mc Farland W.2
HIV incidence among MSM appears to have stabilized at a plateau following several years of resurgence. Increases in the selection of sexual partners of concordant HIV serostatus may be contributing to the stabilization of the epidemic. However, current incidence rates of STI and HIV remain high. Moreover, a strategy of risk reduction by HIV serosorting can be severely limited by imperfect knowledge of one´s own and one´s partners´ serostatus.
MoAc02 Prevention Works: What's the Evidence?
MoAc0201 ASSESSING A NATIONAL HIV BEHAVIOR CHANGE CAMPAIGN FOCUSING ON MULTIPLE CONCURRENT PARTNERSHIPS IN SWAZILAND
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0201
Halperin D.1, Andersson N.2, Mavuso M.3, George B.4
The study ended up helping guide the development of the government BCC campaign, and could also help inform similar such behavior change interventions carried out elsewhere in the region.
MoAc0202 EXPOSURE TO A COMMUNITY-MOBILIZATION INTERVENTION AND HIV-RELATED KNOWLEDGE, ATTITUDES, AND PRACTICES - BOTSWANA, 2003
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0202
Koppenhaver T.1, Fleming D.2, Meyerson B.3, Robbins A.3, Kebonang G.S.4, Roels T.H.1, Kilmarx P.H.5
These findings suggest that TCM has helped to improve HIV-prevention knowledge, reduce stigma, and encourage testing in Botswana. The lack of association between TCM exposure and targeted sexual behaviors indicates that important behavior-change challenges remain.
MoAc0203 AN EVALUATION OF A QUASI-EXPERIMENTAL COMMUNITY LEVEL HIV INTERVENTION AMONG OUT-OF-SCHOOL YOUTH IN 26 COMMUNITIES IN NIGERIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0203
Anyanti J., Omoregie G., Ankomah A., Adebayo S., Buba-Vaganda A.
For both males and females, the PEP interventions were effective in increasing condom use at the intervention but not the control sites. The model is therefore recommended as an effective tool and can be scaled up at similar sites throughout Nigeria and elsewhere.
MoAc0204 CHANGES IN SEXUAL BEHAVIOR AND RISK OF HIV TRANSMISSION AFTER TWO YEARS OF ANTIRETROVIRAL THERAPY AND PREVENTION INTERVENTIONS IN RURAL UGANDA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0204
Bunnell R.1, Wamai N.2, Ekwaru J.P.1, Moore D.2, Were W.2, Bechange S.1, Coutinho A.3, Madraa E.4, Mermin J.1
Providing ART and on-going prevention interventions was associated with a reduced estimated risk of HIV transmission among HIV-infected Ugandan adults after two years of therapy, despite an increase in overall sexual activity. Integrated ART and prevention programs may reduce HIV transmission in Africa.
MoAc0205 LIFE IN THE FASTLANE: TESTING THE EFFICACY OF A BEHAVIORAL INTERVENTION TO REDUCE HIGH RISK SEXUAL BEHAVIORS AMONG HIV-NEGATIVE, HETEROSEXUAL METHAMPHETAMINE USERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0205
Patterson T.L.1, Mausbach B.1, Semple S.J.1, Zians J.1, Strathdee S.2
Our behavioral intervention was associated with significant increases in intentions for safer sex and the percentage of total sex acts that were protected, indicating that heterosexual methamphetamine users can learn to engage in safer sex behaviors in the context of methamphetamine use.
MoAc03 People on the Move: HIV in Migrant and Mobile Populations
MoAc0301 EXPERIENCES AND REFLECTIONS ON DELIVERING AN HIV/AIDS PROGRAMME WITH, AND FOR, IMMIGRANTS AND MOBILE POPULATIONS IN AUSTRALIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0301
Katsaros E., Eisenberg M., Sabri W., McMahon T., Paljor S., Yaman R., Luisi B., Kerr L.
The programme experience points towards a pragmatic and sustainable response to HIV/AIDS among multiple immigrant populations, working within the constraints of (comparatively) limited resources to deliver on the rhetoric of a "cultural and linguistic appropriate" response to HIV/AIDS. This experience may be particularly relevant to delivering HIV/AIDS responses in national programmes among immigrants and mobile populations.
MoAc0302 TRUCKING AGAINST AIDS: A UNIQUE AND SUSTAINABLE RESPONSE TO HIV/AIDS BY THE SOUTH AFRICAN ROAD FREIGHT INDUSTRY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0302
Matthew P., Watson B.
Recommendations: (1) Services expanded to include treatment. (2) Scale up network of Roadside Wellness Centre and Mobile Wellness Centres. (3) Continual staff training.
MoAc0303 THE IMPACT OF HIV/AIDS PROGRAMMING FOR TRUCKDRIVERS IN CAMEROON FROM 1997 TO 2004
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0303
Onana Ekembene J.-A.1, Dillow A.2, Cissé B.3, Beauchamp M.C.4
CARE’s experience working for STI and HIV prevention among mobile populations was applied recently when CARE designed a scale-up project intended to target truckdrivers and roadside communities across the country. In addition to the aforementioned strategies, this new project, to be implemented from 2005-2009 with CIDA and CARE funding, will focus on community mobilization and VCT promotion. It will work in line with updated national AIDS policies and will support recent improvements in VCT and ART availabilty.
MoAc0304 SEXUAL NETWORKING AND HIV RISK IN MIGRANT WORKERS IN INDIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0304
Gelmon L.1, Singh K.2, Singh P.2, Bhattacharjee P.3, Moses S.4, Costigan A.2, Blanchard J.5
Migration intensifies risk for contracting HIV/STIs, but the key finding is that the determinant of risk for migrant workers is prior behaviour. Migrating does not change sexual behavior, migrants take their established behavior into an environment where there is a higher rate of HIV/STIs. This is different from the commonly-accepted wisdom that being a migrant leads one to assume high-risk behaviour. Therefore migration programming has to address both the points of origin as well as the points of destination.
MoAc0305 HIV-RELATED RISK BEHAVIORS AND HISTORY OF SEXUALLY TRANSMITTED DISEASES AMONG MALE MIGRANTS WHO PATRONIZE COMMERCIAL SEX IN CHINA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAc0305
Wang B.1, Li X.1, Stanton B.1, Fang X.2, Lin D.2, Mao R.3
Male migrants who paid for sex in China were vulnerable to HIV/STDs. HIV prevention efforts should target young migrant men who work at factory and construction sectors. STD clinics may be important sites for outreach and intervention efforts among male clients.
Track D
MoAd01 Disclose or disappear: the impact of disclosure
MoAd0101 A qualitative study into the impact of HIV disease progression on initial HIV-serostatus disclosure to significant others
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0101
Almeleh C.
The results suggest that the unique and changing biophysical nature of HIV/AIDS lends itself to possible social and individual confusion which in-turn facilitates false popular perceptions of HIV/AIDS. HIV-positive individuals have to negotiate through the disclosure process in this particular social context. Consequently, the motivations for disclosure and the choice of recipients are based on a complex and subjective combination of countering false popular perceptions of HIV/AIDS, and accessing appropriate treatment, care and support. Further research on HIV-status disclosure in Africa needs to be conducted and theoretical models developed, where HIV/AIDS is viewed as a dynamic and changing bio-psychosocial experience in which the HIV-positive person simultaneously negotiates their way through and reproduces their individual and social contexts.
MoAd0102 GETTING AROUND DISCLOSURE: SOCIAL STATUS AND SUPPORT OF PATIENTS ENROLLED IN AN ART PROGRAMME IN RURAL SOUTH AFRICA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0102
Fitzgerald M.1, Collumbien M.1, Gumede Z.2, Hosegood V.2
What we know about disclosure and adherence in government ART programmes in South Africa comes from early initiators. Such people are expected to have strong material or social capital, or be skilful in securing support and avoiding social approbation. Programs and policies need to be cognizant of, and responsive to, the pervasive social inequalities that strongly restrict the lives of the majority of people who have not yet sought treatment and those having difficulty with adherence.
MoAd0103 DISCLOSING YOUR HIV STATUS: THE ROLE OF ETHNICITY AMONG PEOPLE LIVING WITH HIV IN LONDON
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0103
Elford J.1, Anderson J.2, Bukutu C.1, Ibrahim F.1
In London, there were striking differences, by ethnicity, in the extent to which people told their family, friends and partners that they have HIV. African men and women in particular may require support in disclosing their HIV status.
MoAd0104 CALCULATED STRATEGIES ON HOW CLIENTS DECIDE TO DISCLOSE HIV TEST RESULTS: EXPLORING GENDER DIMENSIONS IN UGANDA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0104
Nsabagasani X.1, Orobaton N.1, Kironde S.1, Yoder S.2, Kateebire L.1, Nakamatte N.1
The pattern of disclosure discussed above raises important gender implications for couple communication. There is a need to pay program attention on gender dimensions to communication to better address timely and effective disclosure among couples.
MoAd0105 THE RELATIONAL CONTEXT OF NON-DISCLOSURE OF HIV+ SEROSTATUS TO MAIN SEXUAL PARTNER AMONG WOMEN LIVING WITH HIV
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0105
Peterson S.H., DiClemente R.J., Wingood G.M., Lang D.
Women who chose not to disclose were more likely to report unsupportive and threatening sexual relationships. These factors may impede their ability to safely disclose their serostatus, and may negatively effect their health and that of their sexual partners. It is important that clinicians, counselors, and health educators engage women in the process of identifying healthy relationships as well as safe alternatives to unhealthy relationships.
MoAd02 Ethics and Community involvment in Research
MoAd0201 ENHANCING THE PROCESS OF INFORMED CONSENT IN CROSS-LINGUISTIC RESEARCH TRIALS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0201
Penn C.
A series of recommendations are offered with regard to facilitating aspects of communication and ensuring true informed consent in the multilingual health care setting. A culturally attuned model for effective health communication will be proposed for the development and implementation of appropriate guidelines for training health professionals who work in cross-cultural and cross-linguistic contexts.
MoAd0202 EXPLORING COMMUNICATION IN THE INFORMED CONSENT PROCESS OF AN HIV/AIDS VACCINE TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0202
Watermeyer J.
The study highlights the need for monitoring and review of informed consent protocols currently utilized in clinical trials, and implementation of measures to ensure thorough understanding of information by patients and trial participants. Such protocols need to be culturally and linguistically modified for the target population, and health professionals need to receive communication skills training in obtaining informed consent from trial participants and patients.
MoAd0203 WEB-BASED COMMUNITY RESEARCH ON SEXUAL VENUES IN MEXICO CITY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0203
Feliciano O.1, Montiel V.2, Lopez M.2
The recognition of the principal trends in the cruising scene allows to design site-specific interventions or to address specific users. The cruising scene is a network woven by the sexual scripts, interactions and homophobia. The more risky activities happened in the limited anal sex and in the private sex interactions among no calculated risk takers. Anal sex in the subway and the sex-shops cabins are an example.
MoAd0204 PERSPECTIVES OF MINORS AND CAREGIVERS ON THE RIGHTS OF MINORS TO BE INVOLVED IN DECISION MAKING ABOUT RESEARCH PARTICIPATION: FINDINGS FROM FORMATIVE RESEARCH ON ASSENT AND DISCLOSURE FOR HIV-POSITIVE CHILDREN IN KINSHASA, DEMOCRATIC REPUBLIC OF THE CONGO
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0204
Corneli A.1, Rennie S.2, Vaz L.1, Dulyx J.1, Omba S.3, Kayumba Baye J.4, Badinga T.4, Kutumbakana N.4, Daiku O.4, Ilaka M.4, Kalengi Kukemfuka J.-S.4, Callens S.3, Van Rie A.1, Behets F.1
Involving minors in discussions about research participation and obtaining their assent is considered acceptable; however, in this context, caregiver decisions are regarded as final. Understanding minors’ and caregivers’ perspectives can inform the development of guidelines on assent in this setting.
MoAd0205 INCREASING ACCESS TO VOLUNTARY COUNSELLING AND TESTING (VCT) THROUGH MOBILE VCT SERVICES; CASE STUDY OF 6 COMMUNITIES IN OYO STATE
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0205
Okeke U.R.1, Ogungbenro T.2, Faloye A.2
Mobile VCT services should be encourage in reducing access barriers and stigmatization. Community Based Initiatives should be encouraged and funded to create linkages for service providers.
MoAd03 Gender, Violence and Sexuality
MoAd0301 GENDER DISCRIMINATORY BELIEFS ARE ASSOCIATED WITH VULNERABILITY TO HIV AMONG WOMEN AND MEN IN BOTSWANA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0301
Leiter K.S.1, Weiser S.2, Heisler M.3, Percy-de Korte F.1, DeMonner S.1, Tlou S.4, Phaladze N.4, Dandu M.3, Iacopino V.1
For women in Botswana, risk-taking sexual behavior is often not chosen but compelled by social and economic inequality. In order for HIV/AIDS interventions to be effective for women, not only individual behaviors but attitudes that perpetuate socially-sanctioned discrimination must be addressed through policies that promote women’s equality and protect human rights.
MoAd0302 SOCIAL SILENCE AND THE TRANSPORT SECTOR, CONSPIRE IN-SCHOOL GIRLS’ VULNERABILITY TO HIV
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0302
Bulawo N.D.1, Zulu K.2, Zulu W.3, Daka M.4
The analysis of data suggests that the transport sector is at the core of the vicious circle of STIs and HIV transmission from adults to children below the age of 17. Data further suggest unreported child defilement and molestation which constitute a moral and child health crisis in Zambia if not in Africa. Social conspiracy of silence is undoing achievements in children’s rights, health and welfare in the past decade. On the flip side of child defilement and molestation is the local transport industry and its staff who have been left unattended to by HIV prevention programs.
MoAd0303 SEXUAL RISK BEHAVIOR AND HIV PREVALENCE AMONG MALE-TO-FEMALE TRANSGENDERED PEOPLE SEEKING VOLUNTARY COUNSELING AND TESTING SERVICES IN MUMBAI, INDIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0303
Kumta S.1, Lurie M.1, Gogate A.2, Jerajani H.3, Weitzen S.4, Row Kavi A.5, Anand V.5, Makadon H.6, Mayer K.7
Transgendered people accessing VCT services in Mumbai, India have high rates of STIs and HIV. They are in urgent need of HIV education, risk reduction counseling and culturally sensitive behavioral interventions to prevent HIV acquisition.
MoAd0304 RAPE, VIOLENCE AND HIV TRANSMISSION AMONG MEN WHO HAVE SEX WITH MEN
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0304
Reynolds P.1, Aspin C.2
This study raises serious concerns about the HIV risk of men who are raped by other men. The risk of HIV transmission is significant given that condoms were not used. This paper calls for ongoing research in order to ascertain the extent of the problem so that it can be factored into HIV health promotion campaigns for MSM. As well, it is vital that the silence around this issue be eliminated so that appropriate support services can be provided. Recommendations from this study will contribute towards reducing the risk of HIV among MSM.
MoAd0305 CORRELATES OF SEXUAL COERCION AMONG POPULATIONS OF MEN WHO HAVE SEX WITH MEN IN THAILAND
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAd0305
Guadamuz T.E.1, Naorat S.1, Varangrat A.1, Phanuphak P.2, Jommaroeng R.3, Mock P.A.1, Tappero J.W.4, van Griensven F.5, Siraprapasiri T.1, Thailand MSM Study Group
Sexual coercion was common in Thai populations of men who have sex with men. Risk factors associated with sexual coercion as documented in our analysis may help identify those at higher risk and inform preventive interventions for them.
Track E
MoAe01 Not Your Typical Session on HIV/AIDS and the Workplace
MoAe0102 THE DEBSWANA ANTI-RETROVIRAL THERAPY PROGRAMME
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0102
Mbakile B., Johnson O.
All businesses should have a workplace programme that facilitates access to treatment, care and support as a way of minimising the negative impact of the epidemic on the business.
MoAe0103 BUILDING A SUSTAINED PRIVATE-PUBLIC PARTNERSHIP TO ADDRESS HIV/AIDS AND REDUCE STIGMA AND DISCRIMINATION IN THE WORKPLACE: THE CASE OF MEXICO
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0103
Negroni Belen M.J.1, Hoadley E.1, Kincaid M.2, Moody J.3
The next challenge is to bring this approach to a local level so as to build better private-public partnerships at a state and municipal level.
MoAe0104 AN INNOVATIVE PRIVATE SECTOR LED RESPONSE TO HIV/AIDS, TARGETING SEASONAL AND PERMANENT FARM WORKERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0104
Hill-Mlati J.1, Craviolatti P.2
Although this is work-in-progress it is hoped that it will be replicated in the Southern Africa Region.
MoAe0105 SEXUAL HARASSMENT AND HIV/AIDS AT THE WORKPLACE
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0105
Bakaki L.
There was rampant workplace sexual harassment including forced sex with minimal policies to deal with the problems of sexual harassment and HIV/AIDS. Employers should develop policies to address the problems of HIV and sexual harassment at the workplace.
MoAe0106 AIDS EDUCATION FOR MEDICAL PERSONNEL: DOES IT MAKE A DIFFERENCE?
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0106
Malek A., Sallam S., Hassab A., Mahfouz A.
Yes, AIDS education program could make a difference, by allaying medical personnel anxiety, alleviating attitudinal barriers and improving their practice. It is strongly recomended to be incuded as an essential component in medical personnel in-service training program.
MoAe02 Moving the Agenda Forward: Women's Rights and HIV
MoAe0201 THE PERPETUAL BATTLE OF THE BETTER HALF
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0201
Singh S., Prathibha S.
The gap between law and social context is breached only by re-conceptualising our interpretations of legal definitions. Use of the Act should be monitored to see if it can address HIV issues.
MoAe0202 GENDER VIOLENCE & HIV
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0202
Sorley D.
With the high demand for this service, a better follow up system needs to be put in place to monitor the 80% of clients who did not return for follow up HIV testing. We recognize that our program is 5 years old and at first we did not have an adequate data collection system to follow our clients. That system is now in place.
MoAe0203 RESEARCH ON REPRODUCTIVE RIGHTS OF WOMEN LIVING WITH HIV IN RUSSIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0203
Rukavishnikov M.
To increase awareness among health professionals, legal professionals and PLWHA, especially WLWHA, of medical and legal aspects of PLWHA reproductive health issues. To promote public monitoring and control of the implementation of legal instruments in HIV context. To inform the general public about legal rights related to HIV. To reduce stigma and discrimination both within the general public and medical personnel through work with the mass media.
MoAe0204 THE NEED FOR AIDS FEMINISM
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0204
Mthathi S.1, Richter M.2
AIDS feminism emphasizes women’s empowerment and agency, while focusing on the root causes of gender inequality that ultimately give rise to the increased vulnerability of women to the epidemic. It proposes a number of strategies that will make feminism more relevant and appropriate to the lives of women with HIV/AIDS.
MoAe0205 HIV TREATMENT FOR WOMEN IN UGANDA: INCREASING ACCESS THROUGH INTEGRATED SERVICE PROVISION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAe0205
McGrath J.1, Rundall S.1, Kaawa-Mafigiri D.1, Kakande N.2
These data demonstrate the urgent need to create integrated programs to deliver HIV care. Because women are driven by symptoms to seek care, integrating HIV care into other health care will increase the likelihood women receive appropriate treatment earlier in the disease process.
Cross-Track
MoAx01 Host Response in Acute Infection, Setting the Stage for Disease Outcome
MoAx0102 CLINICAL CORRELATIONS OF INFLAMMATORY CYTOKINES IN THE FEMALE GENITAL TRACT DURING ACUTE HIV-1 INFECTION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0102
Bebell L.1, Passmore J.-A.2, Williamson C.3, Mlisana K.4, Iriogbe I.4, Abdool Karim Q.4, Karim S.A.4, and the CAPRISA Acute Infection Study Team
Elevated CVL cytokines in acute HIV may be associated with rapid disease progression. Women co-infected with acute HIV and BV also have higher cytokine levels. Further research will focus on defining the relationship of CVL cytokines to local genital tract pathogenesis.
MoAx0103 INTERFERON REGULATORY FACTOR 1: A NOVEL DETERMINANT OF RESISTANCE TO INFECTION BY HIV-1 IN HIGHLY EXPOSED UNINFECTED SEX-WORKERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0103
Ji H.1, Ball T.1, Kimani J.2, McLaren P.1, Marlin C.1, Hill A.3, Plummer F.4
IRF-1 is a host immune regulator and a potential transcriptional activator of HIV-1 replication. We conclude that IRF-1 is an important determinant of host susceptibility to HIV-1 infection. Lowered IRF-1 expression or response at early stage may be crucial in disrupting the establishment of HIV-1 infection and allow for the generation of an adaptive immune response which may contribute to resistance to HIV-1 infection.
MoAx0104 CLINICAL AND IMMUNOLOGICAL IMPACT OF HAART DURING ACUTE HIV-1 INFECTION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0104
Streeck H.1, Jessen H.2, Alter G.1, Teigen N.1, Waring M.1, Jessen A.2, Stahmer I.3, v.Lunzen J.3, Gao X.4, Lichterfeld M.1, Allen T.1, Carrington M.4, Walker B.1, Altfeld M.1, Rockstroh J.5
Our data suggest that despite a boosting of immunological functions and T cell maturation following 6 months of therapy in acute HIV-1 infection, this intervention had no impact on immunological control of HIV-1 replication.
MoAx0105 COMPREHENSIVE ANALYSIS OF HIV-SPECIFIC IL-2 AND IFN- IMMUNE RESPONSES IN TREATMENT-NAÏVE INDIVIDUALS IN ACUTE INFECTION EARLY DISEASE (AIED) VERSUS LONG TERM NON PROGRESSORS (LTNP) AND INDIVIDUALS WITH PROGRESSIVE DISEASE
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0105
Lubaki N.1, Peretz Y.1, Boisvert M.P.2, Boulassel R.1, Tremblay C.3, LeBlanc R.4, Rouleau D.5, Tsoukas C.1, Routy J.P.1, Bernard N.1
The specificity and hierarchy of HIV recognition in AIED differs from that of subjects with chronic infection. Both LTNP and subjects in AIED have HIV-specific IL-2 responses and these are associated with VL control.
MoAx02 Crossing boundaries: migration and HIV
MoAx0201 INTERSECTING SEXUALITY, GENDER, RACE AND CITIZENSHIP: MENTAL HEALTH ISSUES FACED BY IMMIGRANTS AND REFUGEES LIVING WITH HIV/AIDS IN TORONTO
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0201
Wong J.P.1, Li A.2, Chen Y.B.3, Kanagaratnam P.3, Yee S.3, Fung K.4, Roy Sen A.3
Service coordination, research on the mental health needs of I&R-PHAs, and policy analysis of HIV/AIDS in the contexts of migration, employment, health care access and systemic discrimination are critical to promoting health and reducing health disparity in this PHA subpopulation.
MoAx0202 THE SILENT BULLET, THE UNFOUGHT WAR: HIV/AIDS AMONGST YOUNG PEOPLE IN CONFLICT SITUATION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0202
Ochan W.1, Mugumya E.2, Nambooze R.2
Despite high level of awareness on HIV/AIDS, young people in conflict situations are constrained in practicing safer sex methods. Material and security needs, coupled with lack of HIV/AIDS services make them engage in involuntary, unprotected early sexual intercourse with soldiers, camp leaders, etc. Places were rapes take place are water points & night clubs. HIVAIDS intervention should be made part of emergency response, and mechanisms of dealing with child sex abuse in conflict situations should be instituted and/or enforced.
MoAx0203 INTERNATIONAL MIGRATION AND HIV RISK AMONG MEXICAN GAY MEN
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0203
Carrillo H., Fontdevila J., Brown J.
To fully understand HIV risk and safety among gay immigrant populations (particularly among those individuals whose motivations for migration are primarily sexual) and design appropriate interventions, we must pay close attention to their situations and sexual histories before relocation, their paths of international migration, and their processes of incorporation into gay life in host countries.
MoAx0204 PARTICIPATORY RESEARCH INTO HIV/AIDS WITH AFRICAN COMMUNITIES IN AUSTRALIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0204
Lemoh C.1, Hellard M.2, Street A.3, Biggs B.4
Social and epidemiological research into HIV/AIDS in immigrant or culturally diverse communities should involve members of the communities in order to improve the quality of the studies and the relevance of their findings.
MoAx0205 OPTIMIZING HEALTH OUTCOMES IN HIV+ REFUGEES FROM SUB-SAHARAN AFRICA PRESENTING TO URBAN MEDICAL SETTINGS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0205
Cyr J.1, Thompson D.1, Gilmore N.1, Duchesneau C.1, Ankouad A.2
A multidisciplinary team with a collaborative, skillful and culturally sensitive approach will intervene most effectively with this vulnerable population. Rapid assessment of psychosocial stressors and emotional adjustment via the involvement of medical, social work, mental health and pastoral services can help to enhance patients´ coping resources and optimal health outcomes.
MoAx03 High Time to Deliver on Stigma and Discrimination
MoAx0301 IMPACT OF UNIVERSAL ACCESS TO ANTIRETROVIRAL THERAPY ON HIV STIGMA IN BOTSWANA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0301
Wolfe W.1, Weiser S.2, Leiter K.3, Steward W.2, Percy-de Korte F.3, Phaladze N.4, Iacopino V.3, Heisler M.5
Our findings support the hypothesis that ART access may be a key factor in reducing HIV stigma. Nevertheless, evidence of significant projected stigma suggests that HIV discrimination remains a significant concern despite expanded access and requires ongoing programmatic attention.
MoAx0302 TIME TO MAKE HEALTH SERVICES SAFE FROM STIGMA: VOICES OF CANADIAN ABORIGINAL PEOPLE LIVING WITH HIV/AIDS AND HEALTH CARE PROVIDERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0302
Jackson R.1, MacLean L.2, Leonard L.2, Mill J.3, Reintjes F.3, Austin W.3, Edwards N.2, Dumont-Smith C.4
HIV-related stigma continues to influence access and use of health services for APHAs. Recommendations are made for improving access/use of health services in a safe, trusting and culturally competent manner.
MoAx0303 QUALITATIVE STUDY OF THE CHALLENGES TO SEEKING HEALTH CARE AMONG HIV-POSITIVE PREGNANT WOMEN IN HO CHI MINH CITY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0303
Bain Brickley D.1, Hanh D.L.D.2, Nguyet L.T.3, Giang L.T.4, Sohn A.5
Pregnant women with HIV in HCMC report fear of discrimination as a primary factor influencing the peripartum experience. Identifying infections earlier in pregnancy would help address fear of disclosure and facilitate access to medical interventions. Additional research should be conducted on the role of non-medical hospital staff in stigma and discrimination; in the meantime, HIV-related educational training should be provided to non-medical staff to promote acceptance and sensitivity.
MoAx0304 ALL BECAUSE I AM POSITIVE – VIDEO DOCUMENTARY ON HIV-RELATED STIGMATIZATION OF PLWH IN NIGERIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0304
Oladapo O.1, Musa E.2, Garba S.3, Olotu B.4
Using audio-visual AIDS helps in facilitating better understanding of HIV/AIDS-related issues and problems by workshops and seminars participants. Video documentaries also help in portraying PLWH leaders as role models for others just learning about their HIV-positive status while demand for voluntary counseling and testing.
MoAx04 Immune Based Therapies
MoAx0402 A SINGLE DOSE OF GLYCOSYLATED RECOMBINANT SIMIAN IL-7 INDUCES TRANSIENT T CELL HOMING INTO LYMPH NODES, INCREASES PERIPHERAL NAÏVE AND MEMORY T CELL NUMBERS AND STIMULATES THYMIC FUNCTION IN HEALTHY RHESUS MACAQUES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0402
Beq S.1, Schilte C.1, Gautier D.1, Assouline B.2, Lavedan P.3, Montagutelli X.3, Brahic M.1, Cheynier R.1
The administration of a single dose of r-sIL-7gly both stimulates thymic function leading to enhanced RTE frequency and induces an increase of peripheral naïve and memory subset numbers in healthy Rhesus macaques, suggesting that r-humanIL-7gly might be used to help patient to recover from lymphopenia.
MoAx0403 TREATMENT WITH RECOMBINANT HUMAN GROWTH HORMONE (R-HGH) LEADS TO INCREASED THYMIC OUTPUT IN HIV-INFECTED SUBJECTS WITH INCOMPLETE IMMUNE rRECONSTITUTION ON HIGHLY ACTIVE ANTIRETROVIRAL THERAPY (HAART)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0403
Smith K.1, Zheng L.2, Bosch R.2, Margolis D.3, Tenorio A.1, Napolitano L.4, Pollard R.5, Connick E.6, Gross B.7, Frances I.7, Wang R.2, Muurahainen N.8, Stocker V.9, ACTG 5174 Protocol Team
Treatment with r-hGH is associated with improved thymic output as measured by increases in naïve CD4 cells, thymus size and recent thymic emigrants.
MoAx0404 COMPARING CD4+ T-CELL DECLINE DURING TREATMENT INTERRUPTION IN HIV-1-INFECTED PATIENTS WHO DID OR DID NOT RECEIVE THE CANDIDATE IMMUNOTHERAPY VACC-4X
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0404
Sommerfelt M.A.1, Wit F.W.N.M.2, Nyhus J.1, Kran A.-M.B.3, Baksaas I.4, Lange J.M.A.2, Sorensen B.1, Kvale D.3
This study suggests a significant benefit of the Vacc-4x immunotherapy intervention in terms of CD4+ T cell decline following CART interruption. However, these findings should be verified through a randomised prospective placebo-controlled clinical trial. These results nevertheless support the potential for immune-based strategies to sustain immunological fitness during prolonged treatment interruptions – in line with CD4-guided therapy - to reduce exposure to CART and its associated adverse side effects.
MoAx0405 SAFETY OF VSSP AS IMMUNOPOTENTIATOR IN CUBAN HIV/AIDS PATIENTS TREATED WITH ANTIRETROVIRAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0405
Trujillo A.1, Abreu D.2, Diaz R.1, Rittoles A.1, Godinez M.C.1, Molina R.1, Borrero Y.1, Bebelagua Y.3, Garrido D.1, Rojas T.1, Urbino A.1, Serrano T.1, Cofat D.1, Calderon O.1, Nuñez F.1, Leal M.1, Gonzalez A.1, Trueba M.2, Carr A.3, Perez R.4, Fernandez L.E.3, Perez J.5
Our findings support the safety of VSSP + antiretroviral treatment in HIV/AIDS patients.
MoAx05 Youth and HIV: What's Sex Got to Do With It?
MoAx0501 GYP EGYPT; YOUTH-DRIVEN ADVOCACY-BASED SUCCESS STORY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0501
Shawer S.
Young people should be allowed to plan for advocacy projects tackling their own issues. Financial support should be invested in youth-driven and youth designed advocacy plans.
MoAx0502 USING HUMAN RIGHTS STANDARDS TO ASSESS HIV-PREVENTION PROGRAMS FOR CHILDREN AND YOUTH: A CASE STUDY OF UGANDA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0502
Cohen J.1, Tate T.2
HIV-prevention policies for young people should comply with international standards on the right to health information, which include the right to be informed of all effective methods of HIV prevention, including condoms. International human rights bodies should hold governments to account for restricting young people’s access to potentially life-saving information about condoms and safer sex.
MoAx0503 HOW WELL DO KENYAN YOUTH UNDERSTAND ABC MESSAGES FOR HIV PREVENTION?
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0503
Pulerwitz J.1, Lillie T.2, Apicella L.3, McCauley A.4, Nelson T.5, Ochieng S.6, Mwarogo P.6, Kunyanga E.7
HIV prevention programs incorporating ABC messages must clarify the ABC behaviors, particularly being faithful in the context of HIV prevention and consistent condom use. Terminology that is locally appropriate and clear should be used, and negative perceptions of condom use addressed. ABC messages should be combined with other interventions that address barriers to the behaviors, such as gender-based violence prevention.
MoAx0504 EFFICACY OF AN ABSTINENCE-ONLY INTERVENTION OVER 24 MONTHS: A RANDOMIZED CONTROLLED TRIAL WITH YOUNG ADOLESCENTS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0504
Jemmott III J.B.1, Jemmott L.S.2, Fong G.T.3
Theory-based abstinence-only interventions have the potential to reduce sexual activity or delay sexual debut among young adolescents, without having adverse effects on condom use when adolescents initiate sexual activity.
MoAx0505 CHALLENGES IN DIAGNOSIS DISCLOSURE TO HIV POSITIVE TEENAGERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoAx0505
Manescu N., Bobolea B.C.
The young people living with HIV/AIDS and must be directly involved in programs regarding their peers. Their messages transmitted directly to other HIV/AIDS affected families are highly credible and have a strong impact on the parents who refuse diagnosis disclosure to their children.
Poster Discussions
Track A
MoPdA siRNA Gene Therapy for HIV
MoPdA01 USE OF MODIFIED U1snRNAs TO INHIBIT HIV-1 REPLICATION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdA01
Sajic R., Lee K., Asai K., Cochrane A.
We have identified several modified U1snRNA that are able to inhibit viral structural protein expression by as much as 95%. Maximal antiviral activity is dependent upon binding of U1 70K and Sm proteins, while loss of U1A binding to the U1snRNAs only reduced activity. The potential activity of this new strategy suggests that it may be possible to render cells expressing these constructs unable to support HIV replication.
MoPdA02 POST-TRANSCRIPTIONAL INHIBITION OF HIV-1 SUBTYPE C BY EXPRESSED LONG HAIRPIN RNAs TARGETED TO THE R AND U5 REGIONS OF THE LTR
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdA02
Barichievy S.1, Carmona S.1, Crowther C.1, Saayman S.1, Morris K.2, Arbuthnot P.1, Weinberg M.1
As an index of the activation of interferon inducible genes, none of the lhRNAs induced expression of OAS1, MxA and IFN-ß mRNA concentrations. These data indicate that expressed lhRNAs are capable of inhibiting HIV-1 gene expression without eliciting an unwanted interferon response, and may have potential therapeutic application to counter viral escape.

MoPdA04 siRNA RESTRICTION OF HIV-1 REPLICATION IS PRIMARILY DUE TO mRNA RATHER THAN GENOMIC RNA DEGRADATION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdA04
Gao Y.1, Lobritz M.1, Roth J.2, Abreha M.1, Nankya I.1, Moore D.1, Abraha A.1, Nelson K.1, Gerson S.2, Arts E.1
HIV-1 genomic RNA is protected from siRNA degradation and the dominant effect of siRNA knockdown occurs at the level of mRNA.
MoPdA05 PHASE II CLINICAL TRIAL DEMONSTRATES THE SAFETY AND TOLERABILITY OF MULTIPLE DOSES OF AUTOLOGOUS CD4+ T-CELLS TRANSDUCED WITH VRX496, A LENTIVIRAL VECTOR DELIVERING ANTI-HIV ANTISENSE IN PATIENTS FAILING 1 OR MORE HAART TREATMENT
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdA05
Rebello T.1, Afable C.1, Callahan S.1, Humeau L.1, Chopra A.1, Lu X.1, Slepushkin V.1, Stein D.2, Steinhart C.3, Greenberg R.N.4, Zolopa A.5
Multiple doses of autolougous CD4+ T-cells transduced with a lentiviral vector appear to be safe and well tolerated. The clinical utility of lentiviral vector technology as an alternative for treatment of HIV infection continues to be explored.
MoPdA06 SAFE AND SUSTAINABLE ANTI-HIV HEMATOPOIETIC PROGENITOR CELL-DELIVERED ANTISENSE: FOLLOWUP THROUGH MONTH 60 FROM PHASE I TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdA06
Liu D.1, Dunn E.2, Unemori P.2, Eden C.2, Conant M.A.2, Cowan M.J.2
These results are an example of the survival at low levels of transduced CD34+ stem cells in nonablated subjects with sustainable transgene activity as well as the long term presence of engineered cells in the circulating progeny, i.e., CD34+ and CD4+ cells.
MoPdA07 INHIBITION OF HIV-1 REPLICATION IN HUMAN T CELLS BY RNA INTERFERENCE
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdA07
Meshcheryakova Y.1, Gashnikova N.1, Plyasunova O.1, Pokrovskaya N.1, Pokrovsky A.1, Petyovka N.2, Tchurikov N.2
Our experiments demonstrated significant inhibition of HIV-1 reproduction in cells containing expression vector constructions compared to relevant controls. The obtained results showed the potential ability of using these HIV-1 specific shRNA expression constructs for AIDS gene therapy.
MoPdA08 INHIBITING HIV-1 BY AUGMENTING CELLULAR ANTIVIRAL PATHWAYS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdA08
Christensen H.1, Ong C.1, Chung S.1, Frankel L.2, Daher A.2, Laine S.2, Bannwarth S.2, Gatignol A.2, Purcell D.1
The vector-derived TRBP dsRNA yielded insufficient RNAi and did not reduce TRBP levels sufficiently to augment the PKR response to a degree that reduced HIV-1 expression. However, jointly targeting HIV Tat and TRBP with RNAi greatly enhanced the inhibition of HIV-1NL4.3 expression. Poor silencing activity of vectors targeting TRBP in HIV-1 infected cells appears to be linked to the silencing-suppressor activity of HIV-1 Tat.
Track B
MoPdB Morbility/Mortality in the HAART Era
MoPdB01 RISK OF CLINICAL PROGRESSION OVER LONG TERM FOLLOW-UP IN A WIDE COHORT OF PATIENTS BY DIFFERENT PATTERNS OF VIRO-IMMUNOLOGICAL RESPONSE ASSESSED AT MONTH 18. RESULTS OF THE ITALIAN MASTER COHORT
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdB01
Torti C.1, Paraninfo G.1, Casari S.1, Quiros Roldan E.1, Suter F.2, Maggiolo F.2, Quirino T.3, Migliorino G.3, Minoli L.4, Maserati R.4, Ghinelli F.5, Sighinolfi L.5, Mazzotta F.6, Lo Caputo S.6, Antinori A.7, Antonucci F.8, Pastore G.9, Ladisa N.9, Castelnuovo F.10, Tinelli C.11, De Silvestri A.11, Carosi G.1
Diagnosis of HIV infection, treatment before ADE and maintenance of high CD4+ T cell count induced by HAART remain important priorities protecting from AIDS morbidity and mortality over a long-term follow-up even in this cohort of patients who followed a first line HAART for at least 18 months. Viro-immunological trends over this initial period did not appear to influence subsequent clinical progression.
MoPdB02 CAUSES OF SEVERE MORBIDITY IN HIV-INFECTED PATIENTS. AQUITAINE COHORT 2000-2004: THE IMPORTANCE OF BACTERIAL INFECTIONS, CARDIO-VASCULAR, DIGESTIVE, AND PSYCHIATRIC MORBIDITY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdB02
Bonnet F.1, Chêne G.2, Lawson-Ayayi S.2, Dupon M.3, Pellegrin J.-L.4, Thiébaut R.2, Morlat P.1, Groupe d'Epidemiologie Clinique du SIDA en Aquitaine
Severe morbidity has shifted from AIDS-related to non AIDS-related causes. Ageing, co-morbidities (hepatitis, addictive behaviours) might explain this evolving distribution. Immunodepression, even moderate may also have a role in the development of non-AIDS morbidity. Limiting endpoints to AIDS events and death could be misleading in the interpretation of prognostic and therapeutic studies.
MoPdB03 ATTRIBUTES TO DEATH OF HIV/AIDS PATIENTS IN THE ERA OF HAART
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdB03
Ho C.F., Cheng K.L.S., Wong K.H., Chan K.C.W.
Only one-fourth of deaths in the HAART era resulted from AIDS. Beyond biomedical factors, one-fourth of deceased patients were late presenter of HIV diagnosis and half had poor adherence to medical follow-up and HAART. Both groups deserve special attention as their death may be avoidable. Interventions should be formulated to encourage early diagnosis, modify unfavourable behaviour and address psychosocial needs of HIV-infected persons.
MoPdB04 PREDICTORS OF MORTALITY IN HIV-INFECTED ADULT AFRICAN PATIENTS RECEIVING HIGHLY ACTIVE ANTI-RETROVIRAL THERAPY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdB04
Siika A.M.1, Wools-Kaloustian K.2, Kimaiyo S.N.1, Mwangi A.3, Diero L.O.1, Ayuo P.O.1, Owino-Ong'or W.D.1, Sidle J.E.4, Einterz R.M.4, Yiannoutsos C.5, Musick B.5, Tierney W.M.4
Patients on HAART who died were in poor health based on CD4 cell count and WHO Stage and often did so soon after initiation of therapy.
MoPdB05 PREDICTORS OF MORTALITY IN PATIENTS INITIATING ANTIRETROVIRAL THERAPY IN DURBAN, SOUTH AFRICA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdB05
Ojikutu B.1, Zheng H.2, Walensky R.2, Lu Z.2, Losina E.2, Giddy J.3, Freedberg K.2
History of oral candidiasis and CD4 count <50/mm3 are independent predictors of mortality in patients initiating ART in Durban, South Africa. Further interventions to reduce mortality associated with these clinical markers should be developed and urgently implemented.
MoPdB06 VERY LOW CD4 T CELL COUNTS AND LOW TOTAL LYMPHOCYTE COUNTS AT INITIATION OF HAART ARE ASSOCIATED WITH A POOR OUTCOME IN THE FIRST 6 MONTHS OF ANTIRETROVIRAL TREATMENT
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdB06
Mayanja-Kizza H.1, Lutwama F.2, Kamya M.3, Kikawa C.2, Spacek L.4, Quinn T.4
High mortality on HAART may be associated with late commencement of treatment at very low CD4 counts, where despite adequate treatment immune recovery lags behind virological suppression. Commencing HAART at earlier CD4 counts should be considered, even in resource limited countries to improve outcome.
Track C
MoPdC Women: Choosing When There is No Choice
MoPdC01 DO ECONOMIC DEVELOPEMENT PROGRAMMES REDUCE VULNERABILITY TO HIV AND INTIMATE PARTNER VIOLENCE (IPV): QUALITATIVE PERSPECTIVES FROM A PROSPECTIVE CLUSTER-RANDOMIZED TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdC01
Phetla G.1, Busza J.2, Pronyk P.3, Kim J.2, Euripidou R.4, Hargreaves J.2, Morison L.2, Watts C.2, Porter J.2
Qualitative data suggests the intervention enhances self-sufficiency, self-confidence, and critical-thinking around issues including gender-based violence, gender roles and HIV/AIDS. There is evidence to support wider changes at the household and community level. Quantitative results will also be presented at the conference.
MoPdC02 SEXUAL ASSAULT, SEXUAL RISKS, AND GENDER ATTITUDES AMONG SOUTH AFRICAN MEN
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdC02
Cain D.1, Simbayi L.C.2, Cherry C.1, Henda N.2, Kalichman S.1
These findings extend previous research to show that men who have a history of sexual assault also exhibit elevated risks for HIV/AIDS and that both sexual violence and HIV risk can be addressed in a single integrated intervention model.
MoPdC03 POST-EXPOSURE PROPHYLAXIS FOLLOWING SEXUAL ASSAULT IN CAPE TOWN: ADHERENCE AND HIV RISK BEHAVIOR
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdC03
Roland M.1, Myer L.2, Chuunga R.3, Martin L.2, Maw A.2, Coates T.4, Denny L.2
Although overall PEP completion rates were high, adherence was often incomplete. Ongoing HIV risk behavior was common and probably resulted in new HIV acquisition. To improve HIV prevention services for sexual assault survivors, universal adherence interventions and targeted intensified HIV risk reduction counseling should be provided.
MoPdC04 A PROSPECTIVE COHORT STUDY OF UNIVERSAL OFFERING OF HIV-1 POST-EXPOSURE PROPHYLAXIS IN SEXUAL ASSAULT VICTIMS/SURVIVORS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdC04
Loutfy M.1, MacDonald S.2, Myhr T.3, Humphries H.3, Du Mont J.3, Leeke T.3, Rachlis A.1
Since the universal counselling and offering of PEP to sexual assault victims/survivors in our study appears feasible and warranted, all jurisdictions should consider developing guidelines for this topic. Since we found that although high-risk clients accepted PEP at a greater rate than those at unknown-risk, equal numbers completed the course, a universal strategy for offering PEP should be considered. Since our completion rate was three times that reported in earlier studies, more rigorous follow-up should be considered by all programs.
MoPdC05 MOTHERS´ PROTECTIVE VARIABLES AGAINST DAUGHTERS´ HIV RISK
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdC05
Dancy B.1, Crittenden K.2, Bowman M.1, Huang Z.1, Kennedy A.1, Spencer B.1, Starks A.1, HIV Risk Reduction
The results suggest that mothers can be protective factors against daughters’ HIV risk. Health care providers should provide mothers with comprehensive, accurate information about HIV and help mothers to increase their own safer sex self-efficacy and intention to encourage daughters to avoid HIV risks.
MoPdC06 DISTRIBUTING BARRIER METHODS FOR WOMEN: DETERMINANTS OF WILLINGNESS TO PAY FOR MICROBICIDES, THE DIAPHRAGM AND THE FEMALE CONDOM
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdC06
Terris-prestholt F.1, Kumaranayake L.1, Macphail C.2, Rees H.2, Watts C.1
Interest in the diaphragm and microbicides, which are likely to be less effective but more discrete than condoms, is higher among cohabitating women, a group known to lack long-term prevention options. This is reassuring for policymakers fearing condom migration. With careful price setting, it should be feasible to recover some of the costs of these products from women of higher SES. To reach lower income women, subsidised distribution is likely to be necessary.
Track D
MoPdD Enriching Community Mobilization: Not For But With People
MoPdD01 PROMOTING GREATER INVOLVEMENT OF PEOPLE LIVING WITH HIV/AIDS (GIPA) IN MYANMAR
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdD01
Naing Z.Z.1, Wah N.S.2, Lwin T.M.1, Eh D.1, Thida A.M.1
There are an estimated 339,000 to 832,000 PLHA in Myanmar. There are few projects addressing PLHA issues and PLHA involvement is low. A number of PLHA support groups have been formed but these are managed by international or local NGOs and networking among them is weak.
MoPdD02 HIV YOUTH AMBASSADOR PROGRAMME - A COMMUNITY-LED RESPONSE TO HIV & AIDS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdD02
Gurney L., MADaboutART Youth Ambassadors
Young people have the capacity to input and should be involved in all stages of development and delivery of youth educational programmes.
MoPdD03 INTERNATIONAL COOPERATION, SOCIAL MOBILIZATION AND ACCESS TO TREATMENT OF HIV/AIDS IN LATIN-AMERICAN
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdD03
Kamel L., Maksud I., Raxach J.C., Pimenta C., Terto Jr. V., Molnar R.
The Brazilian Interdisciplinary AIDS Association has been acting in the fight against the HIV/AIDS epidemic in the areas of prevention, advocacy, social mobilization, adherence to treatment and support to people living with HIV/AIDS, and monitoring of health policies. During 2004 and 2005, ABIA conducted case studies of Bolivia and Paraguay where most of the first line ARV medication is made available through donations under cooperation agreements of the Brazilian government.
MoPdD04 VOLUNTARY SUPPORT GROUPS IMPROVE THE QUALITY OF LIVE OF PEOPLE LIVING WITH HIV/AIDS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdD04
Mello J.H.
Voluntary support groups formed and directed by PLWHIV/AIDS appear to be an extremely cost-effective method to facilitate information exchange, enhance of knowledge, and promote self-steem, as well as foster and expand better social relationships. We intend to implant these support groups in our branches in order to inhance quality of life of PLWHA.
MoPdD05 LESOTHO AND SWAZILAND: A TRADE UNION (CIVIL SOCIETY) RESPONSE TO THE WORKPLACE AND AIDS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdD05
Ndlovu V.1, Mariel C.2
Unions must be lead actors in workplace AIDS to leverage workers’ trust and participation, to protect workers’ rights, and to build coalitions that stretch globally and reach across business, government, nongovernmental organizations, and communities. The lessons learned, relevant to all AIDS stakeholders, implementers, and decision-makers, are replicable in workplaces throughout the world.
MoPdD06 MOBILIZING COMMUNITIES FOR THE CARE AND SUPPORT OF HIV/AIDS AFFECTED CHILDREN AND FAMILIES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdD06
Tesfaye A.
The CAC model of community mobilization, if replicated to other areas with some adaptation, can bring the same outcomes that would ensure sustainability of response.
Track E
MoPdE Double Jeopardy: Vulnerable Populations and HIV
MoPdE01 HIV/AIDS AMONG DISPLACED POPULATIONS IN NORTH-WEST ZIMBABWE: AWARENESS, KNOWLEDGE AND BEHAVIOURAL PATTERNS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. MoPdE01
Araujo de Carvalho I.1, Stigter E.2, Voetem H.3, Haliman L.1
The study provides evidence of significant high risk sex, and the high impact of AIDS within the community. The findings indicate that food insecurity brought by displacement seems to be fuelling risky behaviours such as early marriages for women and intergenerational sex. The surveyed IDP group do not access government programmes within the context of addressing the persisting complex emergency in Zimbabwe.
MoPdE02 USING A RIGHTS-BASED APPROACH TO PROMOTING THE ACCESS OF URBAN REFUGEES TO NATIONAL HIV/AIDS PROGRAMMES IN SOUTH AFRICA