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National HIV Prevention ConferenceAtlanta, Georgia, USA — Jun 12- 15, 2005 |
Cite as: Natl HIV Prev Conf 2005 Jun 12-15: abstract no. xx
| MR-A01-01 Acceptability and Long-Term Use of Microbicides and Other Female Barrier Methods for HIV/STI Prevention: Context Makes a Difference |
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| MR-A0101 | ACCEPTABILITY AND LONG-TERM USE OF MICROBICIDES AND OTHER FEMALE BARRIER METHODS FOR HIV/STI PREVENTION: CONTEXT MAKES A DIFFERENCE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-A0101 Mantell, JE; Exner, T; Hoffman, S; Dworkin, S; Stein, Z Interventions need to address the diverse social contexts and processes that shape acceptability, uptake, and long-term use of female barrier methods. Both dyadic interventions targeted to partners and structural interventions targeted to the health care system, including health care workers and policymakers, are urgently needed. Postmarketing research is required to understand the ways in which these methods are used and can be promoted in real-world, non-clinical trial settings. Examples from key successful domestic and international programs will be given. If newer methods, such as microbicides and diaphragms, are proven to be effective for disease prevention, then lessons learned from female condom programming can facilitate their acceptance as alternative barrier methods. |
| MR-A04-02 Rapid HIV Testing: Improved Outreach and Testing for High Risk Gay Men |
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| MR-A0401 | RAPID HIV TESTING: IMPROVED OUTREACH AND TESTING FOR HIGH RISK GAY MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-A0401 Kerrone. D This presentation will provide participants with examples of the challenges they may encounter when attempting to offer rapid HIV testing outside of a clinic environment as well as offering HIV in the combination of STD testing. |
| MR-C01-04 Young Men of Color: An Innovative Approach to HIV Prevention in Communities of Color |
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| MR-C0101 | YOUNG MEN OF COLOR: AN INNOVATIVE APPROACH TO HIV PREVENTION IN COMMUNITIES OF COLOR* Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-C0101 Deas, NJ; Augustine, J Exploring strategies for the promotion of male sexual and reproductive health is essential to encouraging behaviors that will prevent HIV infection, as well as enhancing men's overall health, Providing adolescent and young adult males with culturally appropriate gender specific prevention interventions may help them to learn new concepts about male sexuality, These new perceptions may help to decrease the disproportionate high number of men of color estimated to be living with HIV/AIDS. |
| MR-C03-15 Network-Level Interventions |
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| MR-C0301 | NETWORK-LEVEL INTERVENTIONS TO REDUCE HIV AND STD TRANSMISSION IN VENUES WHICH FACILITATE SEXUAL MIXING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-C0301 Wohlkiler, D While sexual network theory has helped explain HIV and STD transmission, little attention has been paid on how to use it to address commercial sex venues, internet sites, and circuit parties which facilitate gay men and other men who have sex with men finding new sexual partners. |
| MR-D01-05 Evaluation 201 for Early Birds |
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| MR-D0101 | EMBRACING THE CHALLENGE: TIPS FOR SUCCESSFULLY INTEGRATING OUTCOME EVALUATION INTO YOUR HIV PREVENTION PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-D0101 Phillips, N1; Blair, A1; Freeman, A1; Robbins, A2 Community Based Organizations will understand the importance of outcome evaluation and learn new innovative strategies for integrating outcome evaluation into their daily routines. This workshop will reinforce the need for integrating outcome evaluation during the formative stages of program implementation and also offer strategies for integrating once the program has already begun. |
| MR-D04-19 The Challenges and Responses of Implementing Prevention with Positives |
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| MR-D0401 | THE CHALLENGES AND RESPONSES OF IMPLEMENTING "PREVENTION WITH POSITIVES" DEMONSTRATION PROJECTS IN CLINICS IN THE SOUTHEASTERN UNITED STATES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-D0401 Patel, SN1; Sinclair, E2 Lessons learned from implementing PwP programs are especially critical in the southeastern United States where there is a lack of data on secondary prevention programs. Reporting challenges and responses strengthen existing programs and offer valuable insight to new and developing programs. In addition, the documentation of the variations in approaches to program implementation should be used as a platform to create a constructive and ongoing dialogue between the HIV-positive patients and their healthcare providers. In this way, we will be able to educate each other about ways to prevent secondary transmission of HIV without further stigmatization of those with the disease. We intend to share information from our sites and region and stimulate a dialogue at the national level regarding implementation of secondary prevention programs. |
| MR-E01-03 To Tell or Not to Tell: Disclosure Laws and Prevention with Positive Programs |
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| MR-E0101 | TO TELL OR NOT TO TELL: DISCLOSURE LAWS AND PREVENTION WITH POSITIVES PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-E0101 Carrel, JJ; Yordy, C Conflicts between professional reporting and disclosure laws must be resolved in order to provide effective programs for HIV positive clients. Sharing best practices in dealing with these issues will improve Prevention with Positives program effectiveness. |
| MR-F01-11 Adolescent Focused HIV Prevention Programs |
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| MR-F0101 | BEST PRACTICES FOR REACHING AND ENGAGING YOUTH IN HIV PREVENTION AND CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-F0101 Hidalgo, J; Hannay, JE While a number of the characteristics of effective HIV programs for youth mirror those of adults, there are a number of factors that are unique and distinct. These must be considered and planned into services offered if programs for youth are to effectively reach the target population. This session will present the research findings and facilitate a discussion among participants on other issues that must be considered that were not covered or revealed in the report. |
| MR-F02-10 Integrating Model Prevention Programs into Care |
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| MR-F0201 | INTEGRATING PREVENTION INTO THE CONTINUUM OF HIV/AIDS CARE SERVICES IN PALM BEACH COUNTY, FLORIDA: THE EPICC PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-F0201 Moore, PA Viewing HIV/AIDS prevention and care services as a continuum and providing formal mechanisms for addressing the continuum for a sub-population or targeted geographic location can result in increased coordination of services and provide for the integration of prevention services across the continuum. Creative collaborations with unexpected partners can increase the number of providers involved in conveying preventions messages in a multiplicity of settings - social, faith-based, athletic, addiction treatment, as well as traditional medical and mental health settings. Epidemiological data - such as demographics of HIV infection, counseling and testing information and Serologic Testing Algorithm for Recent HIV Seroconversion (STAHRS) data - can be useful to both identify high-need geographic areas and/or subpopulations and to evaluate the effectiveness of intervention programs in those targeted areas. |
| MR-G01-09 It's Time: Integrating Viral Hepatitis Services in HIV Prevention |
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| MR-G0101 | ITS TIME: INTEGRATING VIRAL HEPATITIS SERVICES IN HIV PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-G0101 Cotroneo, RA1; Herlihy, E2; Flanigan, C2 With access to training and technical assistance tools, HIV/AIDS programs can successfully integrate viral hepatitis prevention, care and support services. This is highly beneficial to clients because it treats them in a holistic manner, meets more of their needs, reduces barriers to service and provides additional reasons to seek services at HIV/AIDS programs. |
| MR-G04-07 The Children's Health Market: HIV/AIDS Education for Elementary-Aged Children |
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| MR-G0401 | THE CHILDREN'S HEALTH MARKET: HIV/AIDS EDUCATION FOR ELEMENTARY AGED CHILDREN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MR-G0401 Stewart, P HIV/AIDS Education for Elementary Aged Children: Teaching elementary aged children about HIV/AIDS can be made easy when the information is age appropriate and the learning activities are relevant to a child's life. Reduce the discomfort of teaching this subject by experiencing non-threatening learning tools and activities. Participants in this seminar will explore THE GREAT BODY SHOP comprehensive health and substance abuse prevention curriculum, which will equip them to teach sensitive subject matter to children. This workshop is also helpful in working with parent groups who wish to preview HIV/AIDS instruction. |
| M1-A01-17 Methamphetamine Use and Sexual Risk Behavior |
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| M1-A0101 | ADDRESSING METHAMPHETAMINE USE AND SEXUAL RISK BEHAVIOR AMONG MEN WHO HAVE SEX WITH MEN (MSM) IN THE UNITED STATES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0101 Mansergh, G1; Purcell, DW1; Colfax, GN2; Shoptaw, S3 Meth use is relatively common and contributes to HIV and STD epidemics among MSM in the U.S. CBOs, prevention treatment programs, and public health officials must come together to address this growing problem in our communities, and bridge the typically separate worlds of drug use and HIV/STD prevention. |
| M1-A05-03 HIV Prevention Research and Religion |
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| M1-A0501 | DIVINE INTERVENTION: RETHINKING THE COLLABORATIVE ROLE OF THE INNER-CITY BLACK CHURCH IN HIV PREVENTION FOR HIGH-RISK WOMEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0501 Gentry, QM The findings suggest that faith-based organizations in inner cities may be untapped resources in delivering complementary services for traditional HIV prevention. |
| M1-A0502 | THE BLACK CHURCH: ITS INFLUENCE ON BLACK MEN WHO HAVE SEX WITH MEN, IN THE ERA OF AIDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0502 Bryant, LO African American MSM in this study perceive themselves as active participants in the life and growth of the Black church. These MSM either attend or have attended a Black church in the last ten years for at least one year. They are represented on deacon boards, usher ministries; the choir, AIDS ministries and many other auxiliaries. Despite this participation MSM continue to be marginalized, isolated, and condemned for same sex behavior as reported by respondents. All of the respondents in this research study said they considered themselves spiritual as opposed to religious, and had a personal relationship with God despite negative church doctrine regarding homosexuality. Many (90%) considered religion as man-made formalities, and spirituality as their relationship with the Divine Creator. In addition, all respondents felt that their church leaders espoused anti-homosexual rhetoric as part of their religious services, and that this espousal represented a significant barrier to self-fulfillment and self-actualization. |
| M1-A0503 | THE ROLE OF BLACK CHRISTIAN CHURCHES IN THE LIVES OF YOUNG BLACK MEN WHO HAVE SEX WITH MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0503 Foster, ML; Rebchook, G; Ralston, B; Kegeles, SM Black churches are potentially a powerful resource in combating the spread of HIV/AIDS. YBMSM identify religion as an important part oftheir lives. Those who remain active in Churches during their adulthood maintain this status by employinging numerous coping mechanisms. These church-going YBMSM, regardless of HIV sero-status, can be an invaluable resource in promoting safer sex messages. In so doing, they may help build a bridge between the BMSM community and Black churches. |
| M1-A0504 | THE POSITIVE INFLUENCE OF RELIGIOSITY ON HIV RISK BEHAVIORS IN AT-RISK AFRICAN AMERICAN ADOLESCENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0504 Hancock, HE1; Eke, A1; Lam, WK2; Francis, S2; Cance, JD2 These results suggest that religiosity may have a buffering effect on HIV risk behaviors among African American children whose mothers have a history of crack cocaine use, and that religiousity may contribute to other health-promoting behaviors in this population. Faith-based initiatives in HIV prevention may be a useful means of reaching some at-risk youths. |
| M1-A09-01 Familial Context and HIV Risk in Adolescents |
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| M1-A0901 | CONCORDANCE OF MOTHER, FATHER, AND PREADOLESCENT REPORTS OF SEXUALITY COMMUNICATIONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0901 Wyckoff SC1; Miller, KS1; Forehand, R2;Long, N3; Armistead, L4; Gound, M5 The majority of parents are communicating about most sexual topics with their preadolescents. Contrary to previous research with older youth, this study found high concordance between parents' (both mothers and fathers) and preadolescents' reports of sexuality communication. This high level of agreement suggests that preadolescentsare receiving the messages their parents report conveying. Thus, preadolescence may be the optimal time for parents to provide primary HIV prevention messages to their youth prior to the initiation of sexual behaviors. |
| M1-A0902 | MULTI-LEVEL INFLUENCES ON HIV RISK AMONG ADOLESCENT CHILDREN OF MOTHERS WHO USE CRACK COCAINE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0902 Eke, AN1; Lam, WK2; Hawkins, SR2;Hancock, H1 These findings highlight the need to design HIV prevention interventions for high risk adolescents, which draw from the strengths of the adolescents, and that of their friends and family. |
| M1-A0903 | ATTITUDE MISMATCHING: THE ROLE OF SEXUAL COMMUNICATION IN THE DISCREPANCIES IN THE SEXUAL ATTITUDES OF AFRICAN AMERICAN MOTHERS AND THEIR PRE-ADOLESCENT CHILDREN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0903 Gound, MM1; Long, N2; Forehand, R3;Miller, KS4; Armistead, L5; McNair, L6 These findings indicate that attitude misperception, and discrepancy are already present in pre-adolescence, particularly for boys. Lack of communication about sexuality between mothers and their children appears to be related to child misperception of maternal attitudes. As such, prevention programs should examine the effectiveness of helping parents communicate their values and attitudes about sex to their children before adolescence, when attitude discrepancies may already be emerging. Although both genders should be included in programs, boys may need special attention due to the greater likelihood of attitudinal discrepancies and misperceptions between mothers and, sons. |
| M1-A0904 | UNDERSTANDING AFRICAN AMERICAN YOUTH HIV KNOWLEDGE: EXPLORING THE ROLE OF RACIAL SOCIALIZATION AND FAMILY COMMUNICATION ABOUT “HARD TO TALK ABOUT TOPICS” Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A0904 McKay, M It appears important that family communication around sensitive topics such as HIV and AIDS be reinforced in order to ensure adequate youth HIV knowledge. However, it also appears that the racially socializing context within which a child is reared plays an important role in understanding youth HIV knowledge. Implications are drawn regarding the development of culturally and contextually specific HIV prevention programming for African American youth and families. |
| M1-A10-02 Risk Factors for Immigrant Populations |
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| M1-A1001 | MIGRATION TO FLORIDA BY HIV/AIDS PATIENTS FOLLOWING AN HIV DIAGNOSIS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A1001 Lieb, S; Arons, P; Liberti, T A substantial proportion (29%) of PLWHAs receiving publicly funded HIV/AIDS services (largely whites, males and MSM) migrated to the study counties. The IDEP findings tended to corroborate the survey findings concerning migration patterns to Florida from other states. An estimated 10% of all reported PLWHAs may have relocated to Florida. Ongoing needs assessments that plan for secondary HIV prevention should take into account the demographic and risk profiles of persons who migrate to communities following an HIV diagnosis, and the additional resources required for care. Further research is warranted to assess how two major life events (HIV diagnosis and relocation) may affect risk-reduction behavior medication adherence, and other psychosocial issues possibly associated with migration. |
| M1-A1002 | “DEBI” IN THE AFRICAN REFUGEE/IMMIGRANTS COMMUNITY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A1002 Danesi, H1,2; Rajab,M1; Mugalla,I1 The increase in incidence and prevalence rates of HIV in these communities could be attributed to failure of programs to address the different beliefs and cultural dynamics.Of note will be the underlying epidemic of stigma and discrimination that is also prevalent within this community. People with HIV can be stigmatized, ostracized, shunned and avoided. These constitute a major barrier to prevention initiatives. Clearly, an urgent need exists to establish culturally appropriate and culturally competent interventions that target the African refugees and immigrant populations. There is also increased need for Technical Assistance to agencies serving this specific subpopulation. |
| M1-A1003 | HIV KNOWLEDGE AND ATTITUDES IN ASIAN IMMIGRANT RELIGIOUS INSTITUTIONS IN NEW YORK CITY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A1003 Chin, JJ1; Mantell, J2; Weiss, L1; Bhagavan, M1 Asian immigrants need HIV education to prevent transmission in their communities and to assist community members who are already infected. Working with immigrant institutions is an important part of this work, and of all immigrant institutions, religious institutions may be particularly important. To work with these institutions effectively, we need to understand their attitudes about HIV involvement and their perception of the risk HIV poses for the communities they serve. Our study findings suggest that Asian immigrant religious institution leaders and members require more information about HIV transmission and its impact on Asian immigrant communities, plus reassurances about or protection from HIV-related stigma in order to become involved in HIV prevention education. |
| M1-A1004 | HIV RISK AMONG MEXICAN IMMIGRANT MEN WHO HAVE SEX WITH MEN (MSM) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-A1004 Carrillo, H Analyzing sub-cultural and contextual factors, and differences in the migration paths and forms of incorporation into urban gay communities, may be an important tool to develop better targeted HIV prevention programs for Latino immigrant MSM. Rather than relying on assumptions about immigrant populations, HIV educators must consider various specific challenges, forms of resilience, and personal changes that are associated with international migration. |
| M1-B06-16 Epidemiology of Substance Use and HIV/STD |
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| M1-B0601 | STIMULANT USE AS POTENTIAL PREDICTORS OF HIV RISK TAKING BEHAVIOR AMONG MEN WHO HAVE SEX WITH MEN--NATIONAL HIV BEHAVIORAL SURVEILLANCE IN DALLAS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-B0601 Kershaw, DB1; Shaw, KL1; Sharma,CP1; Shehan,DA1; Freeman, AC1; Yeager,R2; Melville, SK2 These analyses demonstrate relationships between stimulant use and HIV risk taking behaviors among MSM, including being unaware of their partner’s HIV status and having unprotected anal sex. Results also show a significant relationship between stimulant use and HIV status. These preliminary results suggest the need to further understand HIV risk taking behavior among MSM who are stimulant users, in order to better guide the selection of appropriate interventions for this risk group. For example, the high proportion of stimulant use among MSM 30-39 years of age has implications for prevention messages targeted to this age group. |
| M1-B0602 | BINGE DRINKING AMONG HETEROSEXUAL MEN AND WOMEN RECRUITED FROM SEXUALLY TRANSMITTED DISEASE CLINICS IN TEN METROPOLITAN AREAS OF THE UNITED STATES, 2002 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-B0602 Miller, MS; Daniels, D Although risky sexual behaviors are to be expected among men and women attending STD clinics, the results of this analysis show that the risks are even higher among those who reported binge drinking. Screening for alcohol abuse and referring clients for evaluation and counseling could help reduce risky sexual behaviors among adults attending STD clinics. |
| M1-B0603 | METHAMPHETAMINE USE AND SEXUAL RISK BEHAVIOR AMONG MSM DIAGNOSED WITH EARLY SYPHILIS IN LOS ANGELES COUNTY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-B0603 Taylor, MM1; Aynalem, G2; Smith, LV2; Hawkins, K2; Montoya, JA2; Kerndt, PR2 Effective STD risk reduction interventions targeting MSM methamphetamine users are needed to curb risky sexual behavior and syphilis transmission. |
| M1-B0604 | AMPHETAMINE (METH) USE TRENDS AT THE LOS ANGELES GAY & LESBIAN CENTER'S HIV COUNSELING AND TESTING PROGRAM FROM 2001 TO 2004 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-B0604 Amezola De Herrera, P This preliminary trend analysis from 2001 to 2004 indicates that amphetamines are widely used among MSM visiting LAGLC to test for HIV. More importantly, amphetamine use among MSM is increasing especially among MSM who use this drug with sex. This analysis demonstrates the value of coupling HIV counseling and testing services with substance abuse interventions. Additionally, HIV positive MSM use of amphetamines is also increasing. This finding supports CDC's efforts to target their prevention programs for HIV positive MSM and is a good indicator that clinics treating HIV patients could benefit from substance use prevention and education programs. |
| M1-B08-14 Trends in the HIV/AIDS Epidemic |
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| M1-B0801 | TRENDS AND RACIAL/ETHNIC DISPARITIES IN RATES OF HIV/AIDS DIAGNOSIS ASSOCIATED WITH PARTICULAR RISK FACTORS IN THE GENERAL POPULATION OF ADULTS AND ADOLESCENTS IN 32 STATES, 2000-2003 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-B0801 Selik, RM; Glynn, MK Rates of MSM-HIV/AIDS increased slightly during 2000-2003, but rates for other transmission categories decreased or did not change. For each transmission category, blacks and Hispanic populations had higher rates of HIV/AIDS than non-Hispanic white populations. These differences may be at least partly due to differences in the prevalence of the risk factors in the populations. Culturally sensitive prevention programs should be developed to address these racial/ethnic disparities. |
| M1-B0802 | PATTERNS OF NEW HIV/AIDS AMONG ADOLESCENTS AND YOUNG ADULTS IN 25 STATES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-B0802 Rangel, MC; Gavin, L; Lee, LM The patterns of HIV diagnosis by sex and mode of transmission are congruent with recent reports that suggest are surgence of HIV among young MSM. Primary prevention efforts should be maintained to sustain the decline in HIV among females, while increased efforts are needed to reverse the increase observed among young racial/ethnic minority MSM. In particular, attention to the changing and long-lasting needs of HIV-positive persons is essential to ensure effective strategies for prevention of secondary transmission. |
| M1-B0803 | HIV INFECTION AMONG HISPANICS - INCREASES IN CASES OF HIV/AIDS 32 STATES, 2000-2003 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-B0803 Espinoza, L; Hall, HI; Selik, RM; Hu, S Although the overall annual rates of HIV/AIDS cases among Hispanics have remained stable, rates increased among Hispanic men in certain age groups. In addition, the overall annual number of cases increased and among some subgroups in particular. The Hispanic population is expected to triple between 2000 and 2050. It will be necessary to expand culturally sensitive HIV prevention programs, especially among Hispanic MSM, to address the impact of HIV in this population. |
| M1-C12-19 Interventions for MSM of Color: Focus on Youth |
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| M1-C1201 | ASSESSMENT OF HIV PREVENTION PROGRAMS TARGETING YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-C1201 Toledo, C1; Vaughan, M2; Uhl, G1; Rogers, S3; Bartholow, K1; Hamburger M1; Wooster, J2; Hall, L2 The results from this programmatic assessment detail the strategies used by CBOs to reach and provide HIV prevention services to YMSM intended to reduce the risk of HIV transmission. Organizations working with this population may benefit from these findings and choose to adopt those strategies reported to be most effective. While future initiatives need to empirically assess and evaluate these strategies, the results from this assessment have been used by funded CBOs for programmatic improvements. The findings have also provided valuable information to CDC for new initiatives. |
| M1-C1202 | ADAPTING AN EVIDENCE-BASED HIV PREVENTION INTERVENTION FOR YOUNG BLACK MSM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-C1202 Kegeles, SM1; Rebchook, G1; Bowen, C2; Mosby, R, Jr.3; Wilson, P4 Risk behavior among YBMSM occurs in a very different cultural, economic, and social context from the original MP research communities. Re-designing MP requires new components and considerable reframing of current components. The adapted intervention is now being pilot-tested at the CBOs. Careful focus on adapting interventions for specific ethnic groups is critically important. |
| M1-C1203 | PREVENTION WITH HIGH RISK YOUNG LATINO MEN WHO HAVE SEX WITH MEN IN URBAN SETTINGS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-C1203 Horton, T Effective HIV prevention and health promotion efforts in urban young Latino MSM communities must reflect the special needs and preferences of these populations. Recognizing common barriers and sharing best practices will improve HIV program planning and delivery in urban settings. |
| M1-C1204 | MANY MEN, MANY VOICES (3MV), A GROUP LEVEL INTERVENTION FOR BLACK GAY MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-C1204 Washington, K; Roberson, M; English, G Research has shown that culturally competent skills building group interventions can result in increased condom use, reductions in high-risk behaviors, and reduced numbers of sex partners. A key feature of 3MV is its adaptation to fit the personal and cultural relevance of the targeted community. |
| M1-C18-10 HIV Interventions in Special Populations: Native Americans, Rural Populations and Urban Settings |
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| M1-C1801 | CONDUCTING HIV/AIDS PREVENTION RESEARCH IN PARTNERSHIP WITH NATIVE AMERICAN COMMUNITIES: LESSONS LEARNED AND FUTURE DIRECTIONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-C1801 Baldwin, JA American Indian people need to be intimately involved in the entire process of research from conceptualization of the issue, to the methodological approach, to data collection and analysis, to dissemination of the results. This type of approach (i.e., community participation at all levels), requires community organization, the recognition and valuing of cultural practices and knowledge, and consensus building which, in turn, empowers the community. |
| M1-C1802 | ADVANCING HIV PREVENTION IN RURAL ARKANSAS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-C1802 Smith, AJ; Gaynor, H 1) Along with the existing partnership of JCCSI satellite clinics, new partnerships are vital to effectively impact high risk and very high risk targeted populations. Collaboration efforts have proven effective to reaching high and very high risk individuals. Newly developed partnerships include the Arkansas Department of Corrections (ADC), Jefferson County Health Department, and Addiction Treatment and Recovery Centers located within the state of Arkansas. Each agency have expressed great concern and need for the implementation of a behavior modification program to reduce the transmission rate of HIV/AIDS. 2) JCCSI has found the most important factor to reaching the HIV population is through consumers. Consumers within JCCSI staff and past participants of the Healthy Relationship program have been an effective tool to reaching other HIV positive and non-positive individuals. Consumers buying-in to the program mission and goal has created opportunities for the program to gain support, participation of consumers on several boards within the agency, and enhanced a level of confidence about the organization to the consumers and the community. Therefore, clients need to buy-in on programs offered. |
| M1-C1803 | ADDRESSING DISPARITIES IN ACCESS TO HIV HEALTH CARE INFORMATION: A PERSPECTIVE GAINED FROM COMMUNITY CHURCH AND CITY HEALTH HIV CLINICS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-C1803 Cashen, M In this community church HIV/AIDS clinic setting the typical patient is homeless, unemployed, and disenfranchised and had not previously interacted with computers. Teaching patients who had never used a computer was interesting and revealed the need for a health information interpreter. A primary lesion learned was that much, if not most, HIV/AIDS information on the WWW is not directed at the reading level of the poor and marginalized patient, but rather at or above the reading level of a college graduate. |
| M1-D01-07 Innovations in the Implementation of Rapid HIV Testing |
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| M1-D0101 | LOUISIANA RAPID HIV TESTING: PROTOCOL, PRACTICE, AND PROOF Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-D0101 Lachance, N1; Oakes, L2; McKeever, J2 Involvement of all program partners to ensure buy-in for the implementation of rapid testing is essential. Lessons include: 1) techniques to develop a protocol that meets the needs of the CDC, the state health department, and the testing sites; 2) methods to design relevant training and certification for rapid test counselors; 3) elements to ensure quality with all aspects of rapid testing, from counseling to specimen processing; 4) strategies to overcome challenges providing materials and support to all testing sites; and 5) techniques to utilize preliminary data to analyze and monitor rapid testing programs. |
| M1-D0102 | CULTURAL DIFFERENCES IN RESPONSE TO MOBILE HIV RAPID TESTING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-D0102 Illemszky, S; Rocha, N; Dekker, D; Hubbard, C; Monterroso, I; Smith, A Although mobile rapid HIV testing improves target populations accessibility to testing, there are differences in the way services are accessed between African Americans and Latinos. African Americans are more likely to access services on their own when social and logistical barriers are eliminated and mobile van testing is available, but is more likely to refuse testing on the whole. Latinos are more likely to accept testing, but less likely to be tested without some form of outreach and education on testing benefits. In each scenario the primary lesson learned is that outreach is effective and necessary. However, different approaches may be required in order to reach different populations. |
| M1-D0103 | COMPUTER ASSISTED RAPID TESTING FOR HIV Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-D0103 Spielberg, F1; Kurth, A1; Mackenzie, S1; Severynen, AO1; Malotte, K2; Fortenberry, D3 Although staff were concerned about clients. ability to use interactive computer counseling tools for HIV pre-test counseling, the preliminary usability data suggest that computer assisted rapid testing may be a useful and preferable method for HIV counseling and rapid testing consent among patients in urgent care settings. We are now conducting a phase 2 evaluation to determine the acceptability, feasibility and effectiveness of using the CARE tool for rapid HIV pre-test counseling and consent in an urgent care clinic. |
| M1-D0104 | DESIGNING A MOBILE HIV TESTING PROGRAM TO MORE EFFECTIVELY REACH PEOPLE OF COLOR Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-D0104 Spielberg, F1; Wilson, C2; Reidy, B1 The design of an effective HIV testing program to reach people of color includes: 1) Mobile outreach to high-risk venues; 2) culturally similar recruiters; 3) monetary incentives; 4) rapid HIV testing; and 5) the use of CASI technology to enhance evaluation and targeting capabilities. With this model we can effectively identify people of color with HIV who have not sought out HIV testing in existing clinical settings. |
| M1-D11-06 HIV Prevention with Migrant Populations: Addressing Challenges and Building Capacity |
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| M1-D1101 | DEVELOPING AN INTEGRATED HIV PREVENTION COMMUNITY CAPACITY BUILDING EFFORT FOR MIGRANT AND NEW IMMIGRANT POPULATIONS: A CASE STUDY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-D1101 Ramos, R1; Hernandez, A1; Benedicto, R1; Somerville, G2; Taveras, S2 The Promotora Model is a practical and culturally appropriate strategy to be implemented in community and clinical settings to deliver HIV prevention and care services. Promotoras enable case management and follow-up of HIV positive individuals across state and international boundaries. Trained promotoras amplifies the cultural diversity of the health care profession and increases access to HIV prevention services. Community Forums can successfully energize a local community and promote a local HIV prevention agenda as well as providing mentorship to networks in other states. |
| M1-D1102 | THE CHALLENGES OF PROVIDING HIV PREVENTION MESSAGES ALONG THE MIGRANT WORKER STREAMS: A CASE STUDY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-D1102 Somerville, GG1; Hernandez, J2; Diaz, S2; Jorge, S1; Wilson, T3; Borman, M4; Rivera, T4; Taveras, S1 Migrant workers are an invisible population in many communities. However significant population growth of the Hispanic population, especially in the southern US, has resulted in increased attention to public health issues related to migrant workers. Migrant workers need to receive consistent HIV prevention messages that are culturally, linguistically and educationally appropriate. National governments should work collaboratively to support training of migrant workers promotores to deliver HIV prevention messages as they migrate. |
| M1-D1103 | HIV PREVENTION WITH MEXICAN/LATINO MIGRANT WORKERS: REVIEW, CRITIQUE AND RECOMMENDATIONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-D1103 Organista, KC The following prevention intervention strategies appear to be either successful or promising in reducing HIV risk in Mexican/ Latino migrant laborers: HIV/AIDS-related knowledge can be improved via community-based efforts that utilize Spanish-language media and festivals; sexual risk taking can be reduced by addressing risk factors within their social and cultural contexts (e.g., increased condom use with female sex workers on the part of farmworkers; decreased risk sex on the part of migrant day laborers) and by untilizing Mexican/Latino-based entertainment media to spark discussion and problem-solving around HIV risk and its reduction. |
| M1-E01-11 Cost Effectiveness of HIV Prevention |
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| M1-E0101 | DETERMINING THE INTENSITY OF PREVENTION INTERVENTIONS FOR PERSONS LIVING WITH HIV: AN APPLICATION OF ECONOMIC THRESHOLD ANALYSIS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-E0101 Holtgrave, D Even with substantial uncertainty in input parameters, an economic evaluation threshold analysis framework can yield useful insights for guiding the selection of intensity of HIV prevention services for persons living with HIV. For any given combination of transmission rate and intervention effectiveness in a given community, these results provide a cost-saving threshold that might be a useful guide in funding decisions. |
| M1-E0102 | ESTIMATED HIV INFECTIONS PREVENTED AND RELATED COST SAVINGS AS A RESULT OF THE CALIFORNIA PREVENTION FOR HIV POSITIVES PERSONS (PHIPP) PROJECT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-E0102 Molitor, F1; Aguirre, A1; Crump, C2; Caldwell, R2 HTPP is a cost-effective program. Overall, and given the model limitations, the model demonstrated robustness over variable model inputs. Even when assuming the .worst. case scenario with higher estimates of HIV infection and lower future medical care cost savings, HTPP was still a cost effective program. We conclude that HTPP was a sound investment of HIV prevention dollars. |
| M1-E03-13 Counseling, Testing & Partner Notification: Updates on Policy, Guidelines, Attitudes |
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| M1-E0301 | A SYSTEMATIC REVIEW OF HIV PARTNER COUNSELING AND REFERRAL SERVICES: PATIENT AND PROVIDER ATTITUDES, PREFERENCES, PRACTICES AND EXPERIENCES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-E0301 Passin, WF; Kim, AS; Hutchinson, AB; Crepaz, N; Herbst, JH; Lyles, CM; CDC HIV/AIDS Prevention Research Synthesis Team Overall, most patients have favorable attitudes and are willing to participate in both self and provider referral. However, it is important to consider differences in attitudes and preferences among specific populations when developing PCRS policies and programs. In addition, data indicate that there are inconsistent service practices and referral gaps within PCRS program networks. State and local PCRS programs need to collaborate with providers to ensure that PCRS is offered to all HIV positive patients. Further research is needed to assess the potential risks of notifying partners and to identify effective techniques to improve patient and provider participation in PCRS. |
| M1-E0302 | THE STATUS OF PCRS GUIDELINES AND LATEST POLICY ISSUES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-E0302 Dooley, S There has been no decline in the estimated annual number of new HIV infections in the United States since the early 1990s. The Centers for Disease Control and Prevention (CDC) considers HIV Partner Counseling and Referral Services (PCRS) a key strategy for reducing HIV transmission in the United States. Published literature and program data indicate PCRS is effective and cost-effective for reaching persons at very high risk for HIV infection and is acceptable to individuals seeking HIV testing, HIV-infected persons, and notified partners. However, available information indicates PCRS is highly underutilized. |
| M1-E0303 | MEASURING CHANGE IN PERCEIVED IMPACT OF HIV TESTING POLICY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-E0303 Abresch, CJ; Simpson, PS; Gilbert, CS Impact discussions appeared to be effective for improving perception of recommended policy. It would be valuable to learn whether the effect of this intervention would be statistically significant in a more powerful study design (i.e. larger sample with matched pairs). Additional research should address whether the intervention is generalizable to other populations (e.g. state public health workers, legislators, etc.) Assuming that further research demonstrates the effectiveness of this intervention, parties interested in advancing these policy recommendations should consider employing impact discussions among key stakeholders. |
| M1-E06-04 State Fiscal Crises' Impact on HIV Prevention |
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| M1-E0601 | RECONSIDERING CATEGORICAL HIV PREVENTION BUDGET PLANNING: A CASE STUDY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-E0601 McGuire, JF Building and maintaining effective public health and HIV-specific prevention programs requires improved decision-making models for relatively valuing prevention and care related activities. Inter-program and inter-agency budget planning and decision-making could improve the capacity to retain meaningful prevention capacity across changing fiscal times. |
| M1-E0602 | STATE HIV PREVENTION BUDGET ENVIRONMENT: A CASE STUDY FROM NORTH CAROLINA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-E0602 Foust, E This presentation will use the experience of North Carolina as a case study for discussing the effects of fiscal constraints on HIV prevention funding. |
| M1-E0603 | STATE HIV PREVENTION BUDGET ENVIRONMENT: A CASE STUDY FROM CALIFORNIA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-E0603 Montgomery, M State-level HIV prevention budgets are in part a function of the state fiscal environment. As states have struggled with ongoing fiscal constraints in recent years, many have had to reduce or redirect HIV prevention funds, or tap other resources to support HIV prevention programs. This situation often presents State AIDS Directors with difficult choices. This presentation will use the experience of California as a case study for discussing the effects of fiscal constraints on HIV prevention funding. |
| M1-F01-18 Screening for HIV: A Review of the Evidence |
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| M1-F0101 | SCREENING FOR HUMAN IMMUNODEFICIENCY VIRUS IN ADOLESCENTS AND ADULTS: A REVIEW OF THE EVIDENCE FOR THE US PREVENTIVE SERVICES TASK FORCE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-F0101 Chou, R Benefits of HIV screening appear to outweigh harms. The yield from screening higher-risk and higher-prevalence populations would be substantially higher than from screening the general population. Most data on improvements in clinical outcomes are in patients with immunologically advanced HIV disease. The case for universal screening would be strengthened by studies showing that identification at earlier stages of disease is associated with decreased transmission rates and improved clinical outcomes. Additional data are needed to estimate the magnitude of screening harms and on methods to minimize their risk. Further implementation and evaluation of screening programs could have an important impact on the morbidity and mortality associated with HIV infection. |
| M1-F0102 | Not available Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-F0102 |
| M1-F0103 | COST EFFECTIVENESS OF SCREENING FOR HIV Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-F0103 Sanders, GD1; Bayoumi, AM2; Sundaram, V3; Lazzeroni, L4; Holodniy, M3; Owens, DK3 The cost-effectiveness of routine HIV screening in health care settings, even in relatively low-prevalence populations, is similar to that of commonly accepted interventions, and such programs should be expanded. Our results have potential public health implications in that screening for HIV infection is likely to be cost-effective in a much broader range of health care settings than has previously been recognized. |
| M1-F12-12 Prevention Interventions in Healthcare Settings |
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| M1-F1201 | INCREASING THE INTEGRATION OF PREVENTION EDUCATION IN HIV PRIMARY CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-F1201 Mohrmann, TR1; Agins, BD1; Gass, RN1; O.Connell, DA1; Cavolo, KM2 State governments can play an important role in furthering strategies surrounding prevention with positives. Multifaceted interventions that incorporate education, practical solutions and quality monitoring are most effective. |
| M1-F1202 | DEVELOPING A SECONDARY PREVENTION BEHAVIORAL INTERVENTION FOR HIV INFECTED MSM WITHIN A COMMUNITY HEALTH CENTER Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-F1202 Knauz, RO; Safren, SA; Driskell, J; Aguilar, D; Salomon, L; Hobson, J; Mayer, KH Interventions that are cost effective, relevant and acceptable can be created in existing community health care centers. Key points are developing a model that is based on accepted practices while reaching out to staff and community members living with HIV to refine and improve upon existing trends within the HIV-infected community. |
| M1-F1203 | IMPLEMENTATION OF "PREVENTION FOR POSITIVES" GUIDELINES IN A CLINICAL SETTING IN NORTH CAROLINA: CHALLENGES, RESPONSES, AND RESULTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-F1203 Patel, SN; Golin, C; Quinlivan, B; Tien, H; Ramsey, K; Aspden, C Successful implementation of prevention for positives programs is feasible, but a number of challenges must be identified and addressed. Maintenance of such programs requires ongoing evaluation and improvement of program procedures. |
| M1-F1204 | CRITERIA FOR SUCCESSFUL IMPLEMENTATION OF A CLINICIAN-INITIATED PREVENTION INTERVENTION DELIVERED DURING ROUTINE CARE OF HIV-POSITIVE PATIENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-F1204 Glaros, R1; Cornman, D2; Christie, S2; Carrascal, A1; Hickey, L1; Birkhead, G1; Friedland, G3 Experience in the first nine months of Options New York suggests the following criteria for successful implementation of a clinician-based prevention model: strong clinical leadership, continuity of care with a primary provider, a team approach to meet the full range of patient needs, appointment duration of over 20 minutes, and minimal documentation requirements. Barriers include productivity standards set by state and federal reimbursement programs, lack of dedicated reimbursement for prevention services delivered in the context of the clinical visit, and absence of a primary provider. |
| M1-G01-15 Integrating Technology-Based STD and HIV Assessment and Prevention Interventions |
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| M1-G0101 | TECHNOLOGY-BASED INTERVENTIONS IN DIVERSE COMMUNITY SETTINGS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-G0101 Gross, J Although standardized technology-based interventions, such as health stations, are challenging to implement across diverse populations, they do increase access to multiple morbidity information and can be successful in linking clients to service when placed in the most appropriate venues. |
| M1-G0102 | MANHUNT.NET: AN OUTREACH PILOT FOR MSM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-G0102 Callis, BP Outreach on MANHUNT.Net is a client-centered and purposeful service. By establishing a regular presence to build rapport, public health workers have the unique opportunity to intervene in life situations that heighten the risk for transmission of HIV and STDs and make referrals to clinical and community-delivered prevention programs. The ability of participants to ask questions anonymously is an incentive to client engagement. Although effective, this type of outreach is best utilized as a complement to moire traditional outreach venues rather than a substitute. |
| M1-G0103 | AN ONLINE STUDY OF SEXUALLY TRANSMITTED DISEASES AMONG MEN WHO HAVE SEX WITH MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-G0103 Hirshfield, S1; Chiasson, M1; Remien, RH2,3; Humberstone, M1; Wolitski, R4; Wong, T5 The interconnection between drug use and sexual risk behavior, along with the lack of partner HIV disclosure demonstrates the great need for more integration of substance use and HIV/STD prevention efforts both online and offline. Thus, both web-based and community-based behavioral interventions and safer sex messages are urgently needed. |
| M1-G0104 | INTERNET PARTNER NOTIFICATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-G0104 Kennedy, T The Internet has become a popular way for MSMs to arrange and negotiate sexual encounters. It’s also been proven that MSMs who use the Internet to arrange sexual liaisons are willing to connect to health information and services online: They seek out sexual health information, click on banner ads to learn about new programs, sign up for sexual health tests and notify their partners of possible STD exposure. Given the ever increasing numbers of MSM with access to the Internet, the increasing number of hours spent online and the generation of MSM who are .coming out. in the digital age, the use of email, instant messaging, and other Internet-based tools and programs are appropriate resources for HIV/STD intervention activities. It is important for public health professionals to understand the culture of this newly developing community, nourish relationships with online service providers and create flexible, innovative programming in response to this trend. |
| M1-G07-05 Partnerships that Promote Prevention Services |
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| M1-G0701 | LINKING AND COORDINATING PREVENTION SERVICES FOR HIV, STDS, TUBERCULOSIS AND SUBSTANCE ABUSE: COSTS AND OPPORTUNITIES IN LOS ANGELES COUNTY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-G0701 Veniegas, RC; Kao, UH; Hucks-Ortiz, C; Lee, S; Goldstein, RB; Batterham, P; Shoptaw, S; Etzel, M The unique lessons learned of the Los Angeles CPNs were that building systems linking prevention services required formalized, active collaborations within these network and that data collection for services coordination required access to substantial human capital resources within and across networks. Previous demonstration projects to build linked services networks had not previously identified these as important aspects of service linkage and coordination. |
| M1-G0702 | COORDINATING THE DANCE: COLLABORATION IN THEORY AND PRACTICE BETWEEN GOVERNMENT, COMMUNITY, AND ACADEMIC PARTNERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-G0702 Andrade, Ph.D., R1; Lozano, B.S., B2; Stevens, Ph.D., S1 Effective HIV Prevention and health promotion supports the possibility of change in high-risk behaviors through innovations which integrate learning activities with latest technologies in testing services. |
| M1-G0703 | HBCUS AND INTERMEDIARY ORGANIZATIONS: AN HIV PREVENTION PARTNERSHIP THAT WORKS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-G0703 Carlon, AD HBCUs are complex communities which can have direct and immediate beneficial social influence on their students and nearby residents. A successful program requires real support from administration Student peer educators can be trained and provided incentives to be passionate health promoters Campus site coordinators must balance program requirements with campus politics. Intermediary organization (not necessarily ASOs or CBOs) provide essential TA in meeting program/ and federal requirements, and keeping the scope of work realistic and achievable. |
| M1-G0704 | COLLABORATING TO REACH THE HARD-TO-REACH: LINKING FAMILY PLANNING, HIV, SUBSTANCE ABUSE AND OTHER PREVENTION SERVICES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M1-G0704 Loe, C Effective partnerships were essential to CBOs effectively linking their .hard-to-reach. clients to family planning services. Challenges to successful partnerships included 1) CBO lack of knowledge about reproductive health services; and, 2) family planning services provider lack of knowledge of and resistance to serving these populations. The more successful projects found ways to overcome these barriers. |
| M2-A02-16 Bisexually-Active Men: Social, Cultural and Psychological Influences on Sexual Behavior |
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| M2-A0201 | CHARACTERISTICS OF BI-SEXUALLY ACTIVE MEN IN THE SEROPOSITIVE URBAN MEN’S STUDY (SUMS) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-A0201 Oleary, A The aim of the present symposium is to describe risk behaviors and characteristics of bisexually-active men, including social and cultural factors influencing the development of this behavioral pattern. Lisa Fitzpatrick and colleagues will present results of a study that was initiated when North Carolina DOH partner notification records found that, while 32% of 49 Black HIV-infected college men who have sex with men identified as bisexually-active, very few named female partners. |
| M2-A03-10 Transmission Risk Behaviors in Injection Drug Users |
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| M2-A0301 | CHARACTERISTICS OF HETEROSEXUAL INJECTION DRUG USING COUPLES WHO SHARE INJECTION NEEDLES WITH THEIR SEX PARTNER. A REPORT FROM THE COLLABORATIVE INJECTION DRUG USE STUDY--III /DRUG USERS INTERVENTION TRIAL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-A0301 Latka, M1; Kapadia, F1; Hudson, S2; Bailey, S3; Strathdee, S4; Hagan, H5; for the CIDUS III-DUIT team A majority of IDU couples shared syringes and sharers believed that sharing was commonplace. Given the cross-sectional nature of this analysis, we cannot know whether sharers perceived this norm first and then started sharing, or whether they adjusted their attitudes to line up with their behavior. |
| M2-A0302 | CORRELATES OF CONSISTENT CONDOM USE AMONG YOUNG, HETEROSEXUAL MALE INJECTION DRUG USERS RECRUITED IN 5 US CITIES A REPORT FROM THE COLLABORATIVE INJECTION DRUG USE STUDY III / DRUG USERS INTERVENTION TRIAL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-A0302 Kapadia, F1; Latka, M1; Hudson, S2; Golub, E3; Campbell, J4; Bailey, S5; for the CIDUS III-DUIT team Only a tiny proportion of young male IDUs used condoms consistently. While a number of relationship dynamics were investigated, only the psycho-social characteristics of the male partner were associated with condom use, suggesting that efforts to increase condom use would be most efficient if tailored toward men. While the cross-sectional nature of this analysis limits inferences about the direction of the association, condom use messages that address men’s beliefs and perceptions about condoms, may be particularly fruitful for increasing condom use. |
| M2-A0303 | UNPROTECTED ANAL INTERCOURSE AMONG YOUNG MALE INJECTION DRUG USERS (IDUS) WHO HAVE SEX WITH MEN (MSM): A REPORT FROM THE COLLABORATIVE INJECTION DRUG USE STUDY-III /DRUG USERS INTERVENTION TRIAL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-A0303 Bailey, S1; Latka, M2; Hagan, H3; Hudson, S4; Strathdee, S5; Ouellet, L1; Gao, W1; Kapadia, F2; Thiede, H6; Golub, E7; Kerndt, P8; Garfein, R9; for the CIDUS III-DUIT team Young IDU MSM engaged in high levels of risk behavior, including sharing needles, anal \sex, trading sex, having multiple sex partners, and not consistently using condoms during anal sex. IDU MSM who shared needles were less likely to use condoms during anal sex with nonsteady partners indicating that there is an exceptionally high risk of viral infection and transmission through multiple behaviors in this subgroup of IDUs. This abstract is being submitted for consideration as a "Group Oral" Panel along with the following abstracts which are all reports from the Collaborative Injection Drug use Study-III/Drug Users Intervention Trial: Characteristics of Heterosexual Injection Drug Using Couples who Share Injection Needles with their Sex Partner. Latka M, et al.; Sexual Risk Behavior among Young Female Injection Drug Users in 5 US cities. Hudson SM et al.; Correlates of Consistent Condom use among Young, Heterosexual Male Injection Drug Users in 5 U.S. cities Kapadia F et al. |
| M2-A0304 | SEXUAL RISK BEHAVIOR AMONG YOUNG FEMALE INJECTION DRUG USERS IN 5 US CITIES. A REPORT FROM THE COLLABORATIVE INJECTION DRUG USE STUDY III / DRUG USERS INTERVENTION TRIAL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-A0304 Hudson, SM1; Latka, M2; Garfein, R3; Golub, E4; Hagan, H5; Bailey, 6 A large proportion of young female IDUs reported high risk behavior, with the highest prevalence among women with both male and female partners. Positive peer norms and outcome expectancies with male partners towards condoms were associated with lower sexual risk independent of other factors. Because these data are cross-sectional, it is unknown whether feeling vulnerable to HIV/HCV through sex among female IDUs is a consequence or a predictor of not using condoms. Further exploration of perceived vulnerability would provide needed insights into attitudinal factors for risk-reduction interventions. |
| M2-A07-01 HIV Prevention for Transgender Adolescents and Adults |
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| M2-A0701 | THE EXCHANGE: EXCHANGE SEX, HIV, CONDOM USE AND COERCION AMONG MALE-TO-FEMALE TRANSGENDER AND FEMALE SEX WORKERS IN LOS ANGELES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-A0701 Harawa, NT; Shih, H Both female and transgender sex worker populations in Los Angeles County report significant levels of HIV infection and risk behavior, with transgenders particularly likely to engage in anal exchange sex. Although, high levels of HIV testing indicate that a substantial proportion are aware of their HIV status or potential HIV risk, coercion and drug use may make prevention particularly difficult for these two populations of at-risk women. |
| M2-A0702 | ENVIRONMENTAL AND PSYCHOSOCIAL CORRELATES OF HIGH-RISK SEXUAL ACTIVITY AMONG ETHNIC MINORITY TRANSGENDER YOUTH Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-A0702 Garofalo, R1; Osmer, E2; Doll, M3; Sullivan, C4; Harper, GW5 Ethnic minority MTF transgender youth report high rates of risky sex. Multiple environmental and psychosocial characteristics appear to contribute to this behavior. Additional research on determinants of HIV risk in this adolescent subpopulation is needed to guide the development of HIV prevention efforts. |
| M2-A0703 | GENDER ROLE TRANSITION, INTERNALIZED TRANSPHOBIA, AND UNSAFE SEX: RESULTS FROM AN ONLINE STUDY OF THE U.S. TRANSGENDER POPULATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-A0703 Bockting, W Needs assessments studies have shown that among certain subgroups of the transgender population, HIV prevalence and risk behaviors are high. Funded by the U.S. National Institute on Drug Abuse, this study employed an online survey and online in-depth interviews to identify transgender-specific HIV risk factors. |
| M2-B13-11 Occupational Exposure to HIV |
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| M2-B1301 | POTENTIAL WORK-RELATED EXPOSURES TO BLOODBORNE PATHOGENS BY INDUSTRY AND OCCUPATION IN THE UNITED STATES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-B1301 Chen, GX; Jenkins, EL This study suggests that various worker group have unique needs that should be addressed in preventing BBP exposure in the workplace. Using safety needles can be an effective approach to prevent sharps injuries in healthcare settings, while improving awareness of the BBP standards and establishing exposure reporting and treatment procedures may be a useful first step in non-healthcare workplaces. |
| M2-B1302 | PUBLIC HEALTH ISSUES IN THE ADULT FILM INDUSTRY: REPORT ON AN OUTBREAK Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-B1302 Fielding, J Current workplace practices in the adult film industry, including lack of condom use, create substantial risk for transmission and acquisition of HIV and other STDs. Reliance on testing alone for prevention is insufficient to prevent workplace HIV/STD transmission. LACDHS is currently working with Cal/OSHA, CA DHS, and other agencies to develop a model exposure control plan for the adult film industry, that includes 1) development and implementation of a written health and safety program by industry employers, 2) condom use for all penetrative sexual acts; 3) HBV immunization; 4) worker education and training; and 5) medical surveillance, including regular HIV and STD screening and STD treatment. |
| M2-B1303 | APPLICATION OF EXISTING OCCUPATIONAL STANDARDS IN THE ADULT FILM INDUSTRY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-B1303 Gold, D Enforcement of existing occupational health and safety regulations in the adult film industry depend upon establishing an employer/employee relationship. The bloodborne pathogen regulations have been applied in other adult venues including exotic dance establishments and adult bookstores. This presentation will discuss unique and not so unique issues involved in protecting workers in this industry. |
| M2-B17-14 Antiretroviral Drug Resistance Monitoring |
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| M2-B1701 | THE PREVALENCE OF MUTATIONS ASSOCIATED WITH HIV DRUG-RESISTANCE FROM SELECT MARYLAND CTR SITES USING COMPARATIVE PLASMA AND SERUM SPECIMENS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-B1701 Habeeb, H1; Wood, P1; Flynn, C1; Myers, R2; Tomoyasu, N1 While this population is not representative of all newly diagnosed HIV individuals, HIV genotype testing of newly identified positives at these sites has identified a high proportion (11.7%) of non-B HIV subtype, a substantial proportion of mutations (13%), and similar findings for both plasma and serum specimens. These findings suggest the need for more programs to retain HIV positives in care and to deliver targeted prevention (transmission reduction) messages. They also provide data to guide the development of recommendations for HIV genotypic testing of newly identified individuals of B and non-B subtypes. |
| M2-B1702 | SURVEILLANCE OF ANTIRETROVIRAL DRUG RESISTANCE IN THE UNITED STATES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-B1702 Bennett, DE; McCormick, L; Wheeler, W; Kline, R; Hemmen, M; Lee, LM In participating surveillance sites as in other recent US studies, resistance to NNRTIs was more prevalent than resistance to NRTIs, although overall HIVDR prevalence was lower than prevalences reported in other studies. In the group included in the first surveillance dataset, over 95% of drug-naïve persons with evidence of transmitted drug resistance were infected with HIV resistant only to one drug class. Representative HIVDR surveillance methods and sufficiently large numbers are needed to obtain accurate national estimates. The use of residual HIV diagnostic sera from CTS and clinical sites can provide a representative sample of persons newly diagnosed with HIV for surveillance purposes. |
| M2-C03-13 Interventions for HIV Positive and High Risk Adolescents |
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| M2-C0301 | RANDOMIZED CLINICAL TRIAL OF MOTIVATIONAL ENHANCEMENT OF SUBSTANCE USE TREATMENT AMONG INCARCERATED ADOLESCENTS: REDUCTION IN SEXUAL HIV RISK BEHAVIORS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-C0301 Rosengard, C1, 2; Stein, LA1, 3; Colby, SM3; Barnett, NP3; Monti, PM4, 3; Golembeske, C3, 5; Lebeau-Craven, R3; Miranda, R3 Periods of incarceration provide unique opportunities for intervening on a variety of HIV-relevant risk behaviors among adolescents. Motivational enhancement focused on increasing engagement in substance use treatment programs was also effective in assisting adolescents in reducing HIV sexual risk behaviors at 3-month follow-up. Combining treatments to reduce substance-related and sexual risk behaviors may prove even more effective in reducing risk among incarcerated adolescents. |
| M2-C0302 | HIV PREVENTION AMONG AFRICAN AMERICAN ADOLESCENT FEMALES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-C0302 Prather, C; Fuller, TR; Stokes, CE HIV Prevention interventions targeting racial and ethnic minority adolescents are essential in reducing HIV transmission. Interventions need to employ relevant culturally specific risk reduction activities to effectively reach and impact African American adolescent females. |
| M2-C0303 | ADOLESCENT IMPACT: CONCEPTUAL BASIS FOR A DEVELOPMENTALLY-TARGETED INTERVENTION TO MINIMIZE SEXUAL TRANSMISSION RISK AND PROMOTE ADHERENCE TO TREATMENT AND CARE AMONG ADOLESCENTS LIVING WITH HIV/AIDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-C0303 Koenig, LJ1; Chandwani, S2; Peralta, L3; Stein, R1; Barnes, W4 To effectively intervene with HIV-infected teens, interventions must be creatively adapted to meet their diverse lifestyle, health, and risk prevention needs. |
| M2-C0304 | ADAPTATION OF HEALTHY RELATIONSHIPS FOR HIV POSITIVE YOUTH IN BALTIMORE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-C0304 Stewart, J1; Villanueva, L2; Szeles, J1; Metcalf, M1; Cassidy-Stewart, H2; Deeds, B1; Tomoyasu, N2; Peralta, L1 Prevention for Positives provides youth-friendly and developmentally appropriate secondary prevention messages and risk reduction skills for HIV positive youths. Applying lessons learned from effective psychosocial therapy with HIV infected youth has been very effective to help develop a well accepted, culturally competent, evidence-based group level and individual level intervention for HIV positive adolescents and young adults. P4P provides another opportunity to reduce secondary transmission and is designed to increase adherence to care. |
| M2-C16-19 Methods Issues: Recruitment, Retention and Assessment Impact |
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| M2-C1601 | USING COMMUNICATIONS STRATEGIES TO IMPROVE QUALITY AND QUANTITY OF RECRUITMENT FOR HIV PREVENTION RESEARCH AND PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-C1601 Goldsmith, GF1; Stone, AE2; Spoeth, SK3; McElroy, LA1 This roundtable will include brief best practices presentations and samples from representatives of CDC’s formative research efforts as well as its AHP demonstration project grantees. After the roundtable, the authors will compile the presentations and notes into a best practices samples notebook and make these materials available to participants and CDC grantees. |
| M2-C1602 | CHANGING STRATEGIES TO ADDRESS ISSUES RELATED TO PARTICIPANT RECRUITMENT FOR A COMMUNITY-BASED HIV PREVENTION PROGRAM TARGETING AN IMMIGRANT POPULATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-C1602 Cheezum, RR There are multiple factors that serve as barriers to participants participating in a multi-session HIV-prevention training. Future programs targeting immigrant communities should consider several barriers and potential methods for increasing participant recruitment. |
| M2-C1603 | ATTRITION FROM A TELEPHONE-BASED HIV PREVENTION PROGRAM FOR MSM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-C1603 Orellana, ER; Picciano, JF; Roffman, RA Attrition continues to threaten the evaluation of intervention effectiveness by posing a threat to internal validity and limiting generalizability. Empirical information on individual, group and programmatic factors associated with attrition in an HIV-prevention service is critical to the development of interventions that will effectively reach and retain those who are at high risk for HIV infection or transmission. While The Sex Check was successful in retaining a high proportion of high-risk individuals with low motivation for change, more innovative strategies need to be developed in order to retain younger, less educated individuals and those with substance abuse problems. |
| M2-C1604 | REPEATED ASSESSMENTS AS A HIV PREVENTION STRATEGY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-C1604 Lightfoot, M; Gundersen, G; Rotheram-Borus, M There has been no research regarding the impact of repeated assessments on behavior although improvements of control conditions found in intervention studies suggest conducting risk assessments have a positive affect on behavior. This study will examine the impact of repeated assessments on behavior change and discuss the implications on prevention. |
| M2-D14-18 The Gaps and Future Directions in HIV Prevention Research and Practice for Gay Men of Color |
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| M2-D1401 | HIV-RELATED RISKS AMONG ASIAN AMERICAN PACIFIC ISLANDER (AAPI) MEN WHO HAVE SEX WITH MEN (MSM) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-D1401 Wong, FY Research on these topics is of great significance because, compared to MSM in other racial/ethnic groups, AAPI MSM have the second highest proportion of cumulative AIDS cases (72%) --only two percentage points lower than white MSM. Proportionately, MSM (53%) rank second in number of AIDS cases in the Year 2000 among AAPIs, again after white MSM (62%) (Center for Disease Control and Prevention, 2001). Preliminary findings of an ongoing NIH-funded study will be presented. |
| M2-D1402 | TRAUMA AND HIV RISK AMONG URBAN GAY/BISEXUAL/TWO SPIRIT AMERICAN INDIAN MEN: RESEARCH FINDINGS AND DECOLONIZING PRACTICE STRATEGIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-D1402 Walters, KL1; Simoni, JM2 Preliminary findings underscore the importance of assessing and treating trauma among two spirit Native men and the need to consider Native two spirit men in an appropriate historical and political context. Finally, decolonizing practice strategies that contextualize and address trauma response reactions and HIV risk behaviors for two spirit Native men will be highlighted. |
| M2-D1403 | HIV/AIDS PREVENTION AND BLACK AND AFRICAN AMERICAN MEN IN THE US Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-D1403 Wheeler, D Future HIV/AIDS prevention and intervention efforts targeting Black MSM will have incorporate an increased focus on t contextual factors and grounded perspectives. More data are needed to understand the dynamic nature of risk behavior, gender identity and social role positioning among Black and African American MSM. |
| M2-D1404 | HERMANOS DE LUNA Y SOL: AN HIV PREVENTION INTERVENTION FOR LATINO IMMIGRANT GAY MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-D1404 Diaz, R1; Ceballos, H2 This presentation will give an overview of the program Hermanos de Luna y Sol (HLS), an empowerment HIV prevention intervention that for the last 10 years has served more than 1200 Latino immigrant gay/bisexual men and transgender persons in the San Francisco Bay Area. |
| M2-D16-12 The Interface between HIV Prevention Science and Practice: Challenges and Lessons in the Asian and Pacific Islander Communities |
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| M2-D1601 | WHERE SCIENCE MEETS COMMUNITY: HIV PREVENTION PROGRAM CHALLENGES AND LESSONS IN ASIAN AND PACIFIC ISLANDER COMMUNITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-D1601 Do, T Implementing community-based research and science-based interventions in Asian and Pacific Islander communities has a history of success. However, each scenario requires a different set of programmatic and cooperative arrangements to ensure success. Furthermore, language and cultural competence in services and research studies is important to adequately tailor studies and interventions in APIs. Interventions, process evaluations, and outcome measurements must be made culturally specific in order for services to be effective and for research studies to be considered valid in this population. |
| M2-D1602 | Abstract Not Available Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-D1602 |
| M2-D1603 | THE INTERFACE BETWEEN HIV PREVENTION SCIENCE AND PRACTICE: CHALLENGES AND LESSONS IN THE ASIAN AND PACIFIC ISLANDER COMMUNITIES: THE POSITIVE IMAGES PROJECT AND HIV STOPS WITH ME Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-D1603 Mejia, DL The Positive Images Project combined with HIV Stops With Me has proven to be effective in empowering the HIV infected and affected community towards taking responsibility in behavioral risks. Clients who have participated in these two efforts have demonstrated positive and responsible attitudes toward their HIV status and later on became peer health educators, volunteers, and even advocates, case managers and health educators in the field. |
| M2-E07-07 Stigma: Issues and Solutions |
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| M2-E0701 | STIGMATIZATION, ILLNESS EXPERIENCE, AND ADJUSTMENTS: NARRATIVES FROM LOW-INCOME AFRICAN AMERICAN WOMEN LIVING WITH HIV/AIDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-E0701 Buseh, AG; Stevens, PE The process of narrative analysis of women’s accounts of living with HIV infection afforded us insights into how women suffering from stigmatizing condition interpreted their illness. The perspectives of individual accounts with chronic illness, which are often time not incorporated by health care providers and social workers when caring for these individuals, are critical factors to consider for program design, implementation and evaluation of programs for people living with HIV/AIDS. |
| M2-E0702 | CONFRONTING HIV/AIDS STIGMA UTILIZING LEGISLATIVE ADVOCACY TO PROMOTE COMMUNITY INVOLVEMENT IN HIV/AIDS PREVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-E0702 Gaddist, BW; Johnson-Arnold, L Stigma initiatives should focus primarily on citizens within the general population. The PLHA have critical issues around empowerment that must be addressed by caregivers, yet much of the negative coping is related to fear of reprisal and negative treatment by the community at-large. Willingness among HIV care providers to examine their individual and collective perpetuation of HIV/AIDS stigma must be addressed. Evaluating the extent of and solutions to HIV/AIDS stigma must integrated into systems that facilitate HIV/AIDS prevention, treatment, and care, as well as the community at large. |
| M2-E0703 | PROCESSES AND RESULTS FROM STIGMA DEMONSTRATION PROJECTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-E0703 Beadle de Palomo, F HIV/AIDS stigma and discrimination remains a complex problem with no simple answers. Unfortunately, over 20 years into the epidemic, stigma and discrimination still play a major role in decision making around HIV prevention and care. The effect of stigma on people’s ability to access HIV testing, counseling, diagnosis, care, treatment, and prevention messages varies from setting to setting, but when present, stigma may create an environment in which individuals do not seek out HIV-related services. |
| M2-E0704 | WORKPLACE INTERVENTION PROGRAM FOR HIV/AIDS IN BUSINESS SECTOR Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-E0704 Palve, AT1,2 All the employees and the family members from the local transport and local police have been made AIDS aware and this is a huge contribution to our society and the business sector to reduce the economic impact due to reduction of workforce. The enormous support shown by the Public sector is an incredible example for the other Public and Private Sectors in the city of Mumbai which is the Economic Capital of India and has a huge trade and labour force and equally huge population of 12 million with estimated 4 lacs HIV/AIDS cases. Hence this program is a great effort towards containing the number of AIDS cases and reducing the stigma and discrimination. |
| M2-E09-02 Deciphering Public Financing and Payer Systems: What Do They Mean for HIV Prevention? |
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| M2-E0901 | OVERVIEW OF ISSUES & CHALLENGES IN INTEGRATING HIV PREVENTION INTO HEALTHCARE SYSTEMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-E0901 Kates, J A better understanding of the key aspects of Medicaid, Medicare, and Ryan White as they relate to HIV prevention integration; identification of barriers and opportunities for integration. |
| M2-E0902 | INTEGRATING HIV PREVENTION INTO HEALTHCARE SYSTEMS: MEDICAID & MEDICARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-E0902 Levi, J A review of legislative and statutory authority of these key financing programs and identification of opportunities for furthering the integration of prevention. |
| M2-E0903 | INTEGRATING HIV PREVENTION INTO HEALTHCARE SYSTEMS: RYAN WHITE CARE ACT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-E0903 Morgan, DH A review of legislative authority of the CARE Act and current practice as they relate to the integration of HIV prevention. |
| M2-F07-03 Rapid Testing in Diverse Settings |
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| M2-F0701 | ONE STOP SHOPPING WITHIN A COMMUNITY HEALTH SETTING.: A COMPREHENSIVE APPROACH TO LINKING HIV POSITIVE CLIENTS TO CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-F0701 Springer, S; Gibson, C Factors that have proven essential to ensuring clients return for their confirmatory HIV+ test result and are linked into medical care include: quicker turnaround for confirmatory test results; follow-up contact; eliminating transportation as a barrier; offering an added incentive to return for the confirmatory test result; and continuity of care. The Clinic’s .one stop shopping approach. is an added advantage for linking HIV-positive clients to care and for the provision of seamless overall service delivery. |
| M2-F0702 | FEASIBILITY AND ACCEPTABILITY OF RAPID HIV TESTING IN JAIL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-F0702 Beckwith, CG1; Atunah-Jay, S1; Cohen, J2; Lally, MA1; Poshkus, M3; Rich, JD1; Flanigan, TP1 Rhode Island has performed routine HIV testing within its central jail since 1990. This program has been successful in diagnosing one-third of all HIV-infected persons in Rhode Island. However, given high turnover rates and short stays within the jail system, many persons do not receive their results or benefit from post-test counseling. With FDA approval of rapid HIV tests, it is now feasible to perform counseling, individualized risk reduction, and deliver rapid test results in less than 30 minutes. We examined the feasibility and acceptance of rapid HIV testing among jailed men. |
| M2-F0703 | BENEFITS OF HIV SCREENING IN DENTAL OFFICES: NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY (NHANES) 1999-2002 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-F0703 Cleveland, J; Griffin, S; Romaguera, R These data suggest that dental offices may be a useful, alternative testing site for identifying additional cases of HIV infection in the United States. |
| M2-F0704 | FEASIBILITY OF HIV TESTING IN DENTAL OFFICES WITH RAPID ORAL-BASED TESTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-F0704 Patton, LL1; Strauss, RP1, 2; Santos, VA2; Shugars, DC1 ,2; McKaig, RG3 To increase early diagnosis of HIV infection, opportunities for voluntary HIV testing in non-traditional settings could be expanded to include rapid oral-based testing in dental facilities given appropriate support for practitioners. Support: CDC Cooperative Agreement U48/ CCU409660. |
| M2-F09-05 Clinicians and Prevention: Attitudes, Beliefs and Practices |
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| M2-F0901 | PREVENTION WITH POSITIVES: PRIMARY HIV CARE PROVIDER ATTITUDES AND PRACTICES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-F0901 Vogel, MR; Lubinski, CB HIVMA learned that there are a number of resources available or under development. Based on the survey results, HIVMA will determine if available resources meet the needs of practicing HIV clinicians and whether the availability of additional resources such as prevention trainings will reduce barriers to conducting prevention in primary care settings. Since the survey is being conducted nationally, we expect that attitudes, practices and barriers will differ depending on a number of factors specific to where clinicians practice such as institutional capacity, HIV-related funding and community support; cultural beliefs, and stigma, and that tools and educational curricula may need to be adapted accordingly. |
| M2-F0902 | PREFERENCES AND BELIEFS ABOUT SAFER SEX COUNSELING IN THE CLINICAL SETTING: AN INQUIRY OF HIV-INFECTED PATIENTS AND THEIR MEDICAL PROVIDERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-F0902 Aspden, CE; Boland, MS; Golin, C; Patel, SN; Price, M; Quinlivan, EB Overall, patients and providers were open to initiating a prevention counseling program and identifying potential barriers and facilitators in developing such a program. Understanding providers' and patients' opinions gives valuable insights into the most effective content and format of a prevention program. Findings from these interviews may help inform the design of our clinical "prevention with positives" program. |
| M2-F0903 | CLINICIAN PRACTICES IN ASSESSING RISK BEHAVIOR IN US HIV SPECIALTY CLINICS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-F0903 Dawson Rose, C1; Colfax, G2; Metsch, L3; McKirnan, D4; Courtenay-Quirk, C5 These data highlight the need for clinicians to be trained how to identify and target their risk discussions toward patients who are engaging in behavior that may be contributing to HIV transmission. We recommend that HIV clinics develop standard practice guidelines to screen for risk with all HIV- infected patients to ensure that all patients who are engaging in risk behaviors receive prevention messages. |
| M2-F0904 | PHYSICIAN REPORTS OF HIV RISK ASSESSMENT AND PREVENTION COUNSELING IN THE SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE (SPNS) HIV PREVENTION IN CLINICAL SETTINGS INITIATIVE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-F0904 Malitz, F1; Myers, J2; Eldred, L1; Morin, S2 Providers report increased HIV prevention counseling and more willingness to communicate about risk compared to a similar survey we conducted in 1999. While providers indicate comfort with sensitive topics and report high levels of HIV prevention counseling, patients do not completely confirm these reports. HIV prevention in clinical settings requires motivated and trained providers. These findings underscore the importance of educating providers on how to conduct HIV risk assessment and behavioral counseling and communicate regarding risk reduction. |
| M2-G05-04 Models of Integrated Prevention Services in Non-Traditional Settings |
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| M2-G0501 | UTILIZING A GLOBAL WELLNESS APPROACH TO ADDRESS SYPHILIS AND HIV AMONG MEN WHO SAVE SEX WITH MEN (MSM) IN NON-TRADITIONAL VENUES IN NEW YORK CITY (NYC) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-G0501 Gallagher, KD1; Rogers, M1, 2; Klingler, EJ1; Freeman, M1; Brown, J1, 3; Blank, S1 , Our "fresh" approach to HIV/STD has not only renewed community awareness about diseases that are sexually transmitted, but has also increased the amount of HIV/STD information available to the MSM population. By making individuals more aware of a comprehensive health picture, we contributed not only to national HIV control strategies, but also to our local public health HIV agenda. |
| M2-G0502 | MOBILE FAMILY PLANNING CLINIC AND OUTREACH EDUCATION: AN EFFECTIVE MODEL OF HIV PREVENTION AND INTERVENTION TARGETING HIGH-RISK, UNDERSERVED POPULATIONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no.M2-G0502 Fitzpatrick, JM1; Mitravich, ML2 People struggling with addictions, family violence, homelessness, mental illness, and other socioeconomic issues are less likely to be seen at a family planning clinic and are less likely to receive HIV testing, although they are at a higher risk. This can be contributed to: (1) more pressing personal or social issues, (2) lack of transportation, (3) inability to pay for services, (4) un/underinsured, (5) lack of knowledge regarding the importance of healthcare, specifically reproductive healthcare. |
| M2-G0503 | SEXUAL HEALTH ON WHEELS: BRIDGING PREVENTION & CARE SERVICES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-G0503 Gaucher, MJ National data reveals gay and bisexual men (MSM) have been experiencing an increase in sexually transmitted infections since the late 1990s. The Boston Public Health Commission and Massachusetts Department of Public Health responded to these trends through two distinct health van initiatives. |
| M2-G0504 | MAWOCI AND SYNERGY: HIV AND SYPHILIS COMMUNITY TESTING PROGRAMS FOR MSM AND WOMEN IN ATLANTA, GA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M2-G0504 Williams, S; Sinclair, EM; Clemons, J; Thompson, MA In 2003, over 80% of women with AIDS in Atlanta were African-American (AA). Of women with syphilis, 84% were AA. Stigma, discrimination, lack of perception of risk, distrust of institu tional health care, poor access to health care, cost, and fear of disclosure all contribute to reluctance by AA women to be tested for HIV/STIs. Further obstacles exist in accessing health care once HIV is diagnosed. Creative and culturally sensitive solutions are needed to address this epidemic. |
| M2-G08-17 Prevention: Innovations, Overlaps and Interactions Between HIV and STD |
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| M2-G0801 | STD PREVENTION: WHY NOW? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. x Aral, S The past decade has brought about remarkable innovations in STD prevention and remarkable successes with antiretroviral therapy for HIV infection. The interactions and overlaps between incident and prevalent HIV infection and sexually transmitted infections pose interesting opportunities and challenges in the prevention of HIV and other STI. |
| M3-A06-18 Prevention for High-Risk Youth |
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| M3-A0601 | AN INTEGRATED MICRO-LEVEL THEORY OF ADOLESCENT SEXUAL RISK BEHAVIOR: THE UNIFIED THEORY UNDERLYING THE DEVELOPMENT OF LINKING LIVES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-A0601 Dittus, PJ1; Guilamo-Ramos, V2; Jaccard, J3 All model components were useful in understanding adolescents. intentions to engage in sexual behavior. An advantage of microlevel theories of behavior is that these factors are amenable to change in well designed, tailored interventions. Assessing the components of the unified theory in the target population was an integral part of developing the Linking Lives program. |
| M3-A0602 | POLYSUBSTANCE USE PREDICTS RISKY SEXUAL BEHAVIORS AMONG DETAINED ADOLESCENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-A0602 Malow, RM; Devieux, JG; Rosenberg, R; Samuels, DM; Ergon-Perez, E; Khushal, S Findings indicate that the number of different types of substances used was positively correlated with risky sex, and interestingly, with a higher level of knowledge about HIV. These findings highlight the importance of understanding the cumulative impact of various substance use patterns on risky behaviors and have implications for the design of behavioral interventions for reducing HIV risk among adolescent offenders. More investigation is needed of polysubstance youth behavior. |
| M3-A0603 | DIFFERENCES IN RISK AMONG MALE AND FEMALE JUVENILE DELINQUENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-A0603 Lightfoot, M; Stover, G Male and female delinquents differ on a number of constructs. However, although young women are less likely to have interacted with the juvenile justice system, they report levels of substance use and other behaviors comparable to their male counterparts. The implications of these findings for prevention for female delinquents will be discussed. |
| M3-A0604 | YOUNG SEX WORKERS IN OAKLAND, CALIFORNIA: A NEEDS ASSESSMENT PROJECT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-A0604 Mathai, SM; Lockett, GJ; Underwood, N Since the completion of our YSWNA, we have presented our findings to the Interagency Children.s Policy Council of Alameda County. We have also started two interventions targeting young sex workers: a CDC funded health education for young women within Juvenile Hall, and a five year SAMHSA project to set up drop-in centers and case management for young sex workers and their partners. Our Juvenile Hall groups are using a tailored model of SISTA. |
| M3-B02-03 Surveillance: Border Populations |
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| M3-B0201 | COUNSELING AND RAPID HIV TESTING USING DETERMINE HIV-1/2 IN PREGNANT WOMEN OF UNKNOWN HIV STATUS AT TIJUANA GENERAL HOSPITAL, BAJA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B0201 Viani, RM1; Hubbard, P2; Ruiz-Calderon, J3; Araneta, MR1; Lopez, G3; Chacon, E3; Spector, SA1 These findings indicate a wide acceptance of HIV counseling and rapid testing and documents a high HIV seroprevalence among pregnant women at Tijuana General Hospital. In addition Determine® HIV-1/2 has a high sensitivity and specificity when used during prenatal care and in labor and delivery. |
| M3-B0202 | HIGH STI RATES AND RISK BEHAVIORS AMONG MEXICAN MIGRANTS IN CALIFORNIA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B0202 Hernandez, MT1; Sanchez, MA1; Ruiz, JD2; Samuel, MC3; Magis, C4; Drake, MV5; Lemp, GF1 These data suggest that Mexican migrants are at risk for HIV, STI and hepatitis infections while in California. Preliminary results raise concerns that the HIV and STI epidemics may expand more aggressively among this population in the future. These results have implications for patient education and treatment programming for migrants who have poor health literacy and related knowledge skills and are living with HIV/AIDS. Note: Abstract is part of group oral presentation titled: HIV/AIDS among Mexican migrants in California and in Mexico. |
| M3-B0203 | PREVALENCE OF HIV AND RISK BEHAVIORS AMONG YOUNG LATINO MSM IN THE IMPERIAL, CALIFORNIA - MEXICALI, MEXICO BORDER REGION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B0203 Ritieni, A1; Ruiz, J1; Gomez, E2; Vargas, D3; Magis, C4; Peñaloza, R1 These data suggest that young Latino MSM in this region are at risk for HIV infection. Of great concern is that most HIV-infected individuals were unaware of their HIV status. This can have consequences for the spread of the epidemic as well as morbidity and mortality among those infected. Continued efforts are needed to improve knowledge of HIV/AIDS among MSM in the California-Mexico border region. Prevention strategies developed for this population should consider the socio-cultural context of MSM behavior in this region. Further research with this population should address access to testing and health services and interventions that effectively target this population. |
| M3-B0204 | EPIDEMIOLOGICAL SURVEILANCE ON MOBILE POPULATIONS: COMPARING TWO METHODS FOR REACHING MIGRANT WORKERS IN THEIR COUNTRY OF ORIGIN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B0204 Magis, C1; Bravo-García, E1; Fernández-C., A1; Gayet, C1; Hernández, M2; Ruiz, J3; Lemp, G2 Housing-based random sampling from the population at large is confirmed to be an inadequate method for studying hard to reach populations such as migrant workers that amount to less than 10% of the population in most communities with high migration indexes. There are difficulties naturally induced by the lack of a reliable sampling frame, the high rejection rates, the difficult access to this group and the reduced time during which these populations are present in their communities of origin. For these reasons, targeted sampling appears to be much more appropriate as long as induced biases are controlled and taken into account when estimating results. Note: Abstract is part of group oral presentation titled HIV/AIDS among Mexican migrants in California and in Mexico. |
| M3-B16-17 HIV Surveillance-Linked Partner Notification and Counseling |
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| M3-B1602 | SURVEILLANCE-LINKED PARTNER NOTIFICATION FOR HIV IN NORTH CAROLINA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B1602 Leone, P PCRS for HIV yields a high number of new HIV diagnosis. Acute HIV cases can be interviewed in a timely manner and yields an even higher number for the contact and cluster indices than found for prevalent HIV. |
| M3-B1603 | HIV PARTNER COUNSELING AND REFERRAL SERVICES IN NEW YORK STATEx Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B1603 Birkhead, G1,2 Provider elicitation and reporting of partners of HIV/AIDS patients can result in significant numbers of partners identified and notified. An additional benefit of having providers discuss PCRS is that partners remain a life-long issue with HIV/AIDS patients and must be addressed periodically throughout medical care. However, no partners were named by 2/3rds of patients and sufficient locating information was not available for 1/3 of partners who were reported. The number of partners elicited and successfully notified could be improved by more active involvement of PCRS staff in interviewing index patients. |
| M3-B1604 | REVISING THE PCRS GUIDELINES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B1604 Dooley, S There has been no decline in the estimated annual number of new HIV infections in the United States since the early 1990s. The Centers for Disease Control and Prevention (CDC) considers HIV Partner Counseling and Referral Services (PCRS) a key strategy for reducing HIV transmission in the United States. Published literature and program data indicate PCRS is effective and cost-effective for reaching persons at very high risk for HIV infection and is acceptable to individuals seeking HIV testing, HIV-infected persons, and notified partners. |
| M3-B1605 | PARTNER COUNSELING AND REFERRAL SERVICES (PCRS): THE FLORIDA EXPERIENCE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B1605 George, D PCRS is an extremely valuable service offered to persons who test HIV positive through public and private testing sites. Through counseling, referrals and early intervention services, clients are far more likely to benefit from available resources. In 2004 in Florida, over 63% of HIV positive persons who were offered PCRS accepted the service. Source of Data: STD Management Information System (STD*MIS) 4/29/05 Case Management/Closed Cases, HIV, 1/1/04-12/31/04. |
| M3-B18-02 The Role of Qualitative Methods in the National HIV Behavioral Surveillance System |
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| M3-B1801 | THE ROLE OF QUALITATIVE METHODS IN THE NATIONAL HIV BEHAVIORAL SURVEILLANCE SYSTEM AMONG INJECTION DRUG USERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-B1801 Allen, DR1; Becker, AB2; Thiede, H3; Snyder, NM3; Forrest, DW4; Scott, G5 The formative assessment phase which precedes the collection of HIV behavioral surveillance data helps project sites identify attributes of the IDU community that are crucial to the successful implementation of data collection. Qualitative methods are an effective tool for identifying the particularities of IDU populations within and across project sites. |
| M3-C04-19 Community Participation and Perspectives in Vaccine Research |
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| M3-C0401 | HIV VACCINES: MINIMIZING BEHAVIORAL AND SOCIAL RISK Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C0401 Koblin, B The implementation of HIV vaccine trials needs to address the potential for behavioral disinhibition and social harms. Furthermore, complex vaccine trial concepts need to be understood by potential participants in order to give informed consent for enrollment in trials. |
| M3-C0402 | TURNING VISION INTO VACCINES: THE POWER OF COMMUNITY-BASED ORGANIZATIONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C0402 Katzman, JT1; Dixon Diallo, D2; Frew, P3; Murguia, M4 Community based organizations were able to successfully conduct HIV awareness and education activities, and incorporate HIV vaccine research into their existing programming. Synergistic organizational efforts may be most effective in delivering science-based message about HIV vaccine research. |
| M3-C0403 | ENGAGING COMMUNITY IN CLINICAL HIV PREVENTION RESEARCH: EXPERIENCE FROM THE HIV VACCINE TRIALS NETWORK Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C0403 Broder, GB1; Sarche, JL2; Turner, KR1 Designing a CE program that addresses barriers to HIV vaccine research and is sensitive to competing research priorities is essential to improving knowledge, understanding and support of HIV vaccine research. Evaluating CE programs will help identify the effectiveness of CE at engaging community and improve the CE activities. The presenter will discuss challenges to CE, and evaluation of community participation and support of HIV vaccine research. |
| M3-C0404 | COMPARISON OF DOCTOR’S INFLUENCE IN PATIENT’S WILLINGNESS-TO-PARTICIPATE IN HIV VACCINE TRIAL AND POST-TRIAL VACCINE ACCEPTABILITY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C0404 Wu, S1; Ma, S1; Duan, N2; Lee, S2; Seiden, D2; Newman, PA3 Overall, at-risk people are more willing to adopt post-trial HIV vaccine than participating in HIV vaccine trial. Doctors may have important influence in both HIV trial participation and posttrial dissemination; however, different patterns of influence are found. Doctors may facilitate successful trial participation through communication with low WTP people, a trustworthy relationship, and providing behavioral counseling to mistrust, risk-seeking patients. As for posttrial vaccine, regardless of their PTVA, the vast majority of patients wish for a discussion with their doctors. A trustworthy doctor-patient relationship, however, would increase the vaccine acceptability. |
| M3-C05-15 Women and Incarceratin: Innovative Interventions |
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| M3-C0501 | A THREE YEAR COLLABORATION TO INTEGRATE WOMEN’S MENTAL HEALTH AND HIV PREVENTION SERVICES IN MARYLAND’S PRISONS AND JAILS: THE TAMAR PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C0501 Abebe, S1; Villanueva, L1; Gillece, J2; Howes, J2; Shea, MA1; Tomoyasu, N1 Integrating HIV prevention with trauma counseling may be a cost and treatment effective strategy to reach very high-risk women and increase their HIV prevention knowledge, self-efficacy and intentions to reduce risk behaviors. |
| M3-C0502 | PERINATAL HIV PREVENTION IN A CORRECTIONAL SETTING: FLORIDA’S TARGETED OUTREACH FOR PREGNANT WOMEN ACT (TOPWA) JAIL PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C0502 Walker, FM; LaLota, M; Liberti, T Providing HIV/AIDS prevention services within a jail setting is an effective method to reach high-risk populations. Appropriate interventions with incarcerated pregnant women afford a unique opportunity to improve pregnancy outcomes, identify HIV-infected women and reduce perinatal HIV transmission. |
| M3-C0503 | POWERR: PROVIDING OUR WOMEN EDUCATION FOR RISK REDUCTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C0503 Mullins, JM; Cruz, D Nationally, HIV rates are high among incarcerated individuals. In Broward County, Florida rates of HIV infection among inmates at jail facilities range 5%-12%. The female partners of incarcerated men are at particularly high risk for HIV infection. To address the needs and special circumstances of these women, the Broward County Health Department’s HIV/AIDS Program Office designed and implemented the POWERR Project (Providing Our Women Education for Risk Reduction). |
| M3-C0504 | SHORT-TERM CHANGES IN NUMBER OF SEXUAL PARTNERS BETWEEN COMMUNITY AND COURT RECRUITED FEMALE DRUG-USERS IN ST. LOUIS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C0504 Meeks, CC; Bradford, S; Ben Abdallah, A; Cottler, L Nationally, HIV rates are high among incarcerated individuals. In Broward County, Florida rates of HIV infection among inmates at jail facilities range 5%-12%. The female partners of incarcerated men are at particularly high risk for HIV infection. To address the needs and special circumstances of these women, the Broward County Health Department’s HIV/AIDS Program Office designed and implemented the POWERR Project (Providing Our Women Education for Risk Reduction). |
| M3-C17-05 Structural Interventions to Prevent HIV: Communities, Churches and Syringe Exchanges |
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| M3-C1701 | STRUCTURES AND RACE DISPARITIES IN HIV/AIDS: THE CASE OF THE CRIMINAL JUSTICE SYSTEM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C1701 Blankenship, K The criminal justice system represents an important structural determinant of HIV risk, among drug users, their families, and their communities, and it accounts for some of the substantial race disparities in risk as well. As such, the criminal justice system represents an important locus of structural interventions for HIV prevention. |
| M3-C1702 | AN INTERVENTION TO REDUCE HIV-RELATED STIGMA AMONG AFRICAN AMERICAN COMMUNITIES IN SOUTH CAROLINA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C1702 Pryor, JB1; Gaddist, B2; Johnson-Arnold, L2 In 1988, Herek and Glunt suggested that there are two HIV epidemics: the epidemic of infection and the epidemic of stigma. The epidemic of stigma helps to perpetuate the epidemic of infection. The stigma-reduction intervention explored in this study coveys a message of tolerance and forgiveness based upon religious values commonly held by African American in rural communities. |
| M3-C1703 | SYRINGE EXCHANGE, COMMUNITY COVERAGE, AND DECLINING AIDS RATES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C1703 Heimer, R1; Khoshnood, K1; Singer, M2; Stopka, T2; Buchanan, D3; Shaw, S2; Santalices, C2; Kinzly, ML1 Modest levels of coverage appeared to reduce HIV risk behaviors community-wide and resulted in a large decline in HIV transmission. Behavior change resulting from contact with the SEP might synergize with SEP operations to reduce exposure to contaminated syringes and prevent transmission. The resultant decrease in transmission constituted an enormous savings on healthcare costs. |
| M3-C1704 | A STRUCTURAL HIV PREVENTION INTERVENTION TO HELP COMMUNITY-BASED ORGANIZATIONS IMPLEMENT EVIDENCE-BASED INTERVENTIONS EFFECTIVELY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-C1704 Kegeles, SM; Rebchook, G CBOs find the MPTES helpful in implementing the MP, but there is a wide range in the extent to which MPTES is used. The MPTES seems to be under-utilized by many CBOs. It is particularly important to determine a way of providing help to supervisors in understanding how to implement the intervention, especially given the rapid turnover of coordinators. |
| M3-D03-01 Adapting and Tailoring Evidence Based HIV Prevention Interventions: Reports from the Field |
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| M3-D0301 | STRATEGIES TO MEASURE THE FIDELITY OF IMPLEMENTATION OF EVIDENCE-BASED PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0301 Wallace, S It is important that evidence-based programs have an evaluation component. The evaluation ensures that adaptations to program implementation do not compromise the fidelity of the program delivery and that program implementation aligns with the intent of program developers, the expectations of the funders, and the needs of the program participants. |
| M3-D0302 | REVISITING THE CORE ELEMENTS OF THE POPULAR OPINION LEADER INTERVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0302 Whittier, DK; Williams, SP The utility of the revised core elements in guiding current CDC efforts to research, implement and diffuse the POL intervention to diverse settings/contexts and in communicating critical features of the POL interventions’ intent and design will be discussed. |
| M3-D0303 | FROM COOKIE CUTTING TO POPULATION-SPECIFIC PREVENTION: A STORY OF ADAPTING AND TAILORING AN INTERVENTION TO REACH LATINO/A IMMIGRANTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0303 Lemus, CS1; Martinez, A2; Wang, C1; Beltran, A1 HIV prevention must take into consideration the context in which sex is experienced. One’s culture and current environment impacts on sexuality. The immigrant experience can bring culture and environment into conflict, affecting dynamics between sex partners. HIV prevention must address these conflicts to be effective, go beyond the "use a condom" message and become truly accessible to this population at risk. |
| M3-D05-07 Data Collection to Support HIV Prevention Programs |
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| M3-D0501 | DOCUMENTING EFFECTIVE INTERVENTIONS: REAL TIME DATA! Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0501 Bernstein, JT1; Starke-Livermore, SR2; Truax, SR2 The field of HIV prevention has many proven, effective strategies that address a range of health and social issues. Reductions in resources and funding have generated a vital need for real time data to support the validity of prevention services. However, service providers often lack time, money and tools to clearly document effective interventions. California’s HIV prevention providers now have the ability to collect and access client-based information critical to tracking and evaluating programs via an innovative web-based data collection system. |
| M3-D0502 | NATIONALLY STANDARDIZED, LOCALLY UTILIZED: BUILDING THE CAPACITY OF GRANTEES TO COLLECT AND USE CORE HIV PREVENTION PROGRAM DATA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0502 Thomas, CW1; Smith, B1; Neatherlin, J1; Wright-DeAguero, L1; Doshi, S1; Cotton, D2; Sloop, K2 The Centers for Disease Control and Prevention (CDC) Division of HIV/AIDS Prevention (DHAP) and grantees are required to demonstrate that the programs they support and implement are capable of meeting their stated goals. Program managers and state and federal project officers need data to support program improvement, monitor and assess the effects of program, identify technical assistance needs, and provide stewardship of funds. With the increased emphasis on accountability, program improvement, and the availability of evidence-based interventions, it is critical that a system is in place to monitor the implementation of scientifically sound approaches to prevention and their effectiveness in community settings. |
| M3-D0503 | ENTERING DATA INTO PEMS: MODELS AND LESSONS LEARNED FROM 3 JURISDICTIONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0503 Gasiorowicz, M1; Jackson, PM2; O.Halloran, P3 Jurisdictions that have opted for a variety of methods for entering Release 1.0 data into CDC's Program Evaluation and Monitoring System (PEMS). Three jurisdictions will share their approaches, successes and challenges. Examples of communication with grantees and data collection forms will be shared. |
| M3-D06-09 Innovations in Program Evaluation |
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| M3-D0601 | A MODEL FOR COMMUNITY-BASED PARTICIPATORY EVALUATION: BENEFITS, CHALLENGES, AND LESSONS OF EVALUATING HIV PREVENTION IN COMMERCIAL SEX VENUES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0601 Mutchler, M; Colemon, L Formative and program evaluation is increasingly important in HIV/AIDS prevention and services. The Research and Evaluation Core (REC) at AIDS Project Los Angeles (APLA) provides evaluation consulting services internally and externally. Through these services, APLA-REC has developed a model for participatory evaluation. This session provides a case study of the implementation of this model. |
| M3-D0602 | GUIDELINES OF REPORTING STANDARDS FOR HIV INTERVENTION EVALUATIONS: THE TREND STATEMENT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0602 Des Jarlais, DC1; Lyles, CM2; Crepaz, N2; Herbst, JH2; Kay, LS2; the TREND Group The lack of consistent reporting of HIV intervention evaluations hampers efforts to identify effective interventions and make evidence-based recommendations to programs and policy makers. While extensive efforts were made to improve the quality of reporting randomized controlled trials, the .gold standard. for evaluating behavioral intervention, less attention has been given to interventions with non-ran-domized designs. This is especially important for the HIV prevention research because many potentially important HIV prevention programs (e.g., virginity pledges, syringe exchange) cannot be evaluated with a standard individual-level randomized controlled trial design. |
| M3-D0603 | DECIDING WHEN TO EVALUATE A HIV PREVENTION PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0603 Blair, AD1; Dudley, TD1; Phillips, N1; Freeman, AC1; Robbins, A2; Koch, J3 This roundtable discussion will detail the methods of how HIV prevention programs have had difficulty in implementing evaluation as part of the programs developmental process. Many programs can not decide when to evaluate their program objectivities. These objectivities should be relevant to the targeted population, the activities of the intervention, and measuring the changes of participants in knowledge, attitudes, beliefs, and skills. However, several capacity building skills should be in place before program objectives can be evaluated. Understanding the difference between process and outcome objectives, writing program objectives that can be easily evaluated, and develop an outcome monitoring plan. Participants will be encouraged to participate in guided discussions so they may gain applicable knowledge of the process that will help CBO's to concentrate their efforts on developing well funded programs. |
| M3-D0604 | USING SOCIAL NETWORKS TO REACH HIGH RISK INDIVIDUALS FOR HIV INFECTION IN COMMUNITIES OF COLOR Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-D0604 Kimbrough, LW; Hancock, HE; Jones, KT; Dooley, S Of an estimated 850,000-950,000 persons living with HIV in the United States, 180,000.280,000 (25%) persons are believed to be unaware of their serostatus1. One strategy for reaching and providing HIV counseling, testing, and referral services to persons who are unaware of their status is the use of social networks. Enlisting HIV-positive persons to encourage their associates to be tested for HIV may be an effective method for accessing individuals who are infected but unaware of their status. |
| M3-E10-14 Status Report on the HIV Prevention Strategic Plan |
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| M3-E1001 | A CDC PERSPECTIVE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-E1001 Valdiserri, R In 2001, CDC published the HIV Prevention Strategic Plan through 2005, in concert with other federal agencies, community partners, and outside experts. This plan recognized the need to build on scientific and program advances, and the need to reduce the estimated 40,000 new HIV infections occurring yearly in the US. |
| M3-E1002 | A PLWHA PERSPECTIVE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-E1002 Baker, C People living with HIV/AIDS are key partners with the Centers for Disease Control and Prevention in implementing the HIV prevention strategic plan. |
| M3-E1003 | A STATE PERSPECTIVE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-E1003 Liberti, T The States are a key partner with the Centers for Disease Control and Prevention in implementing the HIV prevention strategic plan. |
| M3-F03-13 Examining Successes and Trends in HAART and Adherence |
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| M3-F0301 | RANDOMIZED CONTROLLED TRIAL OF AN INTERVENTION TO PREVENT NONADHERENCE FOLLOWING INITIATION OF FIRST HIGHLY ACTIVE ANTIRETROVIRAL THERAPY (HAART) REGIMEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0301 Koenig, LJ1; Varnell, S1; Bush, T1; Palmore, M2; Stratford, D1; Ellerbrock, TV1 Multi-component intervention, including use of support partners, enhanced adherence, but did not eliminate a progressive deterioration in adherence over time. Two distinct non-adherence pat-terns--discontinuation of care and medications, and adherence to care with imperfect medication-taking--emerged, and effective individual interventions need to be supplemented with other approaches to both sustain initiation and prevent adherence fatigue. |
| M3-F0302 | A SYSTEMATIC REVIEW OF SELF-REPORT MEASURES OF HIV ANTIRETROVIRAL ADHERENCE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0302 Simoni, J; Kurth, A; Pearson, C; Pantalone, D; Frick, P; Merrill, J Adherence research would benefit from standardization of SR items, recall timeperiods, and operationalization. The pattern of significant associations with clinical outcomes suggests SR measures, even very brief ones, can be robust. Especially given QD dosing, recall periods should be at least 7 days. We found no evidence suggesting that more complicated SR measures or other indirect measures that are more costly and complicated to administer such as electronic monitoring, pill count, or pharmacy refill will be substantially more valid. |
| M3-F0303 | INTERVENING TO IMPROVE ANTIRETROVIRAL THERAPY ADHERENCE AMONG HIV-INFECTED DRUG USERS RECEIVING PRIMARY MEDICAL CARE IN METHADONE MAINTENANCE TREATMENT PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0303 Cooperman, NA1; Parsons, JT2; Kaswan, D1; Arnsten, JH1, Semi-structured antiretroviral adherence counseling can be successfully incorporated into substance abuse treatment programs and is effective for improving adherence to antiretroviral medications, physical health, and emotional well being among drug users. |
| M3-F0304 | EVALUATING HAART AND ADHERENCE - WHAT WORKS? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0304 Eldred, L Simplified HAART regimens increase the likelihood of medication adherence, but rigorous requirements for maximizing therapeutic outcomes still exist. |
| M3-F04-11 Linkage to Care: the ARTAS Experience |
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| M3-F0401 | IMPLEMENTATION OF A NEW METHOD TO LINK NEWLY DIAGNOSED PERSONS TO PRIMARY CARE AND PREVENTION SERVICES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0401 Johnson, SK1; Gruber, D2; McKeever, J1 This evaluation will determine how effective the implementation phase of the ARTAS Project is in Baton Rouge, Louisiana. Particular attention will be focused on the differences between the linkage project and existing community efforts. These differences include: the use of a time-limited strengths-based case management approach to achieve linkage to primary care; the transitioning of a client from the linkages coordinator to permanent case management; and the establishment of a strong connection between HIV testing sites and the Linkage Case Manager. |
| M3-F0402 | A LONGITUDINAL ANALYSIS OF THE ROLE OF DRUG TREATMENT AS A FACILITATOR OF ENTRY INTO HIV MEDICAL CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0402 Loughlin, AM1, 2; Calderon, P1; Strathdee, SA3, 2; Gardner, L4; Metsch, L5; Mahoney, P6; Del Rio, C7 While drug use remains an important barrier to HIV medical care, our data show that entry into substance abuse treatment is an independent facilitator for entry into HIV medical care. Interventions aimed to improve access to medical care and HAART targeting drug users should make entry into substance abuse treatment a priority. |
| M3-F0403 | DEPRESSIVE SYMPTOMS AS PREDICTORS OF INITIATION OF AND ADHERENCE TO HIV CARE AMONG HIV-INFECTED PERSONS NOT IN MEDICAL CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0403 Rudy, ET1; Mahoney-Anderson, PJ2; Kerndt, PR1; Gardner, LI3; Loughlin, A4; Valverde, E5; del Rio, C6 Screening for and treatment of depression may improve HIV-infected persons entry and adherence to sustained HIV medical care. |
| M3-F0404 | STRENGTHS-BASED CASE MANAGEMENT: IMPLEMENTATION OF AN EFFECTIVE INTERVENTION FOR ENCOURAGING HEALTH CARE LINKAGE AMONG NEWLY DIAGNOSED HIV-POSITIVE PERSONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0404 Rapp, RC; Lane, T; Aselage Carr, C Brief classroom based training is not sufficient to prepare health care workers to deliver this intervention. Systematic training must be marked by a preceptorship period where mentor case managers are shadowed by new trainees; newly trained case managers are then shadowed by the mentor case managers. Ongoing supervision of case managers is necessary to ensure the fidelity with which strengths-based case management is delivered. |
| M3-F06-10 Strategies, Setbacks and Successes Surrounding Perinatal HIV Prevention |
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| M3-F0601 | PERINATAL HIV PREVENTION AND CARE EFFORTS IN LOUISIANA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0601 Segura, JL; Wheeler, CH; Robinson, WT; White, C; Kaiser, M The Louisiana Office of Public Health HIV/AIDS Program (HAP) has established an array of services to reduce the number of mother-to-child transmissions of HIV; as well as to facilitate the mother-infant pair.s introduction into Ryan White funded services. These efforts seek to ensure referral to Ryan White case management of the mother-infant pair and home based care of the infant, as well as follow-up testing and care of HIV exposed infants. |
| M3-F0602 | POSITIVELY PREGNANT: AN INTENSIVE CASE MANAGEMENT MODEL FOR THE HIV POSITIVE WOMAN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0602 Andrews, M; Armstrong, D To be successful the team must be willing and prepared to make changes to accommodate clients in order to ensure the health of the mother and baby. Once women have delivered their adherence may fail and intensive case management must be continued. Finally, we learned that language must be appropriate for the level of education of the women. |
| M3-F0603 | IMPLEMENTING STATEWIDE RAPID HIV TESTING IN THE PERINATAL SETTING: PREDICTING THE ROAD AHEAD VIA HOSPITAL FOCUS GROUPS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0603 Bryant, AE1; Margolin, FS2; Cohen, M3; Garcia, PM1 Staff from diverse hospitals raised similar barriers and recommendations for statewide implementation of perinatal rapid HIV testing. While training resources and model protocols/procedures can address many of the procedural and comfort issues surrounding test counseling and performance, reimbursement is a health care system issue that must be addressed. Likewise, training and implementation materials can address the concerns of dealing with a preliminary positive woman and exposed newborn, but AZT availability and community-based resources to follow-up newly diagnosed individuals and link them to care must be universally available. In order for implementation to be successful, training and implementation resources must be provided to hospitals but health care system issues of reimbursement and follow-up services must be put into place. |
| M3-F0604 | THE BURDEN OF RAPID TESTING PRESENTED BY THE ILLINOIS PERINATAL HIV PREVENTION ACT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-F0604 Dugan, MA1; Garcia, PM2; Statton, A3 In 2003, Illinois passed a law that requires rapid HIV testing for women in labor (opt-in) and newborns (opt-out) with undocumented maternal HIV status. Hospital focus groups were conducted to determine barriers and solutions for successful implementation of rapid testing in the perinatal setting. |
| M3-G06-04 STD Screening and Treatment as an HIV Prevention Strategy |
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| M3-G0601 | MAJORITY OF RECTAL CHLAMYDIAL AND GONOCOCCAL INFECTIONS ARE ASYMPTOMATIC AND OCCUR IN HIV NEGATIVE MEN SEEN AT AN STD CLINIC: IMPLICATIONS FOR REDUCING SUSCEPTIBILITY TO HIV INFECTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-G0601 Kent, CK; Wong, W; Chaw, JK; Scott, K; Klausner, JD To reduce the acquisition and transmission of HIV and to improve the sexual health of men who have sex with men (MSM), the Centers for Disease Control and Prevention (CDC) recommends routine rectal chlamydia (CT) and gonorrhea (GC) screening for men who have had receptive anal sex, regardless of reported condom use. Despite these guidelines, rectal chlamydia screening is rarely performed. To determine what proportion of rectal infections were asymptomatic and occurred in HIV negative men, we analyzed rectal testing data. |
| M3-G0602 | STD SCREENING AS HIV PREVENTION IN COUNTY JUVENILE DETENTION FACILITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-G0602 Coury-Doniger, PA1; Scahill, M1; Penepent, V2; Ditzel, J2; Urban, M2 Since the presence of STDs facilitates HIV transmission, STD screening and treatment is an important HIV prevention intervention. Incarcerated adolescents are at highest risk of sexually transmitted infections(STIs) such as gonorrhea and chlamydia. Although many County juvenile detention facilities provide HIV counseling and testing, few provide routine STI screening. |
| M3-G0603 | JAIL LINKAGE PROJECT IN PINELLAS & PASCO COUNTIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-G0603 Cohen, L In 1997, 25% of all HIV positive people were inmates recently released from a correctional facility (cite). A 1997 Congressional Report stated that counseling 10,000 inmates would prevent three future cases of HIV (cite). Even though data was not available on infection rates in both of the jails, it was determined that there was an urgent need to provide prevention information, education and testing to the incarcerated population of the Pinellas County Jail, offer referral for other medical services, and begin collecting surveillance data on this population. This is because these high-risk populations are disproportionately represented in the jail community, and it was felt that they would be effectively served by this project. |
| M3-G0604 | SEXUALLY TRANSMITTED DISEASE TRENDS IN MSM SEEN AT A BOSTON COMMUNITY HEALTH CENTER, 1997-2004: CHALLENGES AND HOPES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-G0604 Mayer, KH1; Goldhammer, H2; Grasso, C2; Golub, S2; Novak, D3; Bertrand, T3 STDs rates have markedly increased in MSM over the past 7 years, but may now have peaked because of an effective partnership between public health officials and the at-risk community. |
| M3-G12-16 MSM and Commercial Sex Venues: Opportunities for Partnership |
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| M3-G1201 | BATH HOUSE EXIT SURVEYS: IMPLICATIONS FOR PREVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-G1201 Spielberg, F1; Wood, RW2; Reidy, W1; Underhill, M1; Golden, M1 Member-only bathhouses and sex clubs for men who have sex with men (MSM) have existed in Seattle since at least 1975. While local Public Health made no formal efforts to regulate such businesses in its early responses to HIV/AIDS, the state Prevention Planning Group questioned their potential contribution to resurgent STD (sexually transmitted diseases) in 2003, and wondered how they could be made safer. |
| M3-G1202 | COMPREHENSIVE STD AND HIV SCREENING IN COMMERCIAL SEX VENUES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-G1202 Ciesielski, C To control syphilis outbreaks in MSM, screenings in community venues such as bars, bathhouses, and mobile health units are frequently conducted to identify persons with infectious syphilis. Yet the public health benefit of these activities remain undefined. |
| M3-G1203 | BATHHOUSES, GUIDELINES, AND THE LA EXPERIENCE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-G1203 Fielding, J There are 11 bathhouses and sex clubs collectively referred to as commercial sex venues (CSV) in Los Angeles County that attract thousands of gay men and non-gay identified MSM on a weekly basis. These venues provide a place for men to engage in sex often anonymously and with multiple partners in a subculture with little or no verbal communication. Evaluation of syphilis case reports revealed an increased risk of syphilis among men who have sex with men (MSM) that attend CSV and a cross-sectional survey in CSVs found an 11% rate of newly identified HIV infection. In another survey, CSV patrons reported unprotected anal sex (26%) and being under the influence of crystal methamphetamine (13%) in the past three months while visiting these venues. In response, the LAC Board of Supervisors passed an ordinance requiring CSVs to obtain a health permit and instructed DHS to develop guidelines for CSV operations. |
| M3-L03-12 Latebreaker 3 |
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| M3-L0301 | ILLINOIS SYRINGE DISPOSAL PILOT PROGRAM: OPPORTUNITIES AND CHALLENGES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-L0301 Munar, D; Pickett, J On July 25, 2003, Illinois became the 46th state to allow adults to purchase sterile syringes at pharmacies without a prescription. One critical aspect of implementing the law change is promoting proper disposal of used syringes. The Illinois Department of Public Health contracted with the AIDS Foundation of Chicago (AFC) to create the Sharps Container Pilot Program that utilizes pharmacies and community organizations as distribution points for free household sharps containers. |
| M3-L0302 | USING MOTIVATIONAL INTERVIEWING WITH HIV POSITIVE INDIVIDUALS TO IMPACT ATTITUDES ABOUT PREVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-L0302 Nollen, CW1; Drainoni, M2; Sharp, VL1 Recent treatment advances have created opportunities for improved health as well as new challenges for people living with HIV/AIDS. A substantial proportion of HIV-positive individuals engage in unsafe sexual behavior and/or unsafe drug use. Therefore, it is critical to design strategies that encourage HIV-positive people to live active lives without putting others at risk for infection. One new strategy is the Positive Prevention program at HIV Center for Comprehensive Care (CCC) at St. Luke’s Roosevelt Hospital. |
| M3-L0303 | SHIFT IN THE REASONS WHY ADULTS SEEK HIV TESTING IN THE UNITED STATES. POLICY IMPLICATIONS. Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-L0303 Inungu, JN HIV testing is an important step in the continuum of HIV care. It provides the opportunity to counsel people who seek the test and link those who test positive to health services. To determine the number of adults who had ever been tested for HIV, compare the reasons they sought testing, and evaluate the policy implications of their decision. |
| M3-L0304 | AN OUTCOME EVALUATION STUDY TO ASSESS THE EFFECTIVENESS OF DISCHARGE PLANNING AND COMMUNITY CASE MANAGEMENT SERVICES FOR INCARCERATED ADULT MALES RELEASED FROM RIKERS ISLAND, NEW YORK CITY: CORRECTION CASE MANAGEMENT AT RIKERS ISLAND (CCARI) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-L0304 Moseley, JM1; Gordon, CJ2; Murrill, CS1; Torian, LV1 Findings suggest that condom use increases after clients participate in CCARI. This presentation will focus on preliminary findings, as well as address the challenges to implementing this type of outcome evaluation study with incarcerated adult males. |
| M3-L0305 | INTERVIEWING OUTREACH SUBJECTS TO IMPROVE TARGETED OUTREACH PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. M3-L0305 Abramowitz, S; Moschel, D; Tyrcha, J Outreach programs should consider incorporating HIV counseling and testing as part of the training to insure that youth outreach workers are familiar with the experience and the resulting feelings to better prepare testing naive youth about the process. Outreach workers also need to be well-informed about the availability of health services, given the limited familiarity youth have about health services in their community. In view of the reported need for help in getting HIV test results, youth outreach worker’s role could extend beyond targeted outreach and referral for HIV testing to include escort for results. The involvement of HIV infected and affected consumers as youth outreach workers enables targeted outreach programs to also provide linkage to and support in care. |
| MP-000-08 Poster Session A |
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| MP-001 | WEB-BASED ASSESSMENT OF HEALTH AND HIV PREVENTION NEEDS OF WOMEN ATTENDING HBCUS IN THE SOUTHEAST Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-001 Laborde, DJ1; Jolly, D2 Recent data indicate that minority women attending HBCUs may be facing an increased risk of acquiring HIV and STIs. Our efforts to develop culturally appropriate and effective HIV prevention programs for this population involved conducting a web-based needs assessment survey to identify the services that minority women attending North Carolina Central University (NCCU) felt would best address their health and wellness needs. |
| MP-002 | REDUCING RISKY SEXUAL BEHAVIOR AMONG RURAL AFRICAN AMERICAN YOUTHS THROUGH PARENTING PRACTICES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-002 Murry, VM1; Berkel, C1; Miller, SJ1; Brody, GH1; Gerrard, M2; Gibbons, FX2; Luo, Z1 SAAF program not only provided an opportunity to share with families the processes that foster positive youth outcomes, it also tested the theory on which the intervention is based, an issue that prevention research has seldom addressed. One of our major findings is that parents are able to promote positive identity development in their adolescents. Parenting processes targeted in the SAAF program facilitated youths’ development of positive self-perceptions that in turn protected them from engaging in risky sexual behavior, thus reducing their risk for HIV/AIDS. |
| MP-003 | THE POWER TO SPEAK, THE POWER TO PREVENT: CONDUCTING AND TRANSFORMING ETHNOGRAPHIC GENDER-BASED, SEX RESEARCH INTO PICTORIAL NARRATIVES FOR TARGETED PREVENTION PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-003 Cash, KA; Bermudez, C; Witherspoon, P; Andrade, D Sexual culture provides a means with which we define, justify, describe together with experiencing sex and sexuality. Culture is repetitive and patterned as well as ongoing and fluctuating. Ethnographic research is a tool to understand how culture contributes to as well as is changed by risk and vulnerability. Moreover the credibility and use of culturally specific stories, images and dialogue is often critical to any communities’ acceptance and practice of health-promoting beliefs and behavior. Ethnographic research that can be transformed to mirror actual experiences, verbal expressions, interpretations, relationships is a significant means of utilizing research to effect social and cultural change. |
| MP-004 | COMMUNITY - ACADEMIC PARTNERSHIPS FOR HIV PREVENTION IN RACIAL AND ETHNIC MINORITY COMMUNITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-004 D'Mellow, D; Miller, M Community-academic partners must be committed to identifying community health concerns and implementing potential solutions creatively and in tandem. The ongoing maintenance of existing relationships and the continuous development of new partnerships is an important part of health research centers remaining a vibrant and essential community partner. A sustainable community-academic partnership can be achieved through systematic but flexible approaches based on mutual trust and respect. |
| MP-005 | DEVELOPING A RESEARCH PROGRAM IN A COMMUNITY BASED ORGANIZATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-005 Washington, KE Community-academic partners must be committed to identifying community health concerns and implementing potential solutions creatively and in tandem. The ongoing maintenance of existing relationships and the continuous development of new partnerships is an important part of health research centers remaining a vibrant and essential community partner. A sustainable community-academic partnership can be achieved through systematic but flexible approaches based on mutual trust and respect. |
| MP-006 | ANTISOCIAL PSYCHOPATHY AND HIV RISK AMONG ALCOHOL AND OTHER DRUG (AOD) ABUSING ADOLESCENT OFFENDERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-006 Malow, RM1; Dévieux, JG1; Rosenberg, R1; Jean-Gilles, M1; Lerner, B1; Kalichman, SC2; Dyer, JG1 HIV prevalence is showing marked increases among adolescent offenders corresponding to escalating levels of risky sexual behaviors, particularly for those abusing alcohol and other drugs (AOD) and those displaying antisocial/psychopathic traits and behaviors. Recidivism rates associated with being an offender, in combination with relapse common to AOD abuse, makes any sub-grouping of this population a serious public health concern. We hypothesized that adolescents with high levels of antisocial traits would evidence greater levels of HIV risk than adolescents who exhibited lower levels of antisocial traits. |
| MP-007 | PSYCHOSOCIAL PREDICTORS OF CONDOM USE: THEIR UTILITY IN DIVERSE POPULATIONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-007 Bauserman, RL; Shea, MA; Tomoyasu, N Several theoretical models of the psychosocial predictors of health behaviors have been commonly cited in HIV prevention research, including the Health Belief Model; AIDS Risk Reduction Model; Theory of Reasoned Action; Information-Motivation-Behavioral Skills model; and social learning theory in general. These models were devised in Western settings, often with university undergraduate populations, and often overlap in terms of core constructs. The purpose of this review was to examine the utility of these variables in recent research predicting condom use in a wide variety of populations. |
| MP-008 | CHILDHOOD SEXUAL ABUSE AMONG GAY AND BISEXUAL MEN: RESULTS FROM A RANDOMLY SELECTED COMMUNITY BASED SAMPLE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-008 Brennan, DJ1, 2; Welles, SL3; Hellerstedt, WL4; Ross, M5 This study examined the associations between childhood sexual abuse (CSA) and HIV infection and its behavioral antecedents in a randomly-selected community-based sample of men who have sex with men (MSM). It was hypothesized that MSM with a history of CSA would be more likely to report unsafe sexual activity and HIV infections and that those who reported regular CSA would have a higher prevalence of unsafe sexual activity and HIV infections than those who experienced no CSA or a brief exposure. |
| MP-009 | INTRODUCING INTERVENTION PROGRAMS TO A NON-TREATMENT SEEKING POPULATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-009 Sand, KL; Perry, S Drug-using MSM contribute significantly to the transmission of the HIV virus in the USA. Early intervention programs have been designed to educate and to change high-risk behavior among MSM but recruitment into these programs has been difficult. |
| MP-010 | CORRELATES OF RECENT HIV INFECTION AMONG NEWLY HIV-DIAGNOSED PERSONS IN LOS ANGELES COUNTY, 2003-2004 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-010 The objective of this analysis is to investigate demographic and prior HIV testing correlates of recent HIV infection among newly HIV-diagnosed persons in Los Angeles County. |
| MP-011 | LOS ANGELES COUNTY COMMUNITY-BASED ASSESSMENT: LAUNCH OF PARTICIPATORY PARTNERSHIPS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-011 Durazo, A; Nwachuku, I; Janson, M Participatory relationships between governmental administrative agencies, community-based organizations, and local planning bodies have become increasingly important for effective cooperative partnerships, funding allocation, and the prioritization of HIV/AIDS services. |
| MP-012 | EVALUATION OF A MARKETING AND RECRUITMENT CAMPAIGN FOR AN HIV PREVENTION PROGRAM TARGETING GAY AND BISEXUAL MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-012 McKee, MB; Picciano, JF; Roffman, RA Designing effective marketing and recruitment strategies for HIV prevention research and services targeting MSM at risk for HIV remains challenging. Cultural relevance (availability in language spoken by client/participant, diverse representation, address perceived concerns), logistical barriers (flexible schedules, availability by phone, brief), and perceived psycho-social barriers to accessing HIV prevention services and research (ambivalence about changing behavior, fear of judgment, safe place to learn more about self) must be addressed to ensure effectiveness. |
| MP-013 | GAY MEN’S HIV DISCLOSURE AND SEXUAL RISK Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-013 Serovich, JM; Bartle-Haring, S; Lim, J; Mason, T Participatory relationships between governmental administrative agencies, community-based organizations, and local planning bodies have become increasingly important for effective cooperative partnerships, funding allocation, and the prioritization of HIV/AIDS services. |
| MP-014 | PROJECT PROTECT: A SIMULATED MICROBICIDE TRIAL WITH WOMEN AT HIGH RISK FOR HIV IN HARTFORD, CT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-014 Baez, E; Corbett, AM; Abbott, M; Mosack, KE The women in this study were especially vulnerable to HIV infection. They were also very interested in microbicides as an alternative for prevention and willing and able to use the simulated product. The results of this study may be used to develop appropriate intervention strategies for the promotion of microbicides among this population in the future. |
| MP-015 | "IT REALLY DEPENDS ON THE PERSON": A COMPARISON BETWEEN BRAZILIAN AND OTHER LATINO MSM'S PERSPECTIVES ON SEXUAL ROLE DYNAMICS IN NEW YORK CITY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-015 Montes Penha, M1; Decena, CU1; Bianchi, FT2; Zea, MC2; Poppen, PJ2; Reisen, CA2; Shedlin, MG1 Models derived from sexual scripts theory have been developed to explain sexual role dynamics and their relationship to HIV risk behaviors among gay and MSM populations. Among Latino gay men, the activo/pasivo model has been used to account for the relationship between sexual practices and gender and sexual identity as well as HIV risk. This study explored whether the sexual roles and practices of Latino MSM from three different groups varied across sexual encounters according to choice of sexual partners and nature of relationship. |
| MP-016 | SEROCONCORDANCE AS A CONTEXTUAL FACTOR INFLUENCING SEXUAL RISK Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-016 Poppen, PJ1; Montes-Penha, M2; Reisen, CA1; Zea, M1; Bianchi, FT1; Shedlin, M2 Previous studies have shown that for MSM seroconcordance is associated with likelihood of unprotected anal sex. In a previous quantitative study of Latino MSM, we found that the situational context in which sex occurs was associated with choices about sex behavior. Specifically, communication between and relationship of partners, as well as seroconcordance, were associated with likelihood of unprotected anal sex. The current study provided a qualitative exploration with Latino MSM to help understand these issues. |
| MP-017 | ANTECEDENTS OF DISCLOSURE OF SEROPOSITIVE HIV STATUS AMONG LATINO GAY MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-017 Zea, MC; Reisen, CA; Poppen, PJ; Bianchi, FT; Echeverry, JJ Previous research has shown that disclosure of seropositive status is associated with greater social support and psychological wellbeing. The purpose of this study was to examine antecedents of disclosure of seropositive status to casual partners, close friends, and family members among Latino gay and bisexual men who are HIV-positive. Information gained from this study can be used in interventions to promote disclosure in appropriate situations. |
| MP-018 | LABOR FORCE PARTICIPATION AMONG HIV+ MSM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-018 Ryan, R; Krutch, W; Redmon, M; Pollard, J With HAART therapies preventing or forestalling HIV-related disability, more HIV positive individuals are remaining in or returning to the labor force. This paper examines predictors of labor force participation. |
| MP-019 | UNDERSTANDING RISK FACTORS AMONG OUR NATION'S YOUTH: IMPLICATIONS FOR SUBSTANCE ABUSE AND HIV PREVENTION INTERVENTIONS WITHIN THE DISTRICT OF COLUMBIA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-019 Kerpsie, A1; Kaljee, L2; Caal, S1 Although nationwide data indicate youth engage in fewer risky behaviors, Washington, DC youth continue to face high rates of risky sexual behaviors and drug use. Identification of risk factors provide implications for prevention interventions, and avoidance of a .one size fits all approach. |
| MP-020 | MISCONCEPTIONS OF THE RAPID HIV TEST AMONG ATTENDEES OF MINORITY GAY PRIDE (MGP) EVENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-020 Clark, HA; Hutchinson, AB; Begley, EB; Boyett, BC; Kellerman, SE Misconceptions may exist among clients who are tested for HIV with rapid - as opposed to standard - HIV tests. One belief is that the rapid test can identify infection rapidly and can accurately determine whether a recent exposure led to a recent infection. As with standard HIV testing, clients who may have been exposed to HIV should consider the window period and seek rapid testing approximately 3 months after the time of exposure. |
| MP-021 | LINKING CONTEXTS, COGNITIONS, AND SUBSTANCE USE TO AFRICAN AMERICAN YOUNG ADULTS. SEXUAL RISK BEHAVIOR Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-021 Kogan, SM1; Chen, Y1; Brody, GH1; Gibbons, FX2; Murry, VM1 Epidemiological evidence indicates that African American adolescents living in non urban areas are at increasing risk for HIV/AIDS. The present study tested a person/process/context model of the risk and protective factors that predict high-risk sexual activity in this population. We hypothesized that family and neighborhood factors would indirectly influence sexual risk behavior among adolescent African Americans via affiliations with risk-taking peers. Based on the Protoype/Willingness model of health behavior, we proposed additional paths that address the question of how risk taking peers influence sexual behavior. We also examined substance use as a potential mediator of the link from peers to sexual activity. |
| MP-022 | HIV/AIDS KNOWLEDGE AND SEXUAL BEHAVIORS OF YOUTH IN EDUCATIONAL INSTITUTIONS IN A CONSERVATIVE MUSLIM SOCIETY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-022 Ayub, M Education and awareness programs based on cultural/religious norms can stop the risk of this epidemic. |
| MP-023 | HIV TESTING AMONG AFRICAN AMERICAN COLLEGE STUDENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-023 Payne, NS1; Beckwith, CG2; Flanigan, TP2; Sly, KF1 College students are at risk for HIV infection and recent studies have demonstrated college social networks with high rates of HIV transmission. African American college students are particularly at high risk compared to other racial groups. HIV incidence in the United States is highest in the South. We sought to determine risk of HIV infection, HIV testing history, and attitudes toward HIV testing in African American college students in Mississippi. |
| MP-024 | BARRIERS TO HIV CARE IN RURAL, US-MEXICO BORDER COMMUNITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-024 Estrada, AL1; Estrada, B2; Trujillo, S3; Carmichael, K3; Burton, K3 People with HIV/AIDS residing in rural, border communities face many barriers in accessing specialized HIV/AIDS care including but not limited to rural isolation, language difficulties, immigration status, lack of specialized care in their local areas, and issues of confidentiality. An assessment of specific barriers encountered by HIV positives was undertaken in order to elucidate and identify barriers, facilitating early treatment into HIV/AIDS care. |
| MP-025 | I LOVE YOU . . . AND HEROIN: THE MEANING OF RISK AND RELATIONSHIP AMONG DRUG-USING COUPLES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-025 Simmons, JE Existing studies tend to view sexual relationships between drug-using couples as dysfunctional, unstable, utilitarian and often violent. The findings from this exploratory study suggest a more complex and nuanced understanding of drug-using couples is needed which does not obscure the meaning of risk and relationship for drug-using couples, the ways in which aspects of their relationships are protective or the ways in which interpersonal and structural dynamics interact vis a vis the treatment system. |
| MP-026 | HIV RISK AMONG STIMULANT AND OPIATE INJECTORS: DIFFERENCES IN RISK FACTORS BY DRUG OF CHOICE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-026 Corsi, KF; Asdigian, N; Booth, RE Results indicated that stimulant injectors are at higher risk for sexual transmission of HIV, while opiate injectors engaged in more risky injection behaviors. It is important for HIV prevention planning and outreach with drug users that researchers recognize the differences in risk behaviors between users who choose different drugs. Partly based on the pharmacology of the drug and partly based on other internal and external factors, it appears that stimulant and opiate injectors do not engage in the same risk behaviors. As such, researchers must target each of these groups separately, thereby achieving better success at decreasing risk behaviors among these still high-risk groups. |
| MP-027 | SPATIAL ANALYSIS OF DRUG PURCHASE AND USE LOCATIONS AMONG INJECTION DRUG USERS IN PHILADELPHIA: POTENTIAL ROLE IN HIV PREVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-027 Kraut-Becher, JR; Lynch, K; Fiore, D; Metzger, D Geographic information may aid in our understanding of HIV risk behaviors and help design and target new HIV prevention strategies. |
| MP-028 | CO-OCCURRING SEXUAL RISK AND SUBSTANCE USE BEHAVIORS AMONG INCARCERATED ADOLESCENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-028 Rosengard, C1, 2; Stein, LA1, 3; Colby, SM3; Barnett, NP3; Monti, PM4, 3; Golembeske, C3, 5; Lebeau-Craven, R3; Miranda, R3 Periods of incarceration provide unique opportunities for intervening on a variety of HIV-relevant risk behaviors among adolescents. Focusing on the context of substance use (especially use of marijuana) within high-risk sexual situations ought to be a particular focus of interventions for incarcerated adolescents. |
| MP-029 | A SUPPLEMENTAL HIV/AIDS BEHAVIORAL SURVEILLANCE PROJECT - METHODS AND DATA UTILIZATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-029 Campsmith, M; Nakamura, G Local and national HIV programs should consider conducting supplemental behavioral surveillance projects. Data on behaviors, health service utilization, and unmet need can be used for program evaluation and to inform decisions on prioritizing prevention programs and resource allocation. Supplemental HIV/AIDS surveillance projects should be flexible to accommodate the evolving needs of local and national public health programs. |
| MP-030 | DEVELOPING, IMPLEMENTING AND EVALUATING INTERNET-BASED HIV/STI PREVENTION INITIATIVES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-030 Shults, KN; Lopez, OR Proper training of an organization and its outreach workers is essential to implementing Internet-based interventions to ensure their success and the well being of the agency conducting them. The days of implementing prevention strategies without evidence to support their effectiveness are over. Proper evaluation must be an integral part of project design. Because of their freshness, Internet-based interventions are especially subject to higher scrutiny. However, there are evaluation strategies that can be utilized easily that work seamlessly with service delivery. |
| MP-031 | MORE THAN JUST A BOOKING NUMBER...JOINTLY ADDRESSING INDIVIDUALS LEARNING (J.A.I.L.S.) ABOUT HIV AND STD'S Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-031 Jordan, T1; Carr, D2, 3 Collaborations with various Agencies and CBOs have enabled jail programs to begin bridging the gap between the incarcerated populations and community services providers. Jails offer unique opportunities and challenges for public health to educate, screen and treat persons at high risk for HIV and STD’s. Learn how to combine your resources with your local health department and community based organizations to create a comprehensive STD/HIV screening program in your correctional facility. Correctional officers as well as inmates benefit from being informed and prepared to deal with a STD/HIV. |
| MP-032 | TRAINING PRIMARY CARE PROVIDERS IN BRIEF HIV/STI RISK REDUCTION COUNSELING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-032 Spielberg, F; Mauksch, L; Kim, S; Fitch, W; Greer, T; Farber, SJ The "Case for Change" web-based tool has the potential to efficiently begin the training of primary care providers in HIV/STD risk assessment and brief patient-centered risk-reduction counseling. Modifications to the tool could provide training in rapid testing for HIV and in post-test counseling for negative and positive rapid test results. Additional web-based tools will be developed to supplement training, and to assist learners in using a standardized evaluation tool to assess the quality of risk-reduction discussions during a patient-centered primary care visit. Additional research is necessary to determine what minimum training is necessary to ensure the development of adequate assessment and counseling skills. |
| MP-033 | A META-ANALYSIS OF BEHAVIORAL INTERVENTIONS ON SEXUAL BEHAVIORS AND STD INFECTION AMONG AFRICAN AMERICAN AND HISPANIC/LATINO STD CLINIC PATIENTS IN THE U.S. Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-033 Kim, AS; Griffin, TL; Rama, SM; Marrero-Gonzalez, PC; DeLuca, JB; Crepaz, N; Aral, SO; PRS team Behavioral interventions successfully modify risky sexual behaviors of African-American and Hispanic STD clinic patients. Although it was not significant, a 17% reduction of new STD infections was observed. These different findings may be due to the sensitivity of outcome measures to detect changes or data reporting issues. These issues warrant further research. Culturally tailored interventions were efficacious in reducing both risky sex and new STD infection. Having an ethnically matched deliverer may be important for the success of an intervention. |
| MP-034 | SUPPORTING HEALTHY ALTERNATIVES THROUGH PATIENT EDUCATION (SHAPE): AN INNOVATIVE HIV PREVENTION PROJECT WITH HIV+ PERSONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-034 Estrada, B1; Estrada, A2; Trujillo, S3; Burton, K3 Developing a VDI needs to be responsive to the target population in order for the intervention to stimulate meaningful, personal discussion among participants. Making the intervention something that participants can relate to, that is .real. for them is key. The use of video is more engaging, leading to a more interactive discussion among participants. VDI is well received by HIV+ participants, with participants first more able to discuss scenes played out in video by someone else, leading to a more in depth discussion of their own risk taking or disclosure issues as it relates to the videos. |
| MP-035 | STRESS, DEPRESSION AND DISCLOSURE: SUPPORTING HEALTHY ALTERNATIVES THROUGH PATIENT EDUCATION (SHAPE): A PREVENTION WITH POSITIVES PROJECT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-035 Estrada, B1; Estrada, AL2; Trujillo, S3; Burton, K3 Interventions for HIV positive individuals need to take into account not only stress, and depression for those living with HIV, but also the development of communication skills and social support to enhance decision-making ability to disclose their HIV status. Integration of all these domains provides a stronger intervention for healthy relationships for HIV positive people. |
| MP-036 | WHO AND WHY? PARTNER COUNSELING AND REFERRAL SERVICE (PCRS) REFUSAL: IMPLICATION FOR HIV INFECTION PREVENTION IN LOS ANGELES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-036 Aynalem, G; Hawkins, K; Smith, LV; Bustamante, T; Kerndt, PR Identifying the characteristics of HIV infected individuals who refuse PCRS and addressing the reasons of their refusal, will improve acceptance of PCRS and identification of partners who are at risk of contracting/transmitting HIV. |
| MP-037 | THE IMPACT OF A STATEWIDE MEDIA CAMPAIGN ON RAPID HIV TESTING IN NEW JERSEY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-037 Martin, RM; Paul, SM The media campaign appears to have substantially increased the overall number of persons tested for HIV infection. A major effect of the campaign was to increase the relative proportion of rapid tests. Although there was an increase in the number of positives found in the campaign period, the major finding was that the percentage of positive tests found through rapid testing was much higher during the media campaign period. This may have resulted in a higher percentage of positives who received their results. |
| MP-038 | OPTIMIZING SEXUAL HEALTH FOR MEN WHO HAVE SEX WITH MEN: THE PROVIDENCE BATH HOUSE EXPERIENCE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-038 Mayer, KH1; Ducharme, R2; Abbott, D3; Cavanaugh, T4 HIV rapid testing and syphilis screening is highly acceptable in a bath house environment for at risk men, some of whom may not be gay-identified. The provision of services on site may help to decrease the New England regional STD/HIV Epidemic among MSM. |
| MP-039 | EFFECTIVENESS OF RAPID HIV TESTING STATEWIDE AT PUBLICLY FUNDED COUNSELING AND TESTING SITES IN NEW JERSEY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-039 Paul, SM1; Cadoff, E2; Martin, E2; Wolski, M1; Nichol, L1; Williams, R1; Bruccoleri, P1; Maung, A1; Martin, R1; Taylor, C1 Rapid HIV testing has been successfully implemented at publicly funded counseling and testing sites in New Jersey. The percentage of people receiving posttest counseling and test results increased from 65% to 99.8%. Rapid testing identified previously undiagnosed persons. The majority of people who tested positive were previously undiagnosed. Based on the success of rapid testing thus far, NJDHSS plans to expand rapid testing to almost 200 publicly funded counseling and testing sites. |
| MP-040 | FAMILY PEER EDUCATORS PROJECT: IMPROVING FAMILY COMMUNICATION IN THE AGE OF HIV/AIDS AND OTHER STDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-040 Orozco, AC; Graham, A This peer-based intervention model enhances the effectiveness of Mothers. Voices programs by maximizing the peer educators. knowledge of the issues and barriers to behavior change within the target audience. The network of peers have become a credible source of information within their own community and the larger social networks to which they belong. The peers, by effectively communicating, educating, and advocating for sexual health and HIV/AIDS/STD prevention are themselves experiencing a strengthening of their own behavior change through their work on this project. Increased sexual health communication between parents/caregivers and their children will protect our community’s future by reducing the spread of HIV/AIDS/STDs among youth and young adults. |
| MP-041 | HIV PREVENTION AND IMMIGRANTS IN THE HAITIAN COMMUNITY OF GREATER BOSTON Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-041 Bastien, J1; Paul, J2; Metayer, N3 Good planning and implementation of a sound prevention program are not enough to reach new immigrants in the community. Helping them to improve their situation by having a job and hence to become less dependent and vulnerable to risky behaviors is also an inherent part of effective program designed for new Haitian immigrants. |
| MP-042 | HIV PREVENTION THROUGH INDIGENOUS PEER EDUCATORS: SATELLITE SYRINGE EXCHANGE AND PUBLIC HEALTH IN CALIFORNIA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-042 Stopka, TJ1; Lees, NB1; Irwin, K2; Truax, SR1 During Year 1 of this new intervention, we have observed improved syringe access and HIV peer education among SSEs and IDUs. Several unexpected lessons learned have also come to light. Staff in many of the project sites, for instance, are starting to have prevention conversations with IDUs that they have not had before despite years of interactions and experience; work with methamphetamine users appears to be challenging when conducting peer education among SSEs and IDUs and will require additional strategizing; project staff from SEPs, CBOs, City and County Public Health Offices are talking about harm reduction and, in some locations, are collaborating effectively for the first time since the advent of the HIV epidemic. Formalizing the role of SSEs is challenging but, by providing ongoing structure, technical support and flexibility, leads to enhanced, effective prevention programs. |
| MP-043 | ADOLESCENT IMPACT: GROUP INTERVENTION TO PROMOTE HEALTHY LIFESTYLES AMONG ADOLESCENTS WITH HIV/AIDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-043 Conner, LC1; LaGrange, R2; Moschel, D3; Gorigoitia-Wittenberg, C2; Abramowitz, S3 The adolescents in this study generally reported a sense of social isolation secondary to their HIV status; therefore, they enjoyed a group experience that fostered acceptance, education and social interaction. Group interventions incorporating developmentally appropriate, interactive, youth-friendly activities may be as important for the social contribution they make to participants. lives as to the anticipated benefits in sustained HIV care, medication adherence, and reduced transmission risk behavior. |
| MP-044 | ADOLESCENT IMPACT: INDIVIDUALIZED PREVENTION COUNSELING TO MEET THE DIVERSE NEEDS OF HIV INFECTED YOUTH Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-044 Orban, L1; Lewis, J1; Assefa, H2; Fletcher, J3; Chandwani, S1 A standardized secondary prevention intervention can accommodate the diverse characteristics of HIV positive youth. To meet the needs of heterogeneous youth across various clinic settings, similar developmentally targeted interventions using coordinated group and tailored individual curricula are warranted. |
| MP-045 | COMPARISON OF PATIENT AND PRIMARY CARE PROVIDER ATTITUDES REGARDING PREVENTION SERVICES IN AN HIV PRIMARY CARE CLINIC Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-045 Uldall, KK; Edmonds, E; Heideke, S; Van Allen, J Design and implementation of HIV prevention services for primary care settings may benefit by considering both patient and PCP attitudes, incorporating differences in perceptions, in order to understand barriers to HIV prevention integration. |
| MP-046 | VACCINATION IN JUVENILE CORRECTIONAL FACILITIES: STATE LAWS, HEPATITIS B, AND THE IMPACT ON ANTICIPATED SEXUALLY TRANSMITTED INFECTION VACCINES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-046 Manalo, RB1; Tedeschi, SK1; Lally, MA2; Shepardson, S3; Rich, JD2 Most states offer hepatitis B vaccination to sentenced youth in correctional facilities. Less than half of these states also vaccinate detained youth. Juvenile correctional healthcare providers are already have experience vaccinating their patients, and this might facilitate expansion of vaccination services when new STI vaccines become available. Still, major barriers to widespread vaccination exist, including logistics and the issue of consent. |
| MP-047 | VALIDATION OF HIV TESTING STATUS AS REPORTED TO THE NEWBORN SCREENING PROGRAM BY BIRTH FACILITIES IN NEW YORK STATE (NYS) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-047 Pulver, WP1; Smith, L1; Glaros, R2; Warren, BL2; Kowalski, EF2; Hackel, SE2; Birkhead, GS2 A high percentage of pregnant women who deliver in NYS facilities receive voluntary prenatal HIV testing; over 90% of births in NYS during the six month study period had documentation in the labor/delivery record of prenatal HIV counseling and testing. NSP testing history accuracy appears higher in larger birth facilities, possibly due to recurring DOH review of preventive activities related to perinatal transmission. Labor and delivery chart review probably reveals the minimum level of prenatal HIV testing, as additional documentation may be available in prenatal charts. Hospital self-report is a useful method for gathering population-based data on voluntary prenatal testing. |
| MP-048 | PREGNANT WOMEN ACCESS TO THE HIV TEST IN A LOW RESOURCES SETTING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-048 Hojman, MA The low HIV test performance in the first visit and the low number of women that received explanation about the important of the test in pregnant women from HCW, is further proof of the need of measures directed to improve the HCW-patient relationship. The importance of previous explanation and/or previous knowledge about the test and the disease in pregnant women show the need of further education of HCW and general public. |
| MP-049 | DEMYSTIFYING THE "DOWN LOW": THE REALITY OF BLACK MASCULINITY, SEXUAL IDENTITY, AND HIV AMONG BLACK MEN WHO HAVE SEX WITH MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-049 Bryant, LO; Malebranche, D The results of this study emphasize the importance of the individual social context for BMSM at risk for contracting HIV, instead of emphasizing risk groups like "Down low". Socialized black masculine expectations influence BMSM familial and community upbringing, spiritual beliefs, sexual identities, sexual networks and sexual behaviors. These findings illustrate the need for future HIV prevention initiatives for BMSM focusing on risk behaviors, not risk groups, while redefining and facilitating masculine empowerment as a means to increase condom usage and decreased sexual risk-taking. |
| MP-050 | GBV-C STATUS IS ASSOCIATED WITH LOWER HIV-1 SUBTYPE B. VIRAL LOADS DURING PRIMARY INFECTION IN THAI INJECTING DRUG USERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-050 Butera, ST1; Hansen, D1; Kulkarni, P1; Vanichseni, S2; Chaowanachan, T2; Gvetadze, R1; Martin, M3; van Griensven, F3; Choopanya, K2; Tappero, J3; Hu, D1 Past or current GBV-C infection is associated with lower HIV-1 peak viremia, at least for subtype B.. Understanding the HIV-1 subtype-specific nature of this association may help resolve host factors that control primary HIV-1 viremia. Furthermore, GBV-C status should be taken into account in HIV-1 vaccine trials where secondary endpoints are important determinants of vaccine efficacy. |
| MP-051 | THE ADOLESCENT REPRODUCTIVE HEALTH EDUCATION PROJECT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-051 Duffy, K This project was initially piloted in Georgia. Due to its overwhelming success, a national initiative to is now being developed. The main criticism throughout the initial pilot phase was that there was too much information in the slides. In the expansion phase, the presentation was broken down to nine core modules, allowing each site to select the module most appropriate to their participants and offering a more focused presentation. This program is continuing a second year in Georgia with already nine presentations scheduled. The national committee is working diligently to prepare the next phase to debut in October 2005. |
| MP-052 | "PRIDE IN THE CITY", AN INNOVATIVE COMMUNITY LEVEL INTERVENTION FOR BLACK GAY MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-052 Washington, K; Roberson, M; English, G Culturally competent services that build and affirm the Black LGBT community, while including HIV prevention messages, can result in "hard-to-reach" Black LGBT people accessing HIV testing and STD screening services and raise awareness across broad segments of the Black LGBT community. |
| MP-053 | HEALTHY RELATIONSHIPS: A COPING AND SAFER SEX MAINTENANCE INTERVENTION FOR MEN AND WOMEN LIVING WITH HIV/AIDS - THE TRAINING OF FACILITATORS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-053 Casillas, D; Pyeatt, M; Few, TE; Belzle, T; Hall, D The Dallas STD/HIV Behavioral Intervention Training Center along with collaborative partners have trained CDC directly funded agencies, assisted in the implementation and tailoring of the intervention and provided training of trainers for state health departments’. |
| MP-054 | A FOCUS GROUP PERSPECTIVE ON THE KNOWLEDGE AND USE OF THE EXPANDED SYRINGE ACCESS DEMONSTRATION PROGRAM (ESAP) AMONG INJECTION DRUG USERS (IDUS) IN NEW YORK CITY (NYC) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-054 Gieryic, SM1; Battles, HB1; Fuller, CM2; Caceres, W2; Tesoriero, JM1 These data highlight the need to continue outreach work to educate IDUs, pharmacists and law enforcers about ESAP. Education efforts should aim to incorporate focus group participants. suggestions, as well as facilitate the communication of ESAP supportive pharmacists to help reduce perceived barriers. |
| MP-055 | RAPID ASSESSMENT RESPONSE EVALUATION AMONG MINORITIES IN SAN JOSE CALIFORNIA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-055 Cuenco, WA Vulnerable communities in Santa Clara County face the multiple risks associated with gang and drug activity. The Field Team Members observed drug dealing in front of Mexican stores and gas stations. Most drug dealers were young Hispanics and Asian/Pacific Islanders. Respondents have also noted that injecting drug use is very rampant among older African Americans. Generally, funding should be made available to develop or expand programs for active and recovering substance abusers that include intensive case management for care and treatment and education and prevention programs. With an increasing visibility of hustling and prostitution observed, women and transgender including their clients are more vulnerable to getting infected by sexually transmitted diseases including HIV/AIDS as well as other emerging infections. Considering the number of people who exhibit risk behaviors but do not get tested and the number of people who do not return for their test results within these populations, new HIV cases will continue to increase. HIV/AIDS service providers should not limit their programs to reaching those individuals that are vulnerable to HIV/AIDS, but should extend their services to their communities. |
| MP-056 | A MULTI-COMPONENT INTERVENTION TO PROMOTE MEDICATION ADHERENCE IN PEDIATRIC HIV (PEDIATRIC IMPACT): DESCRIPTION OF STUDY AND PRELIMINARY FINDINGS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-056 New, MJ1; Earp, M2; Dominguez, KL2; Darcy, F2; Lee, S1; Demas, P3; Rakusan, T1; Wiznia, A3; Rana, S4; Folk-Smith, Z1; Porricolo, M3; Simoni, J5; Bunkley, D4; Gavin, L2; Anderson, J2; Fowler, M2; the Pediatric IMPACT Consortium Studies indicate that non-adherence to medical regimens in pediatric HIV, and other childhood chronic diseases, is a major clinical issue that can lead to medication resistance and subsequent treatment failure. Major barriers to adherence are known to include regimen, disease, and individual/ family characteristics. This study describes multi-component, needs and family-based interventions to promote antiretroviral (ARV) adherence among 5 - 13 year old children living with HIV. |
| MP-057 | TRAINING HIV MEDICAL PROVIDERS TO DELIVER HIV PREVENTION MESSAGES TO PATIENTS. DO YOU KNOW WHAT TRAINING THE PROVIDERS REALLY NEED? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-057 Merron-Brainerd, J1; Spencer, S1; Ricksecker, MA1; Teti, M2 Assessing training needs of clinicians and designing site-specific training programs is essential to integrating HIV prevention into HIV clinical care. Integrating HIV prevention into medical care is multi-faceted and can pose multiple challenges. Remaining flexible and responsive to the results of needs assessments is critical to the success of the training programs. |
| MP-058 | FAMILY MAASAI STD/HIV PREVENTION EDUCATION & WHOLISTIC SELF-EMPOWERMENT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-058 Na'a, L Preparedness to explain thoughts and feelings increases self-confidence and self-esteem. Having factual information and a set of values to live by enables a person to stand up to pressure, reducing vulnerability. Role model practicing increases self-efficacy. Effective STD/HIV Prevention Education programs must reflect the special needs of women and cultural pride. Recognizing that supporting women in feeling good and powerful about who they are individually, and collective empowerment as the Universal Mothers of Civilization will help to influence better decision making in matters of relationships, improving the health of themselves and their families. |
| MP-059 | SUPPORTIVE HOUSING FOR HIV/HCV COINFECTED PATIENTS WITH PSYCHIATRIC AND ADDICTIVE DISORDERS PROVIDES A STABLE ENVIRONMENT FOR HCV TREATMENT AND SECONDARY PREVENTION: A PILOT PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-059 Taylor, LE1; Fitzgerald, P2; Cowan, D2; Chapman, S3; Schwartzapfel, B3; Harwell, JI1 Supportive housing for HIV+ persons can provide the stability necessary to treat HCV in patients who might not otherwise be eligible for treatment. Close monitoring afforded through the residential program fosters adherence to HCV and HIV medications and may help to optimize tolerability and safety. |
| MP-060 | PLANNING AND ORGANIZING SUCCESSFUL HIV TESTING EVENTS IN AFRICAN AMERICAN COMMUNITIES: PROMOTIONAL STRATEGIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-060 Moody Thomas, LD; Colomb, MA The development of new tests for HIV that are simple, rapid, and provide HIV results in 20 minutes has created new prospects for expanding HIV testing to identify HIV positive persons earlier, increase the number of persons who know their status and increase access to treatment and care. Despite this, increasing the number of African Americans who test for HIV remains challenging. These as well as other new developments call for new strategies and interventions to increase access to testing that include the use of carefully planned social marketing, media, promotional and evaluation strategies when targeting specific minority populations heavily affected by HIV/AIDS. |
| MP-061 | EVALUATION OF A STAFF TRAINING FOR STATE EMPLOYEES: TRANSGENDER AWARENESS, HIV, AND ACCESS TO CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-061 French, T1; Lurie, S2; Small, A1; Corsi, A1; Cook, R1; Vannucci, M1 Transgender (TG) people face a wide range of societal barriers that impact their ability or willingness to access important medical and social services. Well-meaning providers are often unsure or uncomfortable engaging TG persons in frank discussions that could improve their ability to obtain adequate care. In addition, studies have indicated that TG persons may be disproportionately impacted by HIV. The New York State Department of Health AIDS Institute (AI) funds HIV prevention and health care services for individuals infected with, or at risk for, HIV infection. In order to ensure that AI staff have the necessary knowledge and skills to work effectively with TG persons and the programs that serve them, the AI contracted with a nationally recognized trainer to conduct comprehensive trainings to AI staff with regard to transgender issues, HIV, and access to care. The training was intended to increase staff knowledge, comfort levels, and cultural proficiency with regard to transgender-related issues. |
| MP-062 | THE STONY BROOK MODEL: LINKING HIGH SCHOOLS AND COLLEGES TO IMPROVE HEALTH AND LEARNING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-062 Lemay, HR; CAsh, F; McGann, T; Douthi, K; Watson, S AAC&U can magnify the impact of our work in HIV prevention in youth and seek to persuade other schools to initiate similar programs and change efforts. |
| MP-063 | WALKING THE WALK: REAL WORLD PREVENTION WITH PERSONS LIVING WITH HIV Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-063 Glassman, M1; Akpele, E2; Leiphart, J3; White, B4 Presenters will discuss lessons learned about interventions for persons living with HIV. These lessons will address community planning, staff training, program design based on scientific research, establishing program goals and objectives, issues in implementation, the integration of prevention and primary medical care, and program monitoring and evaluation. |
| MP-064 | PEER EDUCATORS MAKE POSITIVE CHANGES THROUGH SUPPORTING THE RISK REDUCTION EFFORTS OF WOMEN LIVING WITH HIV. Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-064 Teti, M; Rubinstein, S; Lloyd, L In addition to enhancing the Protect and Respect Project, the peer leaders themselves have changed in positive ways through taking part in the project. These changes help the peers empower others and spread risk reduction messages positively and powerfully throughout their peer networks. Peers require ongoing and thorough training, support, and supervision to maintain this success. |
| MP-065 | DEVELOPING COST-EFFECTIVE RECRUITMENT STRATEGIES FOR PREVENTIVE HIV VACCINE TRIALS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-065 Santella, AJ1; Travis, KA2; Frew, PM2; Holtgrave, DR2 The outcomes suggest that employing a range of communication tactics yields more response from the community, thereby reducing overall recruitment cost per person enrolled. Involving community educators, health communicators, trial staff, and community advisory board members in the recruitment process is important for successful outcomes. |
| MP-066 | HIV PREVENTION FOR OUTREACH WORKERS SERVING HOMELESS STREET YOUTH Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-066 James, A The objective of the study was to investigate the feasibility of developing web-based communities of practice and web-based HIV prevention training to increase the use of HIV prevention strategies by outreach workers to homeless street youth. |
| MP-067 | IMPLEMENTATION OF RAPID HIV TESTING AT EMERGENCY DEPARTMENTS IN NEW JERSEY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-067 Paul, SM1; Cadoff, E2; Martin, E2; Wolski, M1; Nichol, L1; Williams, R1; Brucoleri, P1; Maung, A1; Martin, R1; Taylor, C1 Rapid HIV testing has been successfully implemented at emergency departments in New Jersey. This allows access to HIV counseling and testing for at-risk persons who otherwise may not have gone for HIV counseling and testing. Rapid testing identified previously undiagnosed persons who presented to emergency departments for complaints unrelated to HIV disease. Based on the success of rapid testing in emergency departments thus far, NJDHSS plans to expand rapid testing to more emergency departments. |
| MP-068 | PEER EDUCATION: STRATEGIES FOR SUCCESS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-068 Deas, NJ; Augustine, J TAP trained peer educators have increased their communication skills, their knowledge of sexual and reproductive health, their decision making abilities, their public speaking capacity, their ability to facilitate groups, their planning and development skills, and their resistance to peer pressure. They have also learned compassion and how to be culturally sensitive to people different than themselves. This has equipped them with leadership qualities, as they learned innovative ways of presenting HIV/STI prevention information to their peers. |
| MP-069 | THE YOUNG WOMEN OF COLOR LEADERSHIP COUNCIL: EDUCATE. INCLUDE. EMPOWER Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-069 Varia, S Change is slow. The council recognizes that there is diversity amongst and between 'communities of color', and that different audiences require different strategies. This is why they are constantly developing new ways to promote healthy messages. The council conducts workshops, trainings, writing campaigns, media campaigns and participates in larger events such as World AIDS Day, National Black HIV/AIDS Awareness & Information Day, National Latino AIDS Awareness Day, and National HIV Testing Day. Ultimately, success requires the help of allies, and the support from other reproductive and sexual health organizations. In order to make a difference, programs and services have to be culturally relevant in order to be effective. And lastly, empowering young women is an effective way to reduce HIV infection while encouraging them to be leaders not only in HIV prevention, but in all facets of their lives. |
| MP-070 | SCREENING FOR HIV-TRANSMISSION RISK: DOES URBAN VS. RURAL LOCATION OF CARE MATTER? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-070 Kuenneth, C1; Flynn, N2; Clancy, L2; Callahan, E3; Davalle, L2; Enders, S2; Gibson, DR2 'Urban clinical setting' appears to be potentially more effective for intervention screening than self-report of sex with multiple partners (including casual), injection drug use, risk-taking due to alcohol or drugs, or STD history. These results have important implications for screening methods and designing population-based HIV prevention interventions tailored to community norms. Alternative explanations for these findings may include undocumented intensive prevention counseling occurring in rural clinics and selection bias. |
| MP-071 | IMPLEMENTING RAPID HIV TESTING IN NEW YORK STATE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-071 San Antonio-Gaddy, M; Richardson-Moore, A; O.Connell, D Through careful planning, voluntary rapid HIV testing can be successfully implemented in a public health program. Training HIV test counselors is essential for non-laboratorians to perform the test accurately and to have increased confidence and comfort levels with the new technology. Clients overwhelming prefer rapid HIV testing to standard blood and oral fluid testing. Rapid testing increases the number of individuals tested who learn their HIV status. |
| MP-072 | UTILIZING OUTCOMES MONITORING DATA TO SUPPORT THE DEVELOPMENT OF EVIDENCE BASED PROGRAMMING, IMPROVE PROGRAM INFRASTRUCTURE AND TRACK CLIENT-LEVEL OUTCOMES: OUTCOMES MONITORING DATA FROM A STREET OUTREACH PROGRAM FOR INJECTION DRUG USERS AND WOMEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-072 Hazel, D1; Jackson, T2 At the CDC’s 2003 National HIV Prevention Conference we highlighted a conceptual framework for improving agency capacity to ground programs in sound behavioral science models and monitor client outcomes by collecting and analyzing client profile and outcomes data. The next logical question is: How can CBOs use Outcomes Monitoring Data to improve program performance? This year’s presentation will focus on utilizing client Profile and Outcomes Monitoring data to achieve three specific outcomes: Improve staff supervision; strategically focus outreach efforts to target populations of unknown serostatus; and track outcomes from core elements and topic areas for IILI HE/RR Interventions. |
| MP-073 | IMPLEMENTATION OF COALITION DEVELOPMENT STRATEGIES TO INCREASE ACCESS TO HIV TESTING AND COUNSELING SERVICES FOR AFRICAN-AMERICANS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-073 Rucker, T; Gipson, J Community health organizations that participated in this workshop gained a clear understanding of the advantages of collaborating to increase testing and counseling services for the African-American community. Providing community health organizations with a systematic approach to planning organizing, and implementing coalitions has implications for targeting prevention efforts, service integration, and nonduplication of services. As a result of the participants working together in .mini-coalitions, community health professionals had the opportunity to network, share ideas, and discuss creating linkages to create a continuum of services in their respective communities. |
| MP-074 | MARYLAND'S "PHARAOH" PROGRAM: AN AFROCENTRIC, COGNITIVE BEHAVIORAL, FIVE-SESSION HIV RISK REDUCTION INTERVENTION TARGETING INCARCERATED AFRICAN AMERICAN MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-074 Shea, M, Ph.D1; Harvey, A, DSW, LICSW2; Chapman, S1; Bauserman, R, Ph.D1; Davis, T, MS1; Roberts, K, MPH1; Villanueva, L1; Tomoyasu, N, Ph.D1 Afrocentric theory and practice is based upon universal concepts and principles and resonates with African American males. It can be implemented with very slight adjustments to other ethnic groups, because of the universality of the principles and concepts. Additionally, all trainers/facilitators can identify with model and were excited about its implementation. Sufficient time must be allocated in the training for all participants to master the intervention exercises and techniques. This intervention is being very well received and is showing desired results. Unanticipated events such as early release, lawyer meetings, and disciplinary actions pose challenges in completing five sessions. |
| MP-075 | MEETING THE DEBI STANDARD: A BASELINE ASSESSMENT OF COMMUNITY-BASED HIV PREVENTION PROGRAMS IN OHIO, 2004 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-075 Dunn, CS; Adams, J; Shields, G; Edwards, J; Hribar, C; Hottinger, CS Community-based HIV prevention programs in Ohio have to make a substantial improvement in meeting at least one aspect of DEBI programs, namely the capability to evaluate the effectiveness of their programs. Even fewer community-based organizations report using program evaluation data to improve their programs. |
| MP-076 | LOGGING ON FOR LINKAGES: CHARTING CYBERSPACE FOR NEW PREVENTION AND RAPID TESTING POSSIBILITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-076 Garner, AB At any hour of the day more than 30 MSM are in the Jacksonville, FL, AOL M4M chat room alone primarily looking for sexual interaction. At peak times in the evening it takes two chat rooms with nearly 60 MSM total to accommodate the demand. In some cities such as Tampa or Orlando, this number can be as high as 5 chats accommodating 36 people each. With the development of sites such as Gay.com, BareBackCity. com, and Men4SexNow.com, MSM have ample opportunities to locate sex partners for any kind of physical interaction any hour of the day in any metropolitan community. The need for online interaction with these MSM for purposes of linkage to scientically-based interventions and STD/HIV testing is welcomed by most and critical for all. |
| MP-077 | INCREASING COMMUNITY ACCESS TO HIV TESTING AND COUNSELING SERVICES BY FORMING COALITIONS IN THE AFRICAN AMERICAN COMMUNITY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-077 Rucker, T; Gipson, J The session will provide an atmosphere for community health professionals to discuss effective coalition development and maintenance strategies. Community health professionals will gain an understanding of effective coalition structure and maintenance which can ultimately aid in creating long lasting collaborative efforts among community health organizations serving African-American communities. |
| MP-078 | PRIVATE SECTOR ENGAGEMENT TO SUSTAIN HIV PREVENTION PROGRAMING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-078 Ferree, K1; Gomez, C2; Bridges, SC1 Public-Private partnerships are critical to long term, sustainablity of HIV/AIDS work. It is important that engage minority small businesses and minority business leadership in ways in which they may serve as a resource in providing phianthropic support to the community based organizations understand important it is to have the private sector engaged to provide support to community based organizations meet their strategic business goal/missions. More importantly, working collaboratively will result in a net increases for all collaborators. |
| MP-079 | A COMPREHENSIVE PLAN FOR THE CHURCH TO WORK IN PARTNERSHIP WITH LOCAL CBOS TO SERVE THE HIV COMMUNITY - IT CAN BE DONE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-079 Smith, W This has been a long-term process. Our Ministry has had to build trust within this community and continue to serve HIV+ people with commitment and consistency. We have learned that there is a place for the church in this .fight. but that the church must work alongside and in cooperation with all kinds of agencies and with a diverse group of people in order to accomplish goals that are often common, even among agencies that. are very different. |
| MP-080 | KNOWLEDGE, ATTITUDES AND PRACTICES REGARDING HIV/AIDS- A STUDY IN URBAN SOUTH INDIA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-080 Raman, T1; Kang, G2 There is a good understanding of the correct transmission of HIV/AIDS however casual contact routes were also thought to exist. This may explain misconceptions that HIV is contagious and PWA require isolation and may contribute to the social stigma. |
| MP-081 | THIS IS MY REALITY - THE PRICE OF SEX Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-081 Juzang, I As a result of attending the workshops, participants learn to effectively engage youth in making healthier choices, abstaining from sex or improving their sexual and reproductive health decision-making skills. The workshop offers practical, culturally-relevant solutions in a way that can be immediately applied directly with teens in a variety of settings and that reflect the challenging real-world scenarios they face each day. |
| MP-082 | A STRUCTURAL COMMUNITY MOBILIZATION MODEL: ACCESS TO AND UTILIZATION OF HIV PREVENTION SERVICES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-082 Shelby-Bynum, A; Colomb, M Utilization of a case management approach to conducting capacity building assistance that strategically targets African American communities of highest incidence and prevalence for HIV/AIDS helps to ensure non-duplication of efforts. Logic modeling for program planning and evaluation assists in guiding project efforts. Continuous quality assurance, process and outcome monitoring and evaluation of all program aspects ensure accurate data retention and provides scientific basis for determining lessons learned. |
| MP-083 | ESSENTIAL COMPONENTS OF HIV PREVENTION PROGRAM TARGETING DISENFRANCHISED YOUTH: LESSONS LEARNED FROM AN HIV INTERVENTION WITH HAITIAN ADOLESCENTS IN BOSTON Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-083 Veillard, J1; Cheezum, RR2 HIV prevention programs that target immigrant adolescents or youth of color must address the issues of ethnic identity and internalized racism in order for programs to successfully lead to behavior change. Additionally, barriers that prevent youth from participating in program must be anticipated in order to effectively plan for program delivery. Through this facilitated discussion with other practitioners, barriers can be identified early and innovative methods for instilling ethnic pride can be shared. |
| MP-084 | FWO FOR WOMEN ONLY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-084 Armstrong, D; Rand, K; Folino, M; Andrews, M; Olson, K In response to our success with intensive case management for pregnant women, we plan to continue working with the pregnant women in the practice by contacting them weekly throughout their gestation period. |
| MP-085 | PROMOTING QUALITY PREVENTION COUNSELING PROJECT: WHAT HAVE WE LEARNED? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-085 Patel-Larson, A1; Galbraith, J1; Robbins, A2; Todd, J2; Foskey, T2; Spikes, P1; Carey, J1 The study demonstrated it is possible to implement protocol-based prevention counseling with evidence of effectiveness with existing resources. |
| MP-086 | HIV PREVENTION FACT SHEETS HELP PUT SCIENCE INTO PRACTICE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-086 DeCarlo, P; Warren, M; Adler, N; Arjona, M; Grinstead, O; Goldstein, E CAPS's HIV Prevention Fact Sheets are a key method for disseminating HIV prevention science and practice. The Fact Sheets seem to keep up with changing staffing, as although they have been in existence for almost 10 years, a third of readers are new to them. Fact Sheets are also used extensively in prevention services. Most readers give fact sheets to clients, even though they are written with a provider perspective. Fact sheets are also used by almost a third of readers to modify existing programs or develop new ones, indicating that many providers are using prevention science in their day-to-day practice. The Fact Sheets are an effective mechanism for ensuring that the science of HIV prevention is translated into HIV prevention programs. |
| MP-088 | A PUBLIC HEALTH APPROACH FOR AIDS PREVENTION IN GUJARAT STATE-INVOLVING PEOPLE WITH HIV AND THE COMMUNITY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-088 Patel, RV The development of AIDS-competent communities requires training, information an ongoing support. People with HIV have a number of roles to play in community preparedness for HIV prevention. Community preparedness for prevention will depend on coordination of support for those involved in treatment and will mean having the necessary information, knowledge, skills and materials including regular, uninterrupted supplies of information, communication and education materials. |
| MP-089 | A CENTERS FOR DISEASE CONTROL AND PREVENTION INITIATIVE: COALITION CAPACITY BUILDING FOR TEEN PREGNANCY PREVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-089 Nolte, KM1; Davis, L2; Boyd, S3 State funding for teen pregnancy prevention can not be guaranteed and is always a challenge. Strong leadership and management at the state coalition level are imperative to the success of the program. Science-based needs to be clearly defined from the outset and needs to be reinforced throughout the project. Using science-based principles may mean modifying what you currently are doing to have a better chance of being successful. Using science-based approaches does not cost more money. |
| MP-090 | ADAPTING AND TAILORING SAFETY COUNTS FOR DIVERSE COMMUNITIES OF DRUG USERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-090 Harshbarger, CL1; Farrell, J2 Safety Counts can be effectively adapted and tailored for drug using populations in community settings. |
| MP-091 | INCREASING RACIAL/ETHNIC PARTICIPATION IN THE COMMUNITY PLANNING PROCESS: A CASE STUDY OF THE ENLACES PROJECT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-091 Chaparro, MB1; Basham, C1; Ramos, R1; Somerville, G2; Taveras, S2 Health departments are interested in increasing PIR in CPGs but need additional skills to recruit and maintain HIV-positive Latino membership, including competency related to Latino culture and subpopulations such as migrant workers. On the other hand, Latino CPG members need skills in group dynamics, use of data to support decision making and conflict resolution. Providing scholarships enables participation by marginalized populations. The curriculum is easily tailored for diverse Latino populations, including HIV-positive Latinos, and for other racial/ethnic populations. |
| MP-092 | PREVENTION THROUGH COMMUNITY ACTION: INCREASING HIV AWARENESS AND CREATING SUSTAINABLE, COMMUNITY LEVEL CHANGE USING A REPLICABLE COMMUNITY ACTION MODEL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-092 Massuda, GL1; Tkachik, A2 As all over the United States, HIV is growing rapidly in the south suburbs of Cook County. The number of living HIV/AIDS cases reported doubled between 1995 and 2000. Black non-Hispanic cases constitute 69% of the cumulative HIV/AIDS cases in this area. Cultural and historic barriers have kept many African Americans in this area from accessing available local HIV/AIDS education, screening, care and support services. Historical absence of accessible, culturally competent local health care particularly in the most socially and economically marginalized communities has helped to foster patterns of consumer avoidance or use of emergency health care rather than routine preventative and health maintenance visits. Lack of publicity of the recently emerging services in the area leave many with needs unaware of available resources. |
| MP-093 | HIV PREVENTION LESSONS LEARNED FROM A COMMUNITY COLLABORATION EXPERIENCE IN CAMBODIA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-093 Kern, NS1; Leng, HB2 With sufficient technical assistance and support, empowered community members are able to take initiative and assume responsibility for addressing HIV issues within their communities. Mechanisms for communicating and planning between provincial health departments and local communities were enhanced and strengthened, allowing for this HIV planning process to be sustained and potentially replicated within a population that has been significantly affected by the HIV epidemic. There is a need to provide ongoing training, technical assistance and support to affected communities to more effectively ensure sustainability of a community planning process. |
| MP-094 | HIV TESTING PRACTICES AND ATTITUDES ON PREVENTION EFFORTS IN 6 RACIALLY AND ETHNICALLY DIVERSE COMMUNITY AREAS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-094 Allgood, KL; Silva, A; Shah, A; Whitman, S The adults in these 6 CAs are 2 to 4 times more likely to have ever been HIV tested and tested recently than adults nationally (according to the NHIS and BRFSS surveys). Residents in these communities also strongly favor local initiatives to help prevent the spread of HIV in their communities, namely needle exchange programs, condom distribution in high schools, and HIV prevention information distribution in both high schools and elementary schools. To date this survey is the only one in Chicago that has looked at attitudes towards prevention efforts at the community level. These data also highlight the need for more national and local level data regarding the attitudes of these prevention efforts to help promote HIV prevention initiatives. |
| MP-095 | APPLICATION OF STAGES OF CHANGE AND COMMUNICATION FOR SOCIAL CHANGE (CFSC) IN THE PROVISION OF HIV PREVENTION COMMUNITY CAPACITY BUILDING ASSISTANCE FOR AFRICAN AMERICAN CLERGY IMPLEMENTING HIV PREVENTION AND TESTING PROGRAMS: A CASE STUDY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-095 Hampton, JF1; Crawford, SL1; Sanders, EC1; Smith, DL1; Fleming, R, III1; Matthews, WW, Sr.2; Williams, R, III3; Hill, J4; Dunlap, SL5 Traditional means of approaching "pre-contemplating clergy" must be reconsidered when seeking their participation in HIV prevention efforts. Applied together, the CFSC and Stages of Change models are useful and promising in developing successful CBA strategies for engaging, training and transitioning African American clergy from inaction to working collaboratively with others to ensure prevention and care services are more accessible. |
| MP-096 | AWARENESS AND UTILIZATION OF NEW YORK STATE-SPONSORED HIV/AIDS TRAINING PROGRAMS: RESULTS OF A PHONE SURVEY OF STATE-FUNDED ORGANIZATIONS IN HIGH HIV/AIDS PREVALENCE AREAS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-096 French, T; Iverson, R; Cotroneo, R; Tesoriero, J; Carrascal, A High levels of awareness and utilization of AI-sponsored trainings were reported. However, due to staff turnover and agency requirements for ongoing training, the frequency and content of trainings should be evaluated periodically to determine if they are meeting provider needs. Although many organizations offered in-house trainings, frequently these consisted of routine "orientation" subjects such as confidentiality, HIV 101, or trainings specific to the mission of the program, such as counseling and testing or case management. In many cases providers may be relying on AI-sponsored trainings for more specialized subjects such as mental health, Hepatitis, and prevention with positives. New trainings are currently being developed based on feedback from this evaluation. Additional project benefits include the development of a list of providers in high prevalence areas that can be used for direct marketing and outreach. |
| MP-097 | UNDERSTANDING THE ROLE AND FUNCTION OF LOCAL PUBLIC HEALTH AGENCIES IN HIV PREVENTION: IMPLICATIONS FOR LOCAL, STATE AND FEDERAL PARTNERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-097 Joseph, JM At the front lines of governmental HIV prevention efforts, local public health agencies (LPHAs) serve a unique role. Despite the essential services LPHAs provide, many do not understand the exact nature of their work. Better understanding the needs and challenges faced by LPHAs can assist community-based organizations, community members, education agencies and state and federal agencies to develop more productive relationships with the LPHAs with which they work. To this end, National Association of County and City Health Officials (NACCHO) will present a brief overview of the role and function of LPHAs in general, the tools provided by NACCHO to assist them in their work and the HIV prevention strengths and challenges faced by LPHAs. |
| MP-098 | CENTERS FOR DISEASE CONTROL DIFFUSION OF THE POPULAR OPINION LEADER INTERVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-098 Whittier, DK1; Sawyer, RJ2 Examples of successful coordination of organizations and other resources that prove to be highly successful in this diffusion of POL should be identified and disseminated along with the other resources in support of the intervention. |
| MP-099 | THE APPLICATION OF THE PEN-3 MODEL IN THE DEVELOPMENT OF AN HIV PREVENTION INTERVENTION AIMED AT REDUCING HEALTH DISPARITIES AMONG AFRICAN AMERICAN ADULTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-099 Cowdery, JE1; Parker, S1; Webster, JD2 Use of the Pen-3 cultural framework for intervention development provides valuable guidelines for ensuring the intervention is culturally specific by placing culture at the center of the planning process. Commitment of all participants to the principles and process of Community Based Participatory Research is essential to the development of a locally relevant intervention. |
| MP-100 | aLearned Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-100 Colomb, MA; Rucker, T Service integration for HIV services is essential given limited resources in many communities across the United States. Federal, state and local funding agencies (CDC, HRSA, health departments, etc.) promote service integration and unique ideas to reduce duplicated efforts. Primary Care Referral Networks promote service integration and pool resources in communities with limited funds to conduct HIV services. As a major benefactor, community-based agencies can apply primary care referral networks models within their communities to provide access to and utilization of HIV services. |
| MP-101 | RAPID HIV TESTING IN A MOBILE UNIT SERVING HOMELESS PEOPLE AT NIGHT IN CHICAGO Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-101 Tsang, J Because people who are homeless often have several additional issues that increase their HIV risk, it is imperative that they have access to HIV testing and risk reduction counseling that meets their specific needs. With conventional HIV testing, only 50% of those tested returned to the outreach site for their test results. |
| MP-102 | RAPID HIV TESTING IN NON-TRADITIONAL SETTINGS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-102 O'Connell, D; Feldman, IS; Tanner, E Because we offer several services in a mobile unit, securing a confidential space for counseling is often difficult. We have made adjustments in our methods of service delivery and installed curtains and window wraps to ensure the client’s privacy and comfort. Further, to ease the testing and counseling process, all paperwork and testing supplies are prepared in advance and stored in a standard location. Because we do not offer primary care services, strong, communicative partnerships with clinics have been established. We ask clients who test preliminary positive with OraQuick to complete an Authorization for Release of Medical Information form. This allows us to follow up not only with the client, but also with the organization to which we refer the client for care. Clients who test preliminary positive are encouraged to do a confirmatory OraSure test. We also provide an immediate referral to care, a phone card and transit passes in an effort to ensure a quick and firm transition to care. |
| MP-103 | ADAPTING A FAMILY-BASED HIV PREVENTION PROGRAM FOR HIV-INFECTED PREADOLESCENTS AND THEIR FAMILIES: YOUTH, FAMILIES AND HEALTH CARE PROVIDERS COMING TOGETHER TO ADDRESS COMPLEX NEEDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-103 Traube, DE1; McKay, MM2 Issues related to HIV stigma, disclosure, and secrecy proved to be of even greater importance than anticipated for the study sample. Thus, the overall .lessons learned. from the process evaluation of the CHAMP+ Family Program was that addressing issues of secrecy, HIV disclosure, and stigma in the early sessions of an intervention are critical to the development of an acceptable preventative intervention for this population. Failure to address these issues prior to the delivery of health promotion messages will undermine any preventative intervention efforts. |
| MP-104 | CULTURALLY COMPETENT SOCIAL MARKETING TO INCREASE UTILIZATION OF HIV TESTING AT AN HISPANIC CBO Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-104 Fallon, S1; Narvaez, R2 Other agencies working to expand their HIV testing client base from the .worried well. to at-risk individuals may benefit from observing this agency's development of an effective marketing program. |
| MP-105 | IMPLEMENTATION OF A MATERIALS DEVELOPMENT TRAINING AND GRANT PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-105 Blaza, J; Le Mons, A Other agencies working to expand their HIV testing client base from the .worried well. to at-risk individuals may benefit from observing this agency’s development of an effective marketing program. |
| MP-106 | ENGAGING MARGINALIZED YOUTH IN HIV PREVENTION SERVICES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-106 Crutsinger-Perry, L; Beck, B; Brown, A As a result of attending participants will: . Demonstrate an increase in knowledge regarding the presenting needs and issues of youth at high risk for HIV infection; Demonstrate an increase in knowledge regarding youth perceptions of and barriers to accessing HIV counseling and testing services; Gain a greater understanding regarding organizational capacity and need in the provision of HIV prevention services to youth; Demonstrate an increase in knowledge and awareness regarding youth-specific HIV counseling guidance and protocols, Have a greater understanding regarding services and providers of those services funded under CDC’s Capacity Building Assistance Branch. |
| MP-107 | HIV INTERVENTION TAILORING FOR MINORITY POPULATIONS: A PROTOCOL BASED ON THE TREATMENT ADVOCACY PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-107 Raja, S1, 2; Glick, N1; Allgood, K1; McKirnan, D2 As the prevalence of HIV increases in racial minority communities, there is a growing need to tailor existing prevention interventions to better serve these populations. This presentation details how the Treatment Advocacy Program (TAP), originally developed for gay/bisexual HIV+ men, was tailored for use in a largely African American, urban clinic. We will discuss a systematic tailoring process involving focus groups and community consultation, present preliminary findings, and review how this process applies to other prevention interventions. |
| MP-108 | INCREASING TREATMENT ACCESS THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN A FAITH-BASED INSTITUTION AND A FOR-PROFIT METHADONE CLINIC Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-108 Crawford, SL1; Perkins, J1; Fairley, A1; MacMaster, SA2 The results of formative and outcome evaluations provide evidence of the efficacy of these efforts in terms of reductions in substance use, HIV risk, and improvements in self sufficiency. |
| MP-109 | ASSESSING THE EVIDENCE FOR HIV PREVENTION STRATEGIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-109 Kennedy, GE; Horvath, T; Rutherford, GW High quality systematic reviews generate the evidence required to practice evidence-based medicine and public health and guide public policy. Our report was used in a presentation to the U.S. Government on the importance of using the best evidence in allocating funds for the President’s Emergency Plan for AIDS Relief (PEPFAR). It remains to be seen whether PEPFAR programs will reflect our findings. HIV prevention decisions, at every level, should be made on the basis of strong evidence, and not on fixed ideas or ideology. |
| MP-110 | DEVELOPMENT AND SUCCESSFUL IMPLEMENTATION OF A RAPID HIV TESTING PROTOTYPE PROGRAM IN A RURAL COUNTY JAIL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-110 Nolan, T1; Harney, M2; Williams, M1 Any successful testing program within a corrections facility must work with the on-site staff. Flexibility, perseverance and collaboration are requirements. Finally, any testing program needs constant re-evaluation and fine-tuning. |
| MP-111 | ADAPTING A MODEL INTERVENTION FOR A DIFFERENT POPULATION AND SETTING: LESSONS LEARNED AT AN AFRICAN-AMERICAN HIV AGENCY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-111 Fallon, S1; Tirado, AT2 The core elements of the program are all implemented with fidelity to the model. However, the implementation process was challenging, and taught many lessons about the steps necessary to fit efforts within the framework of model interventions. Agencies that are facing challenges in trying to fit their experience within the parameters of approved models will benefit from exploring one agency's case history with a dramatic adaptation. |
| MP-112 | TRAUMA-INFORMED FRAMEWORK FOR HIV PREVENTION IN URBAN SCHOOLS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-112 Stephan, SH1; Simpson, Y1; Nichols, TM1; Shea, MA2; Tomoyasu, N2; Weist, MD1 Though no changes in risky behaviors were identified, perhaps due to the timing of the post-assessment, high school students did show a decrease in trauma symptoms, likely a result of the acquisition of coping skills. Further investigation needs to be conducted to determine whether a trauma-informed approach to HIV prevention is effective in reducing engagement in risky behaviors, and what factors might impact effectiveness. |
| MP-113 | A HEALTH BEHAVIOR CHANGE APPROACH TO TRAINING OUTREACH STAFF TO BRING HIGH-RISK PREGNANT WOMEN INTO PRENATAL CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-113 Rogers, P1; Birkhead, G2; Doyle, P1; Glaros, R1; Parisi, D1; Wrisby, C3 Training outreach staff from various disciplines and community-based organizations to provide interventions based on HCB is feasible; however continuous communication is necessary to reinforce the skills and messages from the training. |
| MP-114 | HIV PREVENTION IN LOUISIANA AND MANAUS, BRAZIL: TWO WORLDS APART (OR ARE THEY REALLY?) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-114 Gruber, D1; Carrel, J2; Wendell, D2 Differences in cultural and social attitudes, as well as socioeconomic and political systems impact the level of HIV prevention education available to communities. However, the need to adopt sound surveillance practices and to integrate effective monitoring and evaluation activities are crucial if one intends to accurately measure the effect of these interventions on individuals. knowledge, attitudes, and behavior. This experience has been an enriching one for both groups involved in the project. Information exchanged has complemented one another’s strengths and identified strategies to address gaps and barriers. |
| MP-115 | IMPACT OF QUALITY ASSURANCE PROGRAM DEVELOPMENT AND IMPLEMENTATION IN CENTRAL ASIA REGION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-115 Kalashnikova, TV1; Favorov, MO1; Jumagulova, A1; Drobeniuc, J1; Musabaev, EI2; Ongarbaev, AB2; Albetkova, A2; Kovtunenko, NG3; Usmanov, RK4; Kuchuk, TE4; Suleimenova, SZ5; Golovchenko, NI6 Successful QA programs require continued involvement of laboratory personnel in training and expansion of functions and responsibilities of existing NRLs. Increased collaboration and networking of laboratories within and outside of the Central Asia Region can help improve laboratory quality and efficiency. |
| MP-116 | INFLUENCING HEALTHY SEXUAL BEHAVIORS: PREVENTION WITH PEOPLE WHO ARE HIV POSITIVE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-116 Kennedy, W Communication with HIV positive people needs to take into consideration the special difficulties they face with sexuality, while remembering the role they play in any attempt to prevent the spread of HIV. Emphasis needs to be placed on issues of health and HIV/STD transmission and acquisition. With appropriate support HIV positive individuals can achieve sexuality that is fulfilling. The sexuality of HIV positive people adjusts and changes with the ups and downs of everyday life. It is affected by factors like medication, relationship changes, financial changes and other issues. Messages concerning HIV/STD prevention and their impact on sexuality can be effective tools when counseling HIV positive clients. |
| MP-117 | BARRIERS TO LINKAGE TO HIV CARE: CLIENT- AND CASE MANAGER-ASSESSED BARRIERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-117 Bosshart, J1; del Rio, C2; Loughlin, AM3; Anderson-Mahoney, P4; Metsch, LR5; Siegal, HA6; Gardner, LI7 For both the intervention (case-managed) and passive referral (control) participants, those who succeeded in reducing the number of barriers were more likely to be linked to care at 6 and 12 months. For case-managed participants only, during the 90-day period of contact with a case manager, the top three barriers in terms of .% addressed. also declined in subsequent interviews, with most of the change occurring between the baseline and 6-month visits. These data suggest that much of the linkage to care benefit observed in the case management arm of the ARTAS trial was attributable to addressing and eliminating specific barriers. |
| MP-118 | HIV PREVENTION WITH POSITIVE WORKS IN CENTRAL HARLEM UNITED Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-118 Lawrence J Each case manager was challenged with completing 20 individual counseling sessions each week in addition to facilitating groups, attending trainings and meetings, and performing administrative work. Our CQI process with the 8-month pilot program identified the need for dedicated staff to perform these duties as well as to escort clients to primary care and counseling appointments. |
| MP-119 | EVOLVING HIV ETHICS: FROM MANDATORY TESTING THROUGH STRICT CONFIDENTIALITY TO TOLERANCE OF PARTNER NOTIFICATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-119 Jayawardena, H Any deviation of the practice of strict confidentiality is a risky process. There should be convincing evidence that State sponsored partner notification is having a positive impact on HIV prevention or harm minimisation to justify its continuation. |
| MP-120 | WHAT'S THE DILLY-YO: CULTURAL COMPETENCE IN YOUTH CULTURE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-120 Smith, A; Rodriguez, M Education and health professionals working on HIV prevention for youth must be aware of and continuously work towards cultural competence in youth culture. Recognizing the value of this competence and learning about what others are doing in the field, will allow participants to begin to explore how they can integrate youth culture into their HIV prevention efforts. |
| MP-121 | RELATIONSHIP OF HIV TESTING BEHAVIOR TO HIV-ASSOCIATED RISK BEHAVIORS AMONG ACTIVE INJECTION DRUGS USERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-121 Grau, LE; Khoshnood, K; Heimer, R HIV-1 testing is very common among IDUs, and it is unlikely that campaigns to promote testing will identify many IDUs who do not already know their status. While these campaigns may fail in their primary objective to identify those who do not know their status, testing may be beneficial since it is associated with reduced risk from individuals. injection practices. IDUs with histories of HIV testing engaged in HIV risk behaviors less often than non-tested IDUs. Nevertheless, frequent injectors were tested significantly more often; this may reflect their realistic worries about HIV risk. HIV-seropositive IDUs should be cautioned against using others. syringes to prepare drug and/or re-using syringes as their potential immunocompromised status may place them at higher risk for other infections. |
| MP-122 | CHANGING TRENDS IN HIV/AIDS IN THE POPULATION 50 AND OVER IN NEW JERSEY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-122 Martin, RM; Paul, SM; Cross, HS; Ibrahim, A Older Americans have shown a lack of use of HIV precautions or participation in HIV testing. Changes are needed in HIV/AIDS educational and prevention programs; these should address the lack of knowledge of HIV risks. These programs should be presented in places where senior populations live and congregate. Health providers also should be educated on the need for sex and drug risk assessments for older patients, as well as on the need for communicating prevention messages, referring older patients for services such as substance abuse treatment when appropriate, and facilitating partner notification. |
| MP-123 | FOR WHOM AND WHEN ARE HIV RISK FACTORS MOST LIKELY NOT REPORTED? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. x McDavid, K; Kajese, T Rarely did any subgroup examined have more than 55% of cases initially reported with an HIV risk factor. The problem of incomplete risk factor reporting must be addressed by improving risk factor assessment, documentation, and/or reporting in order to equitably distribute funds for HIV prevention and care, and ensure prevention and care dollars reach the people who need them most. |
| MP-124 | A CONVENIENCE SAMPLING OF MARYLAND NATIVE AMERICANS TO DETERMINE HIV PREVENTION NEEDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-124 Camp, CC1; Snyder, AE2; Washington-Turner, CL1; Taylor, EK1 There were several lessons learned from this needs assessment targeting American Indians. Access to this population would have proven insurmountable without the guidance and inclusion of tribal organizations during both the planning and implementation phases. Additionally, it is imperative that researchers gain an understanding of the cultural, social and political context under which group identification operates both within the American Indian communities and through federal designation and how that affects the success of prevention programs. |
| MP-125 | CALIFORNIA HIV PREVENTION INDICATORS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. MP-125 McCandless, RR1; Truax, S2; Aoki, B1; Lemp, G1; Montgomery, M2; Lees, N2 Few measures employed by the indicator system fully satisfy. Program data are typically limited by self-selection and by changing case-mix; and public surveys generally entail sensitive questions. Nevertheless, we believe that the indicators offer some utility for tracking progress toward preventing new HIV infections. |
| TP-000-08 Poster Session B |
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| TP-001 | THE NEXT GENERATION OF CHALLENGES FACING FAMILIES OF HIV INFECTED PARENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-001 Templeton, B Models being used to understand children’s adaptation to parental HIV fail to take into account the increasingly successful medical treatment of HIV. This new state of affairs necessitates that researchers consider the effects of issues such that a parent’s ongoing need for medical treatment, strained family relationships, enduring exposure to stigma, or prolonged contact with a preoccupied parent. Models that consider these dynamics and their impact on the family must be understood in order to develop interventions that enhance family protective factors and reduce HIV risk. |
| TP-002 | POTENTIAL HIV AND HEPATITIS B AND C RISKS IN THE PROCESS OF METHAMPHETAMINE INJECTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-002 Koester, S; Dreisbach, S; Ferraro, A Methamphetamine injection and heroin injection contain distinctive elements and potential risks. Contextual factors influencing risk vary as well. Intervention programs working with methamphetamine IDU should recognize these differences and adapt their programs and messages to the challenges methamphetamine injection presents. |
| TP-003 | USING ETHNOGRAPHY IN ADVANCED HIV/AIDS STREET OUTREACH AMONG MONOLINGUAL SPANISH SPEAKING LATINOS IN THE U.S . THIS PRESENTATION WILL BE IN SPANISH Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-003 Gonzalez, O; Graff, RJ; Lucas, D; Casillas, D Better understand the monolingual Spanish speaking Latino community in the U.S. and how they are exposed to HIV/AIDS risk factors. Identify new trends and hidden populations. Illustrate what is happening in interventions. Enhance and compliment current HIV/AIDS prevention efforts among the Latino community in the U.S. |
| TP-004 | COMMUNITY RESEARCH COLLABORATIONS: GAINING ENTRY AND OBTAINING TRUST Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-004 Feist-Price, S; Cupp, PK While this research group makes no claim that they are the only research team to collaborate successfully with community organizations or that the strategies employed to insure successful implementation of the study were definitely unique, enough exceptional considerations arose in the course of this project to provide for a lively presentation and dialogue about how to gain community entry, obtain a trusting relationship, and be responsive and conscientious researchers. |
| TP-005 | RELATIONSHIP OF BORDERLINE PERSONALITY SYMPTOMS TO HIV RISK AMONG A SAMPLE OF DETAINED CULTURALLY DIVERSE ADOLESCENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-005 Devieux, JG; Malow, RM; Rosenberg, R; Jean-Gilles, MM; Samuels, DM; Dyer, JG; Lerner, B The results reveal a trend towards increased risky behaviors by the high borderline group. Although this group had higher condom use skills, they appeared disinclined to deploy these skills to reduce sexual risk. These findings suggest that knowledge among the high borderline group does not necessarily translate into action. This conclusion, coupled with the less favorable condom attitudes and lower levels of sexual self-efficacy, suggest that interventions for this group may be more efficacious if they target attitudinal factors. While there is increasing emphasis on contextual factors beyond the individual, this study is a reminder of the continued importance of intrapersonal and developmental factors among adolescents. |
| TP-006 | SEXUAL NEGOTIATION SKILLS, CONDOM SELF-EFFICACY, AND CONDOM USE AMONG WOMEN ATTENDING STD CLINICS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-006 Mallory, C; Hesson-McInnis, M In contrast to these data, we expect women scoring higher on sexual negotiation and condom self-efficacy to be more likely to use condoms. This study raises questions regarding methods, primarily the lack of scales that could be used to interpret these findings more fully. We did not ask about reasons for not using condoms or how vulnerable to HIV infection women perceive themselves. Possibly they did not feel vulnerable or were in relationships in which condom use was unimportant. It is worth noting that 72 women reported not planning on becoming pregnant; these women may use other contraceptives and not feel the need to use condoms. Thus there may be no perceived need to discuss condoms or engage in behaviors, such as buying or carrying a condom. Refinement of scales is needed to accurately test relationships between sexual negotiation, condom self-efficacy and condom use. |
| TP-007 | POSITIVE RELATIONSHIP AMONG ADOLESCENTS BETWEEN SELF-EFFICACY, SEXUAL NEGOTIATION SKILLS AND PROTECTIVE SEXUAL BEHAVIORS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-007 Cole, ML1; Stanton, B1; Galbraith, J2; Li, X1; Pendleton, S1; Cottrel, L3; Marshall, S1; Summers, Y2; Feigelman, S2; Kaljee, L2 For decades, adolescent risk reduction researchers have implicitly operated on the assumption that enhanced self-efficacy would be related to increased skill, which in turn would lead to improved behaviors. This study provides evidence to support this critically important assumption. Specifically, findings from this study underscore the importance of negotiation/communication skills to pediatric prevention and prevention research. As an adjunct to prevention interventions that teach protective response strategies, negotiation/communication skills address such crucial aspects of prevention as alternative responses, refusal responses, safety issues, and emotions. In the context of pediatric prevention research, assessment of negotiation/communication skills provides additional information to both evaluate and improve the efficacy of pediatric prevention interventions. As such, future research in pediatric prevention of risky behaviors should be geared towards a more thorough evaluation of negotiation/communication skills, especially across time. |
| TP-008 | THE SEVEN ELEMENTS OF HIGH QUALITY NEEDS ASSESSMENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-008 Loo, R The author established that the current level of quality of HIV/AIDS needs assessments is poor based on the needs assessment reports in the sample. These results highlight a need for strategies for improving the quality of HIV/AIDS needs assessments. The author provides the seven elements of high quality needs assessments as a potential strategy for improvement. The elements might serve as a guidance tool for researchers conducting needs assessments or as the basis of an assessment tool for funding agencies. |
| TP-009 | BARRIERS TO APPROPRIATE HIV CARE FOR DISADVANTAGED POPULATIONS: COMPARING THE PERCEPTIONS OF HIV MEDICAL CARE PROVIDERS OF DIFFERENT RACE/ETHNIC GROUPS IN FOUR AMERICAN CITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-009 Valverde, EE1; Waldrop, DG1; Loughlin, AM2; Anderson-Mahoney, P3; Del Rio, C4; Metsch, L1; Gardner, L5 There are apparent disparities in perceptions of system barriers to appropriate HIV medical care by providers of different race/ ethnic groups. Perceptions of minority providers are similar to those reported by minority HIV patients in several other studies. It is necessary to further explore these differences in perceptions of barriers to HIV care to determine if they reflect the quality of HIV care received by several disadvantaged populations. |
| TP-010 | RACIAL/ETHNIC DISPARITIES IN PERCEIVED NEED FOR AND BARRIERS TO SUBSTANCE ABUSE TREATMENT AMONG YOUNG INJECTION DRUG USERS, UNITED STATES, CIDUS 2 1997-99 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-010 Santibanez, S1; Des Jarlais, D2; Ouellet, L3; Kerndt, P4; Morse, E5; Brouwer, K6; Vlahov, D7; Garfein, R8 Minority IDUs face substantial challenges to receiving substance abuse treatment. For black IDUs, a perceived lack of access to and not being aware of treatment programs were barriers to treatment rather than lack of perceived need for or confidence in treatment. Hispanic IDUs were more likely to report cultural, family and cost factors as barriers to treatment. Substance abuse treatment is a proven strategy for HIV prevention that should be made more widely available and provided in a culturally appropriate manner. |
| TP-011 | MISTRUST AND CONSPIRACY BELIEFS ABOUT HIV/AIDS AMONG PARTICIPANTS IN MINORITY GAY PRIDE EVENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-011 Hutchinson, AB; Begley, EB; Clark, HA; Boyett, BC; Jardine, MA; Kellerman, SE Our findings indicate surprising levels of distrust in information, conspiracy beliefs and misconceptions about HIV/AIDS in the minority MSM community. These findings also suggest that primary care providers may be a trusted source for HIV prevention. The large percentage of persons who believe that HIV does not cause AIDS is particularly concerning and potentially detrimental to HIV prevention efforts. Such beliefs should be addressed in HIV prevention programs that are culturally tailored and targeted based on sexual identity. |
| TP-012 | THE ROLE OF RELATIONAL POWER AND GENDER IN THE SEXUAL-DECISION MAKING OF ADOLESCENT GIRLS IN RESOURCE-POOR SETTINGS: A REVIEW OF THE LITERATURE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-012 Vasas, EB The review will result from literature searches of relevant social science and biomedical databases, with no limitation on year. Articles will be included if they address the way issues of power and gender affected sexual decision-making. Themes that emerge out the review will be organized and critically analyzed to determine areas for future research and inquiry. The paper will end with a discussion geared toward further developing HIV prevention programming that effectively address issues of gender and power in interventions. |
| TP-013 | MOTHER-CHILD COMMUNICATION ABOUT SEX: ASSOCIATIONS WITH GENDER ROLE BELIEFS AND CHILD GENDER Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-013 Ketchen, B1; Lindner, G1; Armistead, L1; Austin, B1; Forehand, R2; Miller, KS3; Long, N4 HIV intervention programs may benefit from addressing issues related to gender role beliefs within the context of program design. In addition, it will be particularly important to target mother-son dyads as mothers may experience the most difficulty talking with their sons about sex. |
| TP-014 | MEN'S "OUTNESS" ABOUT HAVING SEX WITH MEN: RELATIONSHIP TO HIV TESTING AND RISK BEHAVIOR Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-014 Battles, HB1; Heavner, KK1; Tesoriero, JM1; Leung, SJ1; Nemeth, C2; Birkhead, GS1 The issues facing MSM who are not .out. about their sexual behavior are different than those facing MSM who are. Those who are not "out" have a greater number of sexual partners, riskier behavior, are less likely to HIV-test and more likely to have female sexual partners. Creative HIV prevention interventions need to be developed to target this hard-to-reach group of men. |
| TP-015 | HIV-POSITIVE WOMEN SHARE STORIES AND RISK REDUCTION STRATEGIES DURING PEER-LED SUPPORT GROUPS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-015 Rubinstein, S; Teti, M; Lloyd, L Women enjoy participating in peer-led groups that are tailored to their changing needs. Women living with HIV want to talk about the challenges they face, and particularly benefit from the opportunity to share experiences and strategies with other women. Through the groups the women support each other, and act as positive role models for each other as they adapt new behaviors over time. Recording group themes through process notes provides valuable insight into issues that should be addressed in prevention programs for women living with HIV, and how peers support each other. |
| TP-016 | HOMELESSNESS AND HIV RISKS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-016 Minian, N; Godfrey, C; Krauss, B; Nwakeze, P; Freudenberg, N Our study reveals that homelessness. not only deteriorates the physical and emotional well being of individuals, but also increased vulnerability to HIV risks. |
| TP-017 | HIV-1 SURVIVAL IN SYRINGES: IMPACT OF NEEDLE-GAUGE AND STORAGE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-017 Abdala, N; He, HH; Heimer, R Insulin syringes with fixed cannulae are the most common syringe used by IDUs in the U.S. They retain less residual blood than syringes with detachable needles but provide an environment more likely to prevent blood from drying out. This increases the chances that HIV-1 remains infectious. The results re-emphasize the need to provide IDUs with new sterile syringes for each injection and with practical advice on how to properly disinfect syringes when new ones aren’t available. |
| TP-018 | USING GIS TO ANALYZE BEHAVIORAL DATA FOR HIV PREVENTION PLANNING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-018 Giroux, S1; Schwartz, D2 GIS can be successfully utilized by social scientists to analyze HIV behavioral risk factor data spatially. In addition, GIS can be used to combine multiple data sources and datasets, allowing HIV prevention stakeholders and decision-makers access to different types of information from one source. Finally, GIS can be utilized by local HIV prevention stakeholders to better incorporate behavioral data into their understanding of local HIV epidemics. |
| TP-019 | PROJECT RARE (RAPID ASSESSMENT, RESPONSE & EVALUATION) IN SOUTH BEACH (MIAMI) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-019 McCoy, V1; De Varona, MP2; Ullah, E3; Rosenberg, R4; Farrell, N4; Malow, R4 There has been a transformation in the nature of HIV risk in South Beach, which tends to be a microcosm reflecting the social evolution of the global urban epidemic. Shifting modes and places of transaction may reflect a heuristic .accident prevention strategy by individuals, who may view bad risk encounters as mishaps because of the visiting, transplanted mentality in the culture, even among residents. Traditional harm reduction approaches, which are associated with a milieu or quagmire of risk, may be less effective in South Beach, with its blend of the urban, international, travel, party and internet based anonymity than other locations. Specific strategies are suggested to meet the heterogeneity of risk, including targeted educational campaigns to address the diversity of the risk population, using email lists and the internet, and more community based approaches involving South Beach establishments to promote protective behavior. |
| TP-020 | STRUCTURAL AND ENVIRONMENTAL DETERMINANTS OF UNPROTECTED SEX: THE ROLE OF ORGANIZATIONAL POLICY IN HIV/AIDS PREVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-020 Morisky, DE1; Chiao, C1; Rosenberg, R2; Farrell, N2; Malow, R2 Our work suggests that HIV prevention approaches targeting changes in personal behavior may have limited impact if systemic/contextual influences (i.e., peer, poverty, organizational and societal factors) are ignored. In the past, structural elements have been treated as ceteris paribus variables because of their assumed implacability, yet our previous peer-based interventions with FCSWs and their establishment based employers has demonstrated the falseness of this assumption and that the biggest obstacles to change may be our own assumptions as researchers. Data from the current study on the comparative influence of personal, situational, and environmental determinants points to the pressing need for change in the ceteris paribus of HIV/AIDS prevention research. |
| TP-021 | DISCUSSIONS OF HIV RISK REDUCTION, STIGMA, AND BARRIERS TO TESTING AMONG COLLEGE-AGED, AFRICAN AMERICAN WOMEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-021 Laborde, DJ1; Bost, D2; Reid, L2 The need to reduce/eliminate stigma was identified, underscoring this as a priority for HBCU campuses. This information is the basis of further research to identify how best to stimulate open dialogue, provide gender and culturally sensitive outreach, and improve existing health services. |
| TP-022 | CULTURAL DYNAMICS AND HIV AMONG AFRICAN AND AFRICAN AMERICAN YOUTH Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-022 Boone, LR; Fuller, TR According to the youth in Swaziland, abstinence is the only sure way to protect against HIV infection. However, culture and tradition may impede prevention efforts. |
| TP-023 | METHAMPHETAMINE USE AND SEXUAL ACTIVITY AMONG HIV-INFECTED PATIENTS IN CARE - SAN FRANCISCO, 2004 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-023 Mitchell, SJ1, 2; Morris, S1; Kent, CK1; Klausner, JD1 Methamphetamine use is common among HIV-infected persons receiving care in San Francisco, especially MSM. Clinicians treating HIV-infected patients should evaluate methamphetamine use in their patients and refer them to treatment as indicated. |
| TP-024 | MOTIVATION AND CHANGE IN SYRINGE EXCHANGE PROGRAM PARTICIPANTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-024 Freedlander, JM In order to address the increased risks associated with injection drug use (IDU), most notably HIV and hepatitis transmission, syringe exchange programs (SEPs) have been developed. In addition to providing sterile injection equipment to IDUs and other services, SEPs may act as a bridge to services for hard to reach populations. |
| TP-025 | RISK BEHAVIORS AMONG HIV POSITIVE ACTIVE DRUG USERS POST HIV DIAGNOSIS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-025 Valverde, EE1; Metsch, LR1; Chitwood, D2 Findings in our study indicate that a large percentage of this population continues to engage in sexual behaviors after HIV diagnosis. Emphasis on the risks of multiple sex partners and continued substance use should be included in initiatives to reduce HIV transmission behaviors in this population. "Abstinence only" initiatives may not be appropriate for this population. New modalities to engage HIV positive active drug users into drug abuse treatment need to be explored. |
| TP-026 | RECREATIONAL VIAGRA USE AND SEXUAL RISK AMONG DRUG ABUSING MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-026 Malow, R1; Fisher, DG2; Jaffe, A3; Reynolds, GL3; Rosenberg, R1; Farrell, N1 This study points to the urgent need to address Viagra use outside the generational issue of age and more firmly within the generational context of the post-HAART and polydrug era of the epidemic, particularly among communities, such as MSM, that have been burdened by protracted vigilance and perhaps desensitized to prevention messages in currency. Five years ago Stall and Purcell urged a more complex study of substance use and sexual risk behaviors, suggesting that the route to connecting the two was in the attributions applied to polydrug use as a capsule for sexual expression, particularly in highly stressed communities. This study confirms Viagra as an emergent complicating factor in the risk equation for MSM and points to the need for further study of psychological and structural correlates in order to design effective prevention interventions. |
| TP-027 | CLUB DRUG. USE AMONG HIGH-RISK MEN WHO HAVE SEX WITH MEN IN MULTIPLE VENUES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-027 Heavner, KK1; Battles, HB1; Tesoriero, JM1; Leung, SJ1; Nemeth, C2; Birkhead, G3 The prevalence of "club drug" use in this sample of MSM enrolled in a variety of venues was lower than the prevalence of "club drug" use reported in many single-venue studies in the literature. Most men did not use "club drugs" frequently. Despite infrequent use, "club drug" use was still strongly associated with engaging in HIV risk behaviors. HIV prevention efforts should include an assessment of "club drug" use in order to address this issue. |
| TP-028 | SEX EDUCATION AND ITS EFFECTS ON HIV/AIDS KNOWLEDGE, CONDOM USE, AND PRECEIVED SUSCEPTIBILITY AMONG ADOLESCENT AND YOUNG ADULT FEMALES IN THE DOMINICAN REPUBLIC Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-028 Minaya, JA; Herold, J; Jacob-Arriola, K The results of this study suggest that sex education is relevant for HIV/AIDS knowledge and awareness among female adolescents and young adults. The lack of an effect on perceived susceptibility and consistent condom use implies that alternative ways of presenting sexual health and HIV/AIDS information must be developed to better target the needs of adolescents and young adults in the Dominican Republic. |
| TP-029 | COLLABORATIVE EFFORTS AMONG THE PUERTO RICO’S CAPACITY BUILDING TEAM, COMMUNITY PLANNING GROUP AND RYAN WHITE TITLE I & II GRANTEES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-029 Marrero, EL; Cruz, M; Miranda, S; Alonso, J; Alvarado, F; Rullan, J The collaborative networks established to this point with CPG and HRSA’s grantees were the first step in the capacitating process. This step is crucial to strengthen and maintain the confidence of both groups in order to move a step forward to integrate more actively the CB team to the decision making process. |
| TP-030 | INCONSISTENT CONDOM USE AMONG HETEROSEXUALS AT HIGH RISK FOR HIV IN HOUSTON Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-030 Rehman, HU; Arafat, RR; Wolverton, ML The study highlights the rates of unprotected sexual practices in heterosexual population of Houston. The study also emphasis the need of HIV prevention for this high risk group by specific interventions to increase the use of condoms. |
| TP-031 | MANAGEMENT OF HIV RISK WITHIN THE STEADY GAY COUPLES AND ITS RELATION WITH REPORTED SEXUAL PRACTICES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-031 Folch, C1; Esteve, A1; Muñoz, R2; Zaragoza, K2; Casabona, J1 NS agreements were common among gay couples; however 6% of men broke these agreements and put themselves and their partners at risk. The majority of men who engaged in RP did so with a regular partner, which confirms the importance of regular relationships as sites of possible transmission of HIV. Our results provide evidence of the need for disclosure of test results to steady partners, as well as to casual partners. Encouragement of testing is needed in order to decrease HIV transmission among MSM. |
| TP-032 | EXAMINATION OF THE DISTRIBUTION OF HIV/AIDS SERVICE PROVIDERS IN PHILADELPHIA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-032 Furj, JA; Murray, J; Bell, G; Metzger, D The mapping of HIV/AIDS service provider agencies relative to the geographic distribution of AIDS cases provides an opportunity to explore the unmet service needs of the community. GIS based analysis in conjunction with participant input can be a useful tool in this process. As the HIV epidemic evolves within urban communities, the location of HIV prevention and care services needs to be considered in light of both access and acceptability. |
| TP-033 | WOMEN AND HIV - CHARACTERISTICS OF WOMEN IN THE TEXAS PUBLICLY FUNDED COUNSELING AND TESTING SYSTEM (CTS) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-033 Persaud, KA1; Sharma, CP1; Janneh, MD1; Shehan, DA1; Freeman, AC1; Melville, SK2 Results for women from the 1999-2001 CTS database provide insight into specific characteristics of women coming to publicly funded CTS in Texas. The data from STARHS testing of sera can be useful in looking at demographic and risk characteristics of women who are positive and have tested when recently infected. The percent of HIV-positive women varied across the state making regional planning important. Also, the high percent of newly infected women, especially black women, may indicate that prevention messages are not effectively reaching women. As such, these data can be used to better understand successes and challenges in accessing women. Findings suggest that we need to pay closer attention to trends among women and prevention services targeting women and HIV. |
| TP-035 | AN ALTERNATIVE HIV VACCINATION APPROACH BASED ON INHIBITION OF NATURAL IMMUNE INHIBITORS IN DENDRITIC CELLS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-035 Song, X; Chen, S This study establishes the principle of disabling SOCS1 in DCs as an effective means to enhance a balanced humoral and cellular response against HIV. The immunization strategy of the silencing of host immune inhibitory elements may open a new avenue for the development of effective therapeutic and prophylactic HIV vaccines. |
| TP-036 | THE SEXUAL INFORMATION HIGHWAY INTERSECTION: THE EFFECTIVENESS OF A COLLABORATIVE PREVENTION INTERVENTION BETWEEN A PRIVATE INTERNET BUSINESS AND HIV/STD PREVENTION SERVICE PROVIDER IN CAPTURING THE ATTENTION OF INTERNET SEX SEEKERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-036 Weldon, JN1; Adelson, S2 This study establishes the principle of disabling SOCS1 in DCs as an effective means to enhance a balanced humoral and cellular response against HIV. The immunization strategy of the silencing of host immune inhibitory elements may open a new avenue for the development of effective therapeutic and prophylactic HIV vaccines. |
| TP-037 | PREVENTING HIV/AIDS AND STIS TRANSMISSION AMONG JUVENILES, WOMEN AND DRUG ADDICTS IN PRISONS OF THE NORTH-WEST FRONTIER PROVINCE (NWFP), PAKISTAN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-037 Ayub, M Culturally appropriate methods of intervention help a lot in building the trust of prison inmates for accessing information and services related to HIV prevention and STIs treatment. The project services increased the awareness level of inmates, encouraged inmates to demand STIs treatment and ensure support of prison staff. |
| TP-038 | SEXUAL RISK BEHAVIORS OF HIV PRIMARY CARE PATIENTS AND CONCERN FOR SUPERINFECTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-038 Erbelding, EJ1; Brotman, RA1; Glick, N2; Eldred, L3; Myers, JJ4 Concern for superinfection is associated with reduced sexual risk behavior among HIV+ MSM but not among other groups in this sample. A more thorough understanding of sexual risk behaviors, including gender differences in risk behaviors, will improve our ability to address prevention needs in the HIV treatment setting. |
| TP-039 | THE TREATMENT OF OPIOID ADDICTION WITH BUPRENORPHINE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-039 Campopiano, MM Buprenorphine therapy is attractive to drug users, well tolerated, effective in the treatment of opioid addiction and reduces HIV risk behaviors. Buprenorphine therapy is simple and rewarding to provide in outpatient primary care. |
| TP-040 | IMPROVING HIV SCREENING WITH NURSE-BASED HIV RAPID TESTING/STREAMLINED COUNSELING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-040 Anaya, H; Asch, SM Pilot data allowed us to refine both interventional and data collection instruments and procedures. Results demonstrated the feasibility as well as barriers of implementing RT. Results were also used for a larger three-arm randomized controlled trial which evaluates implementation of the combination of RT/stream-lined counseling in a metropolitan VA clinic. |
| TP-041 | INCREASING HIV TESTING THROUGH A HEALTH PROMOTION FOCUS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-041 Galvan, FH1; Bing, EG1; Bluthenthal, RN1; Guzman-Becerra, N1; Gildon, Z2; Ani, C3 Offering the HIV test by itself or in the context of other relevant tests to young Latino men who frequent gay bars does not seem to affect the rate of testing for HIV. However, offering the HIV test by itself appears to identify more HIV-positive young Latino men than offering the HIV test among other tests. Offering the HIV test by itself to those engaging in high risk sex may draw attention to that behavior, while offering it among other tests may detract that attention. |
| TP-042 | POZ REALNESS, HELPING URBAN YOUTH TO "KEEP IT REAL" ABOUT HIV Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-042 Johnson, PK; Neely, LS The Urban Youth Insitute provides stationary interventions and off-site outreach interventions, both the clinic and the HIV peer support services are external to the community center site but are centrally located to the community center. Youth are becoming familiar with staff at all sites. All sites contain staff members that are age, ethnicity and culturally appropriate to the consumer base. The youth seem to feel that compartmentalizing the care they receive is important at this time. Because the projects are linked so closely together, service providers are able to maintain the level of autonomy the youth seem to require while providing them with care and encouraging them towards the community disclosures that may reduce the stigma, racism and fears connected with knowing their status. As a result youth are becoming more open about their status in the community center setting and assisting their peers in the process of disclosure as well. One youth has become a part of a state-wide campaign funded through the Mass Dept. of Public Health. His poster is displayed in many venues across Massachusetts including the community center. He continues to utilize services at the community center and to answer questions re: HIV that his peers may have. |
| TP-043 | HIV OUTREACH TESTING: RAPID VERSUS CONVENTIONAL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-043 Quinn, C1; Keenan, P2 With rapid testing an extremely high percentage of clients (99.6%) learned their test result. OraSure testing was initially more time efficient to administer, but necessitated a followup visit to give results. At the CBO where 6 clients did not learn their rapid test results, we determined there was insuffucient time allotted for rapid testing so we switched to OraSure. For "pure" street outreach we used OraSure. If we could bring the client into a testing site (with flat surface and adequate light), we used OraQuick. Our outreach workers preferred to do rapid testing if possible because of the high percentage of clients who learned their results. In our community of low-to-moderate prevalence the workers preferred fingerstick OraQuick over the oral fluid version because of the lower false positive rate. |
| TP-044 | CLIENT SATISFACTION WITH RAPID HIV TESTING IN A LOS ANGELES COUNTY HOSPITAL EMERGENCY DEPARTMENT (ED) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-044 Higgins, CA1; Smith, LV1; Uniyal, A2; Campos, G1; Davidson, C1; Bazargan, S3; Kerndt, P1 Client satisfaction with rapid HIV testing was high in the emergency department. While many clients expressed discomfort over receiving results so quickly, very few felt that it would be better to wait a week. Further research is needed to better understand sociodemographic differences in client comfort when receiving rapid HIV testing results. |
| TP-045 | ROUTES TO PREVENTION: A CLOSER LOOK AT HIV RISKS AND PREVENTION OUTCOMES AMONG HEROIN USERS IN PCM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-045 Minian, N; Godfrey, C; Krauss, B; Nwakeze, P; Freudenberg, N; Martinez, A These findings suggest that understanding differences among the classification of broad classification of substance users can have worthwhile implications for effective application of PCM. An example of this is in the degree of emphasis that PCM treatment plans for DHUs may need to place on acute problems such as depression and homelessness. MHUs and NHUs, by comparison may need less of emphasis on these issues. These findings also lend early support to one of PCM’s basic tenets; that problems competing with HIV risk reduction must be adequately addressed for HIV risk reduction to be effective. |
| TP-046 | THE WOMEN'S HEALTH PROJECT: THE EFFICACY OF AN INTEGRATED INTERVENTION FOR HIV-POSITIVE WOMEN WITH HISTORIES OF CHILD SEXUAL ABUSE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-046 Wyatt, GE1; Chin, D1; Longshore, D1; Carmona, J1; Loeb, T1; Myers, H1; Warda, U1; Liu, H1; Rivkin, I1; Baek, J1; Prather, C2 The findings suggest that HIV-positive women with histories of CSA can maintain sexual risk reduction over time as a result of this tailored intervention. While short-term adherence to HIV medications was noted, long-term changes may require on-going support such as booster sessions. Future directions include diffusion of the ESHI intervention into communities that provide HIV services to women. |
| TP-047 | SENORITAS: A PEER ORGANIZING PROGRAM FOR REDUCING HIV/AIDS RISK IN COLLEGE-AGE HISPANIC AND CARIBBEAN WOMEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-047 Jones, SG1; Delpech, P2; Hamilton, M2; Jorda, ML2; Rosenberg, R3; Farrell, N3; Ranallo, R4; Malow, R3 A peer organizing program (POP) of structural change is a hybrid approach - it harnesses individual risk prevention to peer components that empower and involve the target population in program development, and also in reorganizing their social experience with respect to how gender, ethnicity, and HIV risk collide in a certain context, in this case university life. SENORITAS, like other peer approaches, may not be macrostructural, but it represents a strategy for beginning and rapidly building organizational prevention capital that can be used for deeper ecological interventions. This project demonstrates the feasibility of such a program for tailoring HIV prevention to college-age women attending minority institutions. |
| TP-048 | HIV-SEROPOSITIVE MEN WHO HAVE SEX WITH MEN ARE LESS LIKELY THAN OTHER INFECTED INDIVIDUALS TO RECEIVE PREVENTION SERVICES DESPITE GREATER RISK BEHAVIORS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-048 Steward, WT1; Morin, SF1; Charlebois, ED1; Johnson, MO1; Kelly, JA2; Remien, RH3; Rotheram-Borus, MJ4 HIV-seropositive MSM are less likely than other infected individuals to receive prevention services, even though they are more likely to report unprotected intercourse with seronegative and unknown status casual partners. Given recent increases in the incidences of HIV and other STI among MSM, efforts must be made to ensure that prevention programming reaches these men. |
| TP-049 | WHAT HAPPENED IN THE SEROPOSITIVE URBAN MEN'S INTERVENTION TRIAL? MEDIATION AND BEHAVIOR CHANGE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-049 Oleary, A The present results suggest that, while we designed the intervention to enhance perceived responsibility to protect others from HIV, we were not successful in this goal. However, enhancements in this factor, possibly stimulated by the assessment, did prove to be an important correlate of behavior change. Implications for AHP activities and possible ways to design and deliver more successful interventions are discussed. |
| TP-050 | SYSTEMATIC REVIEW OF HIV PREVENTION INTERVENTIONS IN REDUCING SEXUAL RISK BEHAVIORS AMONG HIV-POSITIVE (HIV+) PERSONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-050 Crepaz, N1; Lyles, CM1; Rama, SM1; Passin, WF1; Herbst, JH1; Kim, AS1; Wolitski, RJ1; Purcell, DW1; Stall, RD1; Malow, R2; the Prevention Research Synthesis (PRS) Team Behavioral interventions targeting HIV+ persons demonstrate significant reductions in sexual risk taking. However, given the paucity of methodologically sound intervention outcome studies on HIV+ persons available in the literature, additional research would be helpful to identify the core components of efficacious interventions that could be incorporated in prevention programs for HIV+ persons. |
| TP-051 | IMPLEMENTATION OF STREET SMART: AN INTERVENTION TO REDUCE HIV AND SUBSTANCE ABUSE AMONG YOUTH IN HIGH RISK ENVIRONMENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-051 Sutton, M; Steinback, S; Stephens, D; Harden, K; Fuller, R; Cherry, C; Holloway, W Community involvement is critical to the planning, implementation, and ongoing success of the project. Youth leadership in all aspects of the program, from planning to recruitment, is crucial. The setting is at least as significant as the curriculum. Opening a center in the target neighborhood made the project a part of the neighborhood, rather than a well-intentioned guest. |
| TP-052 | IMPLEMENTING RAPID HIV TESTING IN THE PERINATAL SETTING: THE ROLE OF A 24/7 HOTLINE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-052 Garcia, PM1; Statton, A2; Cuden, J3; Wolfe, P4 Prior to the implementation of rapid testing in L&D units, the greatest need for real-time consultation originated from outpatient settings and consisted of case management assistance with linkage to care. The need for medical consultation was initially low. With the expansion of rapid HIV testing in L&D units, women are newly diagnosed in clinical settings with little knowledge or experience in the treatment of HIV infection and perinatal prophylaxis. This has increased the need for real-time medical consultation and linkage to care. |
| TP-053 | PRECONCEPTION COUNSELING FOR HIV INFECTED WOMEN: AN OPPORTUNITY TO PLAN HEALTHY PREGNANCIES AND PREVENT PERINATAL AND PARTNER HIV TRANSMISSION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-053 Aaron, E; Mercurius, M The dramatic reduction in mother to child transmission seen over the past decade have influenced HIV infected women’s desire to have children. The CDC recommends HIV infected women receive nondirective counseling which is supportive of the patient’s reproductive decision. The American College of Obstetricians and Gynecologists supports the use of assisted reproductive technologies for HIV infected couples. The incorporation of nonjudgmental counseling into care can facilitate informed decision-making about childbearing and childrearing for HIV infected persons. The cost of failing to recognize the needs of these patients will be a high price to pay in both the short and long term. This presentation will review the teaching points that will allow women to make independent decisions about pregnancy desires and risk reduction measures to prevent HIV transmission to the infant and partner. |
| TP-054 | ENHANCEMENT OF HIV-1 RNA DETECTION BUT NOT HSV-2 DNA FROM DACRON SWABS CONTAINING DNA/RNA PROTECT™ Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-054 Evans-Strickfaden, TT1; Chen, CY2; Trees, DL2; Ballard, RC2; Hart, CE1 These results indicate that Protect™-infused swabs are potentially more effective than dry swabs at stabilizing HIV-1 RNA during short and long term storage at ambient and elevated temperatures. In addition, we recommend that for accurate HIV-1 and HSV-2 quantification from self-administered genital swabs, Protect™ infused storage temperatures should not exceed 25° C. |
| TP-055 | THE RISK AVOIDANCE PARTNERSHIP (RAP): FINDINGS FROM A PEER-LED HIV PREVENTION PROGRAM WITH ACTIVE DRUG USERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-055 Weeks, MR; Dickson-Gomez, J; Martinez, M; Convey, M; Woods, O; Ortiz, C Findings from our intervention study suggest that the RAP program is highly acceptable to and feasible with active drug users. Findings also demonstrate that trained PHAs willingly and successfully carry the peer-led intervention into locations of high-risk drug activity to deliver it to their peers, even in the absence of project staff support. In large part, this appears to be the result of a perceived significant positive role change among PHAs while conducting peer health advocacy work, which motivates them to continue to implement intervention beyond the period of training. It also appears to motivate them to seek continued positive change in their own lives, including drug cessation. |
| TP-056 | HOW DOCTORS MAY INFLUENCE HIV VACCINE TRIAL PARTICIPATION: FROM PATIENT'S PERSPECTIVE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-056 Wu, S1; Ma, S1; Duan, N2; Lee, S2; Seiden, D2; Newman, PA3 Overall WTP in a HIV vaccine trial was low but doctors may play important roles in trial recruitment. The majority of the study people wanted to talk to their own doctor before participating in a trial and these people tend to have lower WTP. The result implies that a doctor may influence low WTP persons. decision for trial participation through communication. A caring, trustworthy doctor-patient relationship is another facilitating factor for trial participation. The counter-intuitive finding that persons with greater mistrust have higher WTP indicates that persons with greater mistrust might also be subject to a risk-seeking behavioral pattern. Doctors may help minimize undesired behavioral consequences (such as increased risky sex) by providing behavioral counseling to these people during future vaccine trials. |
| TP-057 | IMPLEMENTING PARTNER COUNSELING AND REFERRAL SERVICES PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-057 Aldridge, C; Randall, L Although the survey presented only an initial insight into the complexity of these programs, several conclusions can be drawn including: 1) PCRS programs are highly variable across jurisdictions, 2) PCRS programs remain highly dependent of federal funding, 3) Services are delivered using multiple methods and strategies, 4) Physician involvement remains a challenge and a key area for program enhancement, 5) Opportunities exist to expand the role played by HIV services providers such as CBOs/NGOs, and 6) Linking data across diverse systems tracking PCRS remains challenging. |
| TP-058 | HIV PREVENTION AMONG IMMIGRANT HAITIAN WOMEN: FINDINGS FROM THE METRO BOSTON REACH 2010 PROJECT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-058 Stlouis, GR1; Cheezum, RR2; Madison, A3; Jean Louis, E2; Metayer, N2 Due to the continued rise in HIV infection rates among ethnic minority women, effective prevention programs are needed to curb the spread of this devastating disease among this group. While findings from the Metro Boston Haitian REACH 2010 project are encouraging, much work remains to be done. In order to address successfully the unmet needs of ethnic minority and immigrant women, more coordinated, communitybased efforts are needed to develop, implement, and evaluate gender-sensitive and culturally-oriented HIV prevention and education programs. |
| TP-059 | CLINICIAN AND PATIENT ATTITUDES REGARDING PREVENTION SERVICES IN AN HIV CLINIC Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-059 Rubinstein, S; Teti, M; Lloyd, L These preliminary data suggest that there is patient -clinician agreement in most areas among Protect and Respect participants; however, there is one key area where there is disagreement. While clinicians participating in Protect and Respect report that they regularly talk with their patients about HIV transmission and re-infection, patients report they would like such discussions to occur on a regular basis. In order to further advance HIV prevention, clinicians will need to discuss recent unsafe behaviors with returning patients on a regular basis. |
| TP-060 | INNOVATIVE MODEL TO IMPROVE STATEWIDE HIV/AIDS COMMUNITY SERVICES ASSESSMENTS IN TARGETING RESOURCES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-060 Akers, T1; Mendiola, R2; Blake, B1; Taylor, G1; Bairan, A1; Sowell, R1; Skaria, A3 Incorporating diverse methodologies, along with the use of GIS technology as an analytical tool, services to more effectively aid in determining whether targeted HIV resources are being appropriately allocated across risk groups, interventions and services, and geography. |
| TP-061 | ACCESS TO AND UTILIZATION OF HIV PREVENTION SERVICES: A STRUCTURAL COMMUNITY MOBILIZATION MODEL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-061 Colomb, MA; Moody-Thomas, L Based upon quantitative and qualitative data, the project influences: (1) Prevailing Community Norms, Customs and Processes, (2) Social Cohesion, Civic Engagement and Collective Efficacy, and (3) Health Promotion, Disease and Injury Prevention and Healthcare. Utilization of a case management approach to conducting capacity building assistance that strategically targets African American communities of highest incidence and prevalence for HIV/AIDS helps to ensure non-duplication of efforts. Logic modeling for program planning and evaluation assists in guiding project efforts. Continuous quality assurance, process and outcome monitoring and evaluation of all program aspects ensure accurate data retention and provides scientific basis for determining lessons learned. |
| TP-062 | THE CREATION OF A VISUAL CARD: ILLUSTRATING THE IMPORTANCE OF ADHERENCE TO HAART Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-062 Dubowitz, N; Lally, M; Jennifer, M; Feller, E This pilot study indicated that both providers and patients desire a simple, one-page visual tool. Furthermore, this tool provides a simple means to enhance communication and education surrounding complicated issues of adherence to HAART. As a pilot study, this visual tool can be used in future prospective studies both domestically and internationally to determine its overall effectiveness. Further data is needed to determine whether individual demographic factors, including health literacy and education level, influence the effectiveness and format of this intervention. |
| TP-063 | ATTITUDES TOWARD HIV MEDICATIONS: ASSOCIATION WITH FREQUENCY OF HIV CARE VISITS IN RECENTLY HIV-DIAGNOSED PERSONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-063 Gardner, LI1; O.Daniels, CM1 , 2; Smith, CT1; Metsch, LR3; Loughlin, AM4; Anderson-Mahoney, P5; Strathdee, S6; del Rio, C2 About 25% of participants had negative perceptions about HIV medications, and a similar percentage disregarded the importance of a high viral load. Positive perceptions on the 4-item scale concerning HIV medications were associated with more reported visits to HIV primary care. While we cannot be sure the association of these knowledge and attitude variables reflects a causal association because of the cross-sectional design, these attitudes may pose a significant barrier to early linkage to HIV primary care. Interventions to enhance linkages to care for newly diagnosed persons should address attitudes towards medications for HIV. |
| TP-064 | VACCINATION AND HIV-INFECTED PATIENTS: CLINICAL EXPERIENCE IN A TEACHING HOSPITAL DURING 10 YEARS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-064 Sabidó Espin, M; Beltran Garrido, JM; Olona Tabueña, N; Ramon Torrell, JM Vaccines against tetanus-diphtheria, hepatitis B, hepatitis A, hepatitis A/hepatitis B and influenza are commonly administered in the primary health care system. This fact partly explains the low number of recipients of such vaccines in our centre. Although most of the patients received one dose of pneumococcal polysaccharide vaccine, further efforts should be made to increase revaccination against S. pneumoniae. |
| TP-065 | SIMBA MINORITY COMMUNITY HEALTH COALITION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-065 St. Louis, N Year one taught SMCHC to strengthen the amount of stable sites in order for the program to be more effective. In year two, SMCHC stabilized attrition and learned behavior changes are not to be expected with just educational material. Self-esteem was a great factor to be worked upon in order for participants to feel a need to change behavior. Going into year three, SMCHC is looking forward to trend setting and overwhelmingly making a change in Metro Atlanta’s low-income communities. |
| TP-066 | THE HOUSE BALL SURVEY: USING RESEARCH AS A MEANS FOR PROVIDING PREVENTION COUNSELING AND HIV TESTING SERVICES TO A COMMUNITY IN THEIR OWN SETTING.THE NEW YORK HOUSE BALL SCENE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-066 Murrill, CS1; Guilin, V2; Dean, L3; Junquera, Y2; Asencio, R2; White, B2; Torian, LV1 Provision of HIV testing and referral services during House Ball events resulted in improved access to such services. Use of an in-depth risk assessment survey instrument enabled prevention counselors to more effectively address at the individual level specific risk behaviors and other psychosocial factors. Such outreach efforts should continue to be adapted to the specific sub-culture of the House Ball community, including transgender individuals, in order to increase acceptability and access to testing and prevention counseling services. Formative assessment and establishment of partnerships with stakeholders prior to outreach efforts as well as using members of the target community, as outreach staff, was key for successful implementation. |
| TP-067 | A HANDS-ON APPROACH TO MANAGING AND MONITORING CBO PREVENTION CONTRACTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-067 Christos-Rodgers, J; Bickham, J; Carrel, J This model of contract management combines the strengths of both objective/quantitative and relational/qualitative approaches. It allows OPH-HAP to foresee concerns or problems and intervene with assistance for the CBOs. At a time when the trend in publicly funded services is toward greater accountability and increased requirements for measurement of program indicators, CBO staff may perceive that attention to data collection limits their capacity to do the "real work" of prevention. This model ensures that contract monitoring is based on relationships which allow the full context of prevention service delivery to be understood and responded to by health department staff. They allow OPH-HAP to build true partnership into statewide prevention systems. |
| TP-068 | INCORPORATION OF COMMUNITY COLLABORATIONS INTO EFFORTS TO REDUCE HEALTH DISPARITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-068 Metayer, N; Cheezum, R Coalitions to promote health have been lauded in recent years as the tool to foster community involvement in health promotion and to combat complex health problems. Many foundations and governing agencies have found community coalitions an essential component of resolving major community public health concerns. However, for many communities and particularly for some ethnic communities, the formation and implementation of community coalition represents a significant challenge to address collectively and effectively local health problems. For the Boston Haitian community, an inherent culture of distrust based on past political, institutional and social experiences in Haiti has paralyzed over the years all efforts for sustained collaboration and partnership initiatives. |
| TP-069 | STRUCTURAL INTERVENTION - SCHOOL-BASED PREVENTION PROJECT LESSONS LEARNED Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-069 Zamudio, P The planning, implementation, and evaluation of HIV-prevention programs in public schools are greatly enhanced when technical assistance is provided and ready-made forms, documents, and instruments are available. |
| TP-070 | BUILDING AND SUSTAINING EVALUATION CAPACITY IN HIV PREVENTION AMONG ASOS: VIEWS FROM MULTIPLE STAKEHOLDERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-070 Smith-Bankhead, N1; Gentry, QM2; Williams, MM1; Seabolt, M1 Implementing a system of program monitoring and evaluation is a process that should include input from the entire agency, not just the program staff. Agency support vital to the success of an institutionalized evaluation process. The interest and skill set brought by the program evaluator is key to the acceptance of this process by agency and program staff. Without staff buy-in, the process will not be as effective or as accurate. A coordinated evaluation process eases the challenge of strategically planning prevention programs and services intended to reach numerous target populations. |
| TP-071 | PARTNERING WITH STATE HEALTH DEPARTMENTS TO DIFFUSE HOLISTIC HIV/AIDS PREVENTION INTERVENTIONS FOR HIV+ AND HIV- INJECTION DRUG USERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-071 Sharpe, TT1; Collins, C1; Arnold, R2; Margolin, A3; Bivens, G3; Vasapolli, A4; Novey, S5 Where funds are limited, state health departments should consider technology transfer of evidence based HIV prevention programs using methodologies to pool resources and human capital. Next steps include expanding the model program to Pennsylvania and Connecticut. |
| TP-072 | HIV PREVENTION AND CARE: UNDERSTANDING BEST PRACTICES IN COMMUNITY HEALTH CENTERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-072 Hayes, P; McNamara, K; Curtin, T Lessons learned include both quantitative and qualitative information. Health centers vary in their ability to provide comprehensive HIV care. Some centers perceive very few barriers to providing HIV services while others struggle to believe the HIV problem exists outside of an urban environment. The cost and reimbursement for HIV services remains a barrier for many health centers to meet the ongoing needs of its patients. NACHC plans to provide health centers the tools and training to implement and improve fundamental HIV services regardless of a center’s location and size. |
| TP-073 | MOBILIZING BEHAVIORAL AND SOCIAL SCIENCE VOLUNTEERS TO IMPROVE HIV PREVENTION PROGRAMS IN THE COMMUNITY AND ASSIST IN THE DISSEMINATION OF EFFECTIVE BEHAVIORAL INTERVENTIONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-073 Kelley, RT; Anderson, JR; Wilkerson, ED The BSSV Program has recruited and trained over 190 volunteers who have provided technical assistance to over 290 communi-tybased organizations, planning groups, and health departments involved with HIV prevention. The types of technical assistance offered include: infusing behavioral and social theory into intervention development, assisting with needs assessments, adopting /adapting proven interventions to new settings/ populations, evaluations, coaching DEBIS, etc. |
| TP-074 | INTERNATIONAL TWINNING AND TECHNICAL ASSISTANCE PROJECTS: HOW DO U.S. STATE HIV/AIDS PROGRAMS BENEFIT? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-074 Bhat, D; Vasquez, S; Sakolsky, N U.S. health department staff pointed out that they have a renewed enthusiasm and excitement for their domestic work and have met new colleagues both domestically and internationally. They also have broadened their knowledge about U.S. global HIV/AIDS policy and programs. Peer to peer technical assistance should be encouraged and valued as it results in desirable benefits for all involved. |
| TP-075 | CAN DATA-DRIVEN HIV PREVENTION OUTCOMES BE ACHIEVED? AN EXAMPLE OF INTERNAL EVALUATION EFFORTS IN A GRASSROOTS COMMUNITY-BASED HIV ORGANIZATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-075 Elcock, S; Rohatgi, R Over the course of implementing evaluation within prevention services and across the agency we overcame some significant challenges. One of the main hurdles was staff resistance; in order for these collaborative quality efforts to be effective there was a need for front-line and management staff to develop a complete understanding and appreciation of the values around evaluation. Once these obstacles started to dissipate it became apparent how this .cultural shift. within the agency has improved overall services, documentation, and how evaluation was effectively used as a powerful empowering tool to enable change. In conclusion, simultaneously collecting on-going QM and outcome data has enabled us to improve service provision and better meet the needs of our clients. |
| TP-076 | HOW DO TEENS UNDERSTAND MIXED MESSAGES? RURAL AND SUBURBAN FOCUS GROUPS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-076 Smith, MU1; Devereaux, RS1; Lamarca, SC1; Greenier, KD2 Comprehensive sex education is often criticized as presenting .mixed messages. that confuse teenagers about society’s expectations for their behavior. This argument is perhaps the strategy most often used by politicians and others to support abstinence-only programs. If sound curriculum decisions are to be made, planners must know mhow teens understand mixed messages and the characteristics of such messages that increase or decrease the likelihood of confusion. |
| TP-077 | HOME BASED CARE SERVICES BY COMMUNITY BASED ORGANIZATIONS (CBOS) ON HIV/AIDS PROGRAM AS THE BEST SOLUTION FOR DECONGESTING HOSPITALS IN LIMITED-RESOURCE SETTINGS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-077 Ogutu, GE To inform the conference delegates the following; The vital role-played by Community Based Organizations (CBOs) in provision of home care services for HIV infected and affected persons in poor resource areas. To justify the urgent need to refocus /advocate for more resources to strengthen community initiatives or CBOs, the major stakeholders in grassroot HIV/AIDS interventions thus compliment government efforts in limited resource settings. The long-term effective strategy in HIV/AIDS prevention and care programs involves active community participation, empowerment and addressing sustainability measures. To share the lessons learned and best practices with other stakeholders involved in Community home care HIV/AIDS programs in disadvantaged areas among vulnerable population. |
| TP-078 | MEDIA COMMUNICATION AND HIV PREVENTION: A CASE STUDY WITH THE HAITIAN POPULATION IN HIV PREVENTION. Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-078 Neptune, O1; Metayer, N2 Strategy of engagement has been developed and will be discussed with the participants. How should we make media involvement an integral part and not an add-on of our HIV prevention initiatives? |
| TP-079 | POSITIVE PERSPECTIVES-PROTECTING THE HEALTH OF WOMEN LIVING WITH HIV/AIDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-079 Kelley, RT1; Aiken, A2 Group and individual level interventions are an effective way of working with women to build self-esteem; change coping skills; develop leadership; address treatment adherence and function more effectively as integral members of their families and communities. |
| TP-080 | BUILDING CAPACITY FOR HIV PREVENTION AND CARE ALONG THE U.S.-MEXICO BORDER Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-080 Sandoval, JA1; Figueroa-Gonzalez, M2; Moreno, SA1; Gonzalez, O3; Armas, L1 In a continuing effort to address HIV/AIDS needs along the U.S.-Mexico Border, the Texas/Oklahoma AIDS Education & Training Center sponsored policy forums in El Paso, Texas and the Lower Rio Grande Valley, in order to set priorities and outline strategies for enhancing care and prevention services. This paper draws upon data and input from the cross-cultural, interdisciplinary, and binational exchanges that transpired during the Border Summits held October 14-16, 2004. |
| TP-081 | USING VISUAL TECHNIQUES AS AN INNOVATION TO ENHANCE DATA COLLECTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-081 Blair, A1; Dudley, TD1; Phillips, N1; Stevens, F1; Freeman, AC1; Koch, J2; Robbins, A2 Incorporating visual techniques into traditional assessment methods can be very useful techniques to elicit information on influencing factors and work to increase participation among beneficiaries. |
| TP-082 | THERE CAN BE NO "OTHER" - ASIANS & PACIFIC ISLANDERS IN COMMUNITY PLANNING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-082 Tepporn, E Based on recent membership data, more than half of the jurisdictions funded to implement community planning do not have at least one Asian or Pacific Islander member. Significant barriers as well as gaps in parity, inclusion, and representation for Asian & Pacific Islander CPG members will continue to exist unless community members, community based organizations, and health departments collectively work to address these gaps. |
| TP-083 | PROGRESS OF THE CDC'S ADVANCING HIV PREVENTION RAPID HIV TESTING PROJECTS, 2003-4. A GROUP ORAL PRESENTATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-083 Kellerman, SE1; Begley, EB1; Boyett, BC1; Clark, HA1; Grumm, F2; Tsang, J3; McKeever, J4 CDC’s HIV prevention activities over the past two decades have focused on helping uninfected persons at high risk for HIV change and maintain behaviors to keep them uninfected. Despite these efforts, the number of new HIV infections is estimated to have remained stable and the number of persons living with HIV continues to increase. The Advancing HIV Prevention initiative capitalizes on new rapid testing technologies and interventions that bring persons unaware of their HIV status to HIV testing. In the first year of the demonstration projects, numerous successes have been identified including an acceptance of testing in a wide array of settings, accessing high risk persons and providing opportunities for them to test, facility with managing linkage to care and services. Barriers include difficulties with local regulations governing counseling, testing and training requirements. CDC project officers and staff located at participating grantees will discuss these issues during this session. |
| TP-084 | RAPID HIV TESTING AT HIGH CAPACITY VENUES: AN EFFECTIVE INTERVENTION IN RURAL SETTINGS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-084 Fisher, T1; Sonoda, R2 Conducting rapid HIV testing in a high capacity outdoor setting is feasible, while maintaining confidentiality and providing service in a culturally and linguistically appropriate manner. A volunteer staff was extremely effective in delivering services, which was essential due to limited resources. Clients will wait for services, are willing to return for results (same location and remote locations) and return for follow up services when needed. The high disclosure rate leads one to believe that clients accept the efficacy and convenience of rapid HIV testing, and a high comfort level with testing and receiving results in an outdoor venue. |
| TP-085 | BEYOND STREET OUTREACH TO PERSONAL RESPONSIBILITY FOR HIV PREVENTION THROUGH PREVENTION CASE MANAGEMENT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-085 Rhodes III, P; Clark, M; Smith, CD Conducting rapid HIV testing in a high capacity outdoor setting is feasible, while maintaining confidentiality and providing service in a culturally and linguistically appropriate manner. A volunteer staff was extremely effective in delivering services, which was essential due to limited resources. Clients will wait for services, are willing to return for results (same location and remote locations) and return for follow up services when needed. The high disclosure rate leads one to believe that clients accept the efficacy and convenience of rapid HIV testing, and a high comfort level with testing and receiving results in an outdoor venue. |
| TP-086 | FUND DEVELOPMENT, IT'S NOT ALL ABOUT GRANT WRITING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-086 Cruz, B; Blanchard, J The organizational strategic plan is an official document prepared and approved by the Board of Directors where long-term goals and objectives of the organization are articulated. Future growth and organizational development is included in the strategic plan. Absence of a strategic plan is evidence of lack of commitment and poor planning by the organization. Unfortunately, promising CBO’s have succumbed to such practices and tend to plan on a yearly-basis, hence failing to plan for their own future and continuity. It is always best (and safer) to keep our fundraising energies focused on the fulfillment of our current projects, identified needs, and future endeavors as stated in the Organizational Strategic Plan |
| TP-087 | VOLUNTEERISM AS A KEY ELEMENT TO AN HIV-SPECIFIC EDUCATIONAL AND SELF-ESTEEM NETWORK DESIGNED BY AND FOR HIV-INFECTED YOUTH, THEIR FAMILIES, AND THE COMMUNITY AT AN URBAN ACADEMIC MEDICAL CENTER Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-087 Noroski, LM1; Aldape, TM1; Sharp, KE1; Shearer, WT1; Justice, B2 Perinatally-infected HIV youth are living into adulthood and they with their caregivers are faced with pervasive HIV stigma. Negative HIV profiling has been linked to shame among HIV populations. Lack of self-esteem and delayed life skills have been described in the HIV-infected. Volunteerism has been linked to self-esteem. Effective models of HIV education involve the HIV-infected as leaders. HIV-specific programs geared to providing HIV education and elevating self-esteem are not usually linked to traditional health care nor incorporate structured volunteerism for HIVinfected patients, their family members, and young community students and professionals. |
| TP-088 | PARTNERING WITH LAW ENFORCEMENT: A PANDORA’S BOX OR A PROMISING STRATEGY? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-088 Howell, JJ HIV prevention programs implemented in areas where people who engage in high-risk behavior congregate often interact with local law enforcement. Is this interaction contrary to prevention efforts or does it hold a key to modifying interventions to high-risk communities? |
| TP-089 | UNDERSTANDING THE CULTURE OF CBOS: IMPLICATIONS FOR IMPROVING THE CAPACITY OF CBOS PROVIDING HIV PREVENTION INTERVENTIONS TO DIVERSE COMMUNITIES. Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-089 Johnson, OG1; King-Tsikata, K2 For CBA provision to be effective it must be conducted with the CBOs view of how such assistance can impact their services to their communities as well as the culture of their organization. |
| TP-090 | TARGETING ASIANS AND PACIFIC ISLANDERS FOR HIV TESTING USING A GLOBAL INFORMATION SYSTEM (GIS) IN LOS ANGELES COUNTY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-090 Ma, A; Insixiengmay, P; Hariawati, H; Tu, L Using new technology such as GIS in the Community Based setting is an effective way to better target services to increase the target population to access HIV Counseling and Testing services and identify areas where more outreach could be conducted to reach a targeted population. Collecting data on risk factors in relation to geographic location may also better direct outreach and prevention efforts. |
| TP-091 | ASSURING QUALITY PREVENTION OUTREACH: A MODEL FOR MSM PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-091 Gaucher, MJ Incorporating quality assurance initiatives into an overall approach to program monitoring increases quality and support for workers providing direct services. Funders are able to provide performance feedback and better target training and technical assistance needs. The initiative is an excellent way to engage HIV+ persons into program assessment. |
| TP-093 | IMPLEMENTING STAGE OF CHANGE MEASURES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-093 Dutton, LF HIV Prevention programs will improve quality outcome measures by using both the survey instrument developed by Prochaska and DiClementi and the New Jersey developed Access-based scoring tool. HIV prevention programs will be assisted in effectively assigning the appropriate stage of change thereby match the level of the intervention to the individualized stage. We are prepared to supply participants with the scoring program on CD Rom. |
| TP-094 | IMPLEMENTATION OF A COMPREHENSIVE HEALTH COMMUNICATIONS PLAN: A PUBLIC HEALTH AND PRIVATE SOCIAL MARKETING PARTNERSHIP Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-094 Sanchez, J The success of an integrated social marketing plan to address the public and individual’s HIV, STDs and Hepatitis prevention needs requires core social marketing guidance and an ongoing evaluation of trends, state and public policy development, and federal directives. Such plans also demand a private social marketing partner versed in public health policy and grounded in the principles and practices of the State Department of Health in order to direct and inform social marketing efforts targeting the broader public, individuals at risk for HIV, persons living with HIV, and their partners as well as targeted audiences when dictated by statewide surveillance and service utilization data. |
| TP-095 | MAKING HIV TESTING PART OF ROUTINE MEDICAL CARE: THE STATE HEALTH AGENCY’S ROLE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-095 Renzi, N State health agencies have a difficult but vital role in making HIV testing a routine part of medical care. For many states, much work has already been done to partner with health care providers, correctional facilities, and the public to help reduce the rates of undiagnosed HIV infection. It is hoped that by employing some or all of the recommendations presented in this presentation, states can build upon these existing relationships to implement or improve routine HIV testing programs. |
| TP-096 | FROM BASIC BEHAVIORAL RISK AND HEALTH ASSESSMENTS TO INDIVIDUALIZED RISK REDUCTION PLANNING: AN INTEGRATED PUBLIC HEALTH PROVIDER GUIDANCE AND ASSESSMENT TOOL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-096 Sanchez, J The necessity to assess an individual’s health status and behavioral risks for HIV, STDs and Hepatitis, including sexual and needle sharing activities is primary to help inform and direct further prevention intervention activities, clinical, psychosocial, peer and other support service referrals, as well as testing/screening options. Social service and public health providers require core guidance and tools to better maximize comfort, clarity and framework for implementing this integral prevention intervention. |
| TP-097 | IMPLEMENTING A MOBILE TESTING VAN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-097 DuPea, ML HIV counseling and testing services must be provided where people work, live and play. These services must be delivered in a “client-centered” manner to achieve “buy-in” which ultimately leads to a successful mobile testing program. |
| TP-098 | TURNING PROGRAMMATIC CHAOS INTO PREVENTION SUCCESS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-098 Assessing organizational and programmatic strengths, weaknesses, and the potential for productive opportunities will help managers, directors, coordinators or frontline workers in community-based prevention intervention programs turn programmatic chaos into prevention success by putting into action the keys to resiliency. |
| TP-099 | PERFORMANCE AND QUALITY IMPROVEMENT IN INFECTION PREVENTION AND CONTROL IN HOSPITALS IN MOZAMBIQUE USING A STANDARDS-BASED MANAGEMENT APPROACH (SBM) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-099 Necochea, EI1; Bossemeyer, DK1; Come, J2; Novella, O2; Ramirez, L3; Necochea, EI4; Benech, I3; Vergara, A3 SBM is a focused approach which begins with a subject-matter content and this allows service providers to immediately focus on topics that are relevant to their daily work The practical tool that tells providers what to do and how to do it, functions as a job aid and facilitates the quick visualization of performance gaps. Health workers begin implementing changes with minimal external assistance Continuous measurement has a motivating effect and serves to orient the process The objective identification of performance gaps allows local workers to mobilize resources Health workers. change management skills develop gradually, beginning with simple and rapid changes The SBM methodology can be easily incorporated in the day-to-day management and provision of healthcare. |
| TP-100 | THE KNOW YOUR STATUS PROJECT: RURAL HIV PREVENTION FOR AFRICAN-AMERICAN WOMEN IN PUBLIC HOUSING COMMUNITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-100 Batey, S; Hope, J; Simpson, C; Fowles, M; Jackson, E A thorough community needs assessment is essential to fully understand the needs of the target population; prevention case managers should not assume that they are aware of all of the struggles facing the target population. Better explanation of overall goals to all project staff early in the project process may increase staff buy-in, and meeting style and management structure may be an important factor in prevention team cohesion. Balancing requirements of data collection/reporting and service provision is difficult, but is not insurmountable if prevention staff are thoroughly informed regarding the purpose of evaluation, are supported in their daily duties, and supervision is appropriately structured. |
| TP-101 | FROM FLAT TO FLASHY - THE IMPORTANCE OF AN EFFECTIVE HIV PREVENTION EDUCATION WEB SITE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-101 Loya, R; Hernandez, F HIV/AIDS information is changing so rapidly that health education professionals, teachers, parents and students will benefit through the efficiency of Internet access. Offering up-to-date HIV/AIDS information is a critical component in HIV prevention education. HIV program personnel can promote the use of World Wide Web resources to better enable educators, youth, and parents to locate the most current, relevant information in support of their prevention efforts. |
| TP-102 | HIV PROGRAMS IN CORRECTIONAL SETTINGS: THE CORRECTIONS DEMONSTRATION PROJECT AND BEYOND Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-102 Potter, RH A summary of lessons learned and implications from the national perspective will be presented. The intended audience is any community planning group, health department, corrections system, or community-based organization interested in developing programs for this significant population. |
| TP-103 | RAPID TESTING: CAPACITY BUILDING FROM A HEALTH DEPARTMENT PERSPECTIVE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-103 Ferguson, BW; Carlos, J Several critical issues were identified throughout the process. Staff competency was a significant challenge with respect to implementation and management. New skills needed to be perfected by frontline staff in a very short timeframe. Cost analysis showed a significant initial resource investment (staff training, supplies, staff time), however, the improvement to the testing system appears to outweigh the investment. The level of Health Department oversight and technical assistance was significant and unanticipated. Data collection systems needed to be modified to incorporate new data variables, fee structures and quality assurance tools. And finally, the time lapse between training and implementation, and counselor retention seriously impacted anticipated services. |
| TP-104 | A PLAN FOR MAINTAINING A SUCCESSFUL COMMUNITY ADVISORY BOARD Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-104 Chovnick, G Involving members of the Community Advisory Board in this process right from the start is necessary for success. This process also requires dedication and commitment on the part of the research staff to make any necessary changes and improvements. |
| TP-105 | DEVELOPING AND DISSEMINATING COLLECTIONS OF EFFECTIVE HIV/AIDS PREVENTION PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-105 Card, JJ; Solomon, J In the future, dissemination can potentially be advanced by developing and evaluating computer-based versions of efficacious programs, thereby permitting more cost-effective scale-up, and by providing program adaptation tools in the kits and via the Internet to facilitate more effective, culturally competent program planning, implementation, and evaluation. |
| TP-106 | AIDS RAP: A WEB-BASED LEARNING AND RESOURCE CENTER Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-106 Card, JJ; Kuhn, T; Dull Akers, D; Solomon, J; Conner Snibbe, A; Raghupathy, S Practitioners have indicated a need for the type of science-based materials in AIDS RAP and appreciate having them available from the web via a single easy-to-use interface. Other lessons learned can be applied to the development of future online materials for prevention practitioners. |
| TP-107 | DEVELOPING AND EVALUATING PREVENTION INTERVENTIONS FOR .MEN WHO HAVE SEX WITH MEN AND WHO DO NOT IDENTIFY AS GAY OR BISEXUAL, AFRICAN AMERICAN AND LATINO. Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-107 Lemelle, AJ, Jr.1; Lemp, G1; Truax, S2; Aoki, B1; Harawa, N3; Williams,J4; Martinez-Donate, AP5; Sañudo, FM6; Flournoy, MH7; Livermore7 These research studies indicate that many African American and Latino MSM do not identify themselves as gay or bisexual, and consequently may not perceive themselves at risk for HIV, undergo HIV testing, utilize HIV prevention services, or disclose their sexual behaviors to others. These men are often referred to by names including "trade," "down low," and "homo thugs". Developing and evaluating prevention interventions for high-risk African American and Latino men involves changing some of the ways that funding and research are usually done in the field of HIV prevention. The new collaborative model requires sharing power and increasing equality in the context of institutional capacity. |
| TP-108 | MONITORING THE IMPLEMENTATION OF THE HIV PREVENTION OF MOTHER TO CHILD TRANSMISSION PROGRAM IN HONDURAS: CHALLENGES AND OPPORTUNITIES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-108 Rivera-Scott, NP It is possible to implement a PMTCT program in a developing country. The intervention strategies employed demonstrated to be effective in identifying HIV+ pregnant women, incorporating them into ARV prophylactic regimens and reducing mother-to-child transmission. Key success factors include: sustained political awareness and advocacy regarding the epidemic; design, training and implementation of national guidelines and M&E system; promotion of PMTCT services and benefits at the institutional and community level; training and fol-low-up of multidisciplinary health teams, scaling up of rapid testing and availability of follow-up tests for infants; development of adequate logistics and funding to ensure a sustainable response and an effective reporting system in place to support decision-making processes, enhancing commitment and resource mobilization. |
| TP-109 | WILLINGNESS AND ABILITY TO PAY FOR NEVIRAPINE FOR THE PREVENTION OF MOTHER-TO-CHILD TRANMISSION OF HIV IN THE KASSENA-NANKANA DISTRICT OF RURAL NORTHERN GHANA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-109 Akanlu, GB Low knowledge of MTCT as one of the modes of transmission could have adverse implications for a PMTCT program in this dominantly breastfeeding population. The mean maximum WTP of US $1.67 was below the then market price of US$10.00 in health facilities and pharmacies. Full cost-recovery is unlikely to be achievable in this district and could hinder the sustenance of the proposed PMTCT program. |
| TP-110 | DO SOCIAL POLICIES MATTER? THE ADOLESCENT AND ADULT HIV/AIDS PREVALENCE DIFFERENTIAL IN ZAMBIA AND UGANDA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-110 Tembo, D Employing the Ugandan model of prevention is no 'magic bullet' for all countries as more than policy was at play in the Ugandan success. I propose that using the Ugandan model for Zambia at the present stage is not practical. Zambian society continues to be affected by westernisation and globalisation, however strongly entrenched cultural values and traditional norms still prevail. It is vital that research into the social cultural context of HIV/AIDS in Zambia and Uganda continue, to enable effective program planning. To reach the rural populations it is also vital to utilise traditional and religious channels when dispensing policy and programs. |
| TP-111 | MOTIVATION AMONG MSM FOR CONTINUED PARTICIPATION IN A LONGITUDINAL BEHAVIORAL STUDY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-111 Osteen, P1; Benet, D2 At the end of the study, free HIV testing and altruistic intentions were cited as factors for continued participation in a longitudinal behavioral intervention among high-risk MSM. Preference for financial compensation was mixed suggesting MSM in this trial participated for reasons other than financial. Although all participants cited "stopping AIDS" as a reason to participate, intervention arm participants were more likely than standard arm to cite "free counseling" and "avoiding HIV risk" as motivating factors. |
| TP-112 | POLICY ISSUES AND APA'S COLLABORATIONS: IMPROVING LESBIAN, GAY, AND BISEXUAL YOUTHS' LIVES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-112 Anderson, CW; Tomlinson, HL In the model of coordinated school health programs that the Centers for Disease Control and Prevention Division of Adolescent and School Health uses, two of the eight components of the model are "health services" and "counseling, psychological, and social services." |
| TP-113 | COMMUNICATION OF HIV VIRAL LOAD TO MAKE SEXUAL RISK DECISIONS WITH SERODISCORDANT PARTNERS AMONG A DIVERSE SAMPLE OF MEN WHO HAVE SEX WITH MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-113 Guzman, R1; Buchbinder, S1; Mansergh, G2; Vittinghoff, E3; Marks, G2; Wheeler, S1; Colfax, G1 Among MSM who had both heard of VL and had serodiscordant partners, men frequently discussed VL to guide sexual risk behavior. Interventions targeting MSM should provide information about limitations in scientific knowledge regarding the association between a blood plasma VL and sexual transmission risk. |
| TP-114 | PERCEPTIONS OF HIV RISK BEHAVIORS AND SERVICE NEEDS AMONG METHAMPHETAMINE USERS IN RURAL APPALACHIAN TENNESSEE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-114 MacMaster, SA This descriptive paper has sought to provide information about the existence of high-risk HIV-related behaviors. Actual prevalence rates and relationships to other variables are outside of the scope of this study. Future research efforts may want to test such questions in a more scientific manner. |
| TP-115 | HIV AMONG MEN WHO HAVE SEX WITH MEN: DIFFERENCES BY RACE/ETHNICITY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-115 Hall, H; Ling, Q MSM of color are diagnosed at younger ages and higher proportions were diagnosed with AIDS 3 years after HIV diagnosis compared to their counterparts. Black MSM had lower survival 3 years after AIDS diagnosis than other MSM. The disproportionate progression to AIDS or death may indicate late diagnosis in the disease process or lack of adequate access to treatment to slow disease progression. |
| TP-116 | FACTORS ASSOCIATED WITH HIV TESTING AMONG MEN WHO HAVE SEX WITH MEN IN HOUSTON Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-116 Rehman, HU; Arafat, RR; Awosika-Olumo, A; Wolverton, ML HIV testing rates are higher in MSM population in Houston. Unprotected anal sex with non-primary sexual partners was a significant predictor of HIV testing. It is important to focus on risk behaviors of MSM rather than the demographic variables. To increase the prevention of HIV among MSM, specific interventions to prevent risky sexual behaviors are needed. |
| TP-117 | USING LABORATORY SURVEILLANCE DATA TO ASSESS REFERRALS INTO MEDICAL CARE FROM PUBLIC HIV COUNSELING AND TESTING SITES IN LOUISIANA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-117 Wendell, DA; Foxhood, J; Oakes, LC A high percentage (80%) of HIV-infected CT clients who entered care did so in a timely manner. However, many never entered care, particularly persons tested at STD clinics and jails, as well as males, African Americans and young persons. These results highlight the need to strengthen referral programs in certain settings and populations. Also, many CT clients had a low CD4 count at their initial visit indicating the need for enhanced outreach to high-risk populations so that persons are tested much earlier. |
| TP-118 | SEX, CRYSTAL, AND HIV: AN ONLINE SURVEY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-118 Ryan, R; Redmon, M; Krutch, W; Pollard, J Because the survey focused on crystal methamphetamine, meth users may be over-represented among respondents. Results confirm a robust relationship between meth use and high risk sexual activity and suggest that the internet may be a cost effective strategy for reaching both urban and non-urban crystal methamphetamine users. The level of expressed interest in telephone counseling is encouraging and warrants further testing of the feasibility and efficacy of delivering substance abuse counseling to methamphetamine users by telephone. |
| TP-119 | DESIGNING AN HIV TESTING PROGRAM THAT REDUCES STIGMA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-119 Gipson, J; Rucker, T The sessions will provide organizations with an innovative method to developing and implementing an anti-stigma HIV testing campaign by analyzing the community norms and factoring behavior change. The significant of developing campaigns with an anti-stigma focus is discussed as an effective method to encourage the African-American community to embrace the importance of HIV testing. |
| TP-120 | SUCCESSFUL PROMOTION OF HIV TESTING AND COUNSELING IN AFRICAN AMERICAN COMMUNITIES - NEW STRATEGIES FOR A CHANGING EPIDEMIC Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-120 Moody Thomas, LD; Colomb, M Providing organizations with a systematic approach to planning, organizing and implementing more productive HIV testing events has implications for targeting prevention efforts, service integration and ensuring non-duplication of services. Policy implications of this session involve the complexities in the wide variance of laws, policies and procedures that govern the mechanisms and venues for HIV testing. |
| TP-121 | HIV/AIDS AMONG NON-HISPANIC BLACK FEMALE ADULTS AND ADOLESCENTS IN THE UNITED STATES, 2003 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TP-121 Satcher, AJ1; Whitmore, SK1; Hu, S2 Black women are disproportionately affected by HIV/AIDS. The development of new and effective strategies to increase awareness and promote focused and culturally specific prevention and intervention approaches may reduce the number of new infections in this population. An effective strategy for reducing the number of new HIV infections among black women may be to direct prevention efforts toward reducing heterosexual exposure risk. |
| TR-A02-01 Acute HIV Infection As An Opportunity for HIV Treatment and Prevention |
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| TR-A0201 | ACUTE HIV SCREENING VS. HIV RAPID TESTING FOR PREVENTION: FINDING THE WAY FORWARD Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-A0201 Pilcher, CD Public health authorities need to grapple with the fact that antibody tests-any antibody tests-have limited sensitivity (around 95%) for HIV in clinical practice. Given the importance of acute detection for prevention and the increasing availability of rapid tests for point of care testing, the roles of the central reference laboratory and of field services staff (e.g., disease intervention specialists) in the VCT process need to be reconsidered. Responsive HIV policy must provide for both central confirmation of initially negative rapid test results (e.g., with NAAT) and public health intervention in cases where a direct test (NAAT) reveals a possible acute case. Integration of rapid testing, NAAT for acute case detection and PCRS for intervention is possible-but will require fundamental changes in counseling practice. |
| TR-A03-02 Understanding Racial Identity Among African Americans |
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| TR-A0301 | UNDERSTANDING RACIAL IDENTITY: IMPLICATIONS FOR MAKING HIV PREVENTION INTERVENTIONS CULTURALLY APPROPRIATE FOR AFRICAN AMERICANS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-A0301 Johnson, OG1; King-Tsikata, K2 Effective HIV prevention interventions must reflect and validate the lived experiences of its consumers. That cannot truly happen until service providers and HIV prevention intervention designers/creators take into consideration the way in which the African American racial identity develops, changes overtime and influences the communicative, sexual, drug use and healthcare access behaviors of the population we intend to serve. |
| TR-C02-04 Rapid Test and Beyond: New Directions for HIV Testing and Diagnosis |
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| TR-C0201 | RAPID TESTS AND BEYOND: NEW DIRECTIONS FOR HIV TESTING AND DIAGNOSIS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-C0201 Branson, B1; Werner, B2; Tran, A3 Effective HIV diagnosis, treatment, and care depend on both accurate and reliable tests and the proper understanding and interpretation of results. The diagnostic landscape in the U.S. has changed dramatically in a very short time. Participants of this roundtable discussion will leave with an awareness of the many new methods for HIV diagnosis and how these tests are used for the appropriate diagnosis and management of HIV infected individuals. |
| TR-C04-19 Engaging Gay Men in Microbicide Research Advocacy |
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| TR-C0401 | ENGAGING GAY MEN IN MICROBICIDE RESEARCH ADVOCACY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-C0401 Pickett, J As gay, bisexual and men who have sex with men are choosing to not use condoms for sexual intercourse, reflecting in increasing HIV and STD incidence, we must develop other options for them to protect themselves and their partners. Adding more tools to the prevention toolbox will only strengthen our ability to decrease future infections. |
| TR-D02-05 I am My Sister's Keeper: Leadership Development with African American HIV Positive Women |
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| TR-D0201 | I AM MY SISTER'S KEEPER: LEADERSHIP DEVELOPMENT WITH AFRICAN AMERICAN HIV POSITIVE WOMEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-D0201 Bailey, D; Hill, MJ Effective prevention with positive women, treatment adherance, and sucessful CTR outreach to women of unknown status can be exponentuially enhanced through HIV positive women’s leadership. Their life experience combined with technical and emotional supports can improve service delivery and program efficacy. |
| TR-D03-15 Improving the Deaf Community's Access to HIV/AIDS Information |
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| TR-D0301 | IMPROVING THE DEAF COMMUNITY'S ACCESS TO HIV/AIDS INFORMATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-D0301 Condon, MS1,2; Pozzi-Galluzi, GJ1,2 We hypothesize that the deaf population of Dutchess County, New York and the surrounding area is significantly underin-formed/ misinformed regarding HIV/AIDS. In part, this is reflected in erroneous perceptions of self-susceptibility to HIV contraction and of flawed views of efficacy in self-protection. We further contend that these situations can be addressed and critically impacted with an education plan designed to suit the needs of deaf persons, and that our current project can effectively address these issues. |
| TR-E02-10 Determining Gaps in HIV Prevention Services in Los Angeles County: Innovative Strategis & Lessons Learned in the Field |
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| TR-E0201 | DETERMINING GAPS IN HIV PREVENTION SERVICES IN LOS ANGELES COUNTY: INNOVATIVE STRATEGIES AND LESSONS LEARNED IN THE FIELD Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-E0201 Janson, MA; Nwachuku, IC; Durazo, A Lessons learned from implementing the Community Needs Assessment can aid other communities in identifying effective strategies for collecting data from hard to reach individuals who are not receiving prevention services. Implications of knowledge gained from the needs assessment include broadening the scope of current prevention programs and learning new ways of addressing the prevention needs of individuals engaging in high-risk behaviors. |
| TR-E03-12 Journalists' Viewpoints on Covering Methamphetamine Prevention and Policy |
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| TR-E0301 | JOURNALISTS' VIEWPOINTS ON COVERING METHAMPHETAMINE PREVENTION AND POLICY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-E0301 Wohlfeiler, D1; Osborne, D2; Suo, S3 Health departments and community-based organizations have a valuable and very cost-effective resource in the media. By listening to the perspective from two of the nation.s leading reporters on this topic, public health efforts can gain a better sense of their own successes and failures, as well improve their understanding of how to work better with reporters to further their goals on meth and other issues concerning HIV/ STD and drug abuse prevention. |
| TR-F03-11 Cultural Attitudes and Beliefs |
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| TR-F0301 | HEALTH BELIEFS AND PRACTICES REGARDING HIV/AIDS AND TB AMONG HAITIANS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-F0301 Piton, J; Antoine, B; St. Louis, G; Jean-Louis, E Effective HIV/AIDS and TB prevention and treatment for this population require providers, who can navigate between the world of the Haitian health beliefs and practices, including religion, and modern medicine. |
| TR-F04-07 HIV Testing in Healthcare Facilities |
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| TR-F0401 | CHALLENGES TO HIV SCREENING IN EMERGENCY DEPARTMENTS AND URGENT CARE CENTERS IDENTIFIED FROM A CDC CONSULTATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-F0401 Romaguera, RA; Rauch, KJ Data from HIV screening programs and studies in EDs/UCCs have shown that selected EDs/UCCs are important medical settings in which to identify persons with undiagnosed HIV infection. However, it appears that EDs/UCCs may not adopt broader HIV testing because of the numerous challenges they face. This roundtable will present challenges related to the implementation and sustainability of HIV screening programs in EDs/UCCs which were identified from the consultation. |
| TR-G02-09 Zining as an HIV Prevention Outreach Tool |
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| TR-G0201 | ZINING AS A PREVENTION OUTREACH TOOL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-G0201 Reinke, JR A Zine is a small handmade periodical. The Zine can include prevention messages. The Zine can highlight local, national, and international efforts that address the epidemic. Through interviews and individuals telling thier stories, we try to address the gaps in services, and highlight other programs or services that could be of use for the at risk population the Zine is trying to reach. By including individual remedies, and suggestions from the at risk population, they become involved and help solve or address issues that may not have a clinical solution. The Zine can use local resources and internet resources, to bring about clearer understanding of the issues, and to give people further resources to address thier needs. Individuals begin to do peer education, or simply participate in the programming by providing artwork, and insight that only someone who has lived through it can provide. It becomes an outlet and an inlet for at risk populations. |
| TR-G03-06 Creating an Effective Network for HIV/STD Educatiors and Trainers |
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| TR-G0301 | CREATING AN EFFECTIVE NETWORK FOR HIV/STD EDUCATORS AND TRAINERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. TR-G0301 Storch, PK; Hooper, H With the input of our HIV prevention partners, an effective network can be established which will foster communication, information sharing, and collaboration on HIV prevention efforts. |
| T1-A04-01 Transmission Risk in HIV-Positive Injection Drug Users |
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| T1-A0401 | NEGATIVE ATTITUDES TOWARD CONDOMS BECAUSE 'THEY DON'T FEEL GOOD' - GENDER DIFFERENCES IN CORRELATES AMONG HIV-POSITIVE (HIV+) INJECTION DRUG USERS (IDUS) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-A0401 Mizuno, Y1; Purcell, D1; Latka, M2; Metsch, L3; Gomez, C4; Eldred, L5; Latkin, C6; INSPIRE Team HIV+ male IDUs reported significantly more negative attitudes toward condoms than HIV+ female IDUs. Partner norms appear to be an important correlate for both men and women. However, women's attitudes were also associated with personal skills, knowledge, and partner violence. Interventions should focus on these factors to improve attitudes toward condoms. It is also noteworthy that demographic, psychosocial, and partner variables examined here explained only 19% of variance in the outcome among men, suggesting that more studies need to be done to identify other factors that might influence men's attitudes. |
| T1-A0402 | HIGH RATES OF SEXUAL TRANSMISSION RISK BEHAVIOR REPORTED AMONG HIV-SEROPOSITIVE INJECTION DRUG USING MEN WHO HAVE SEX WITH MEN AND WOMEN (MSMW) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-A0402 Knight, KR1; Shade, SB1; Purcell, DW2; Latka, M3; Metsch, LA4; Latkin, C5; Gomez, CA1 INSPIRE data illustrate that the HIV sexual transmission risk behaviors MSMW reported were significantly greater compared to MSW, and similar to or less than MSM. Further research is needed to understand the contexts under which HIV+ injection drug-using MSMW are engaging in unprotected sex and drug risk behavior, as well as the specific prevention needs of this population. Prevention programs should target the unique needs of this population of HIV+ male IDUs, and particularly their prevention needs with female partners. |
| T1-A0403 | WHO FEELS RESPONSIBLE FOR LIMITING THE SEXUAL TRANSMISSION OF HIV? REPORTS FROM HIV-POSITIVE (HIV+) INJECTION DRUG USERS (IDUS) ENROLLED IN THE INSPIRE PROJECT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-A0403 Latka, M1; Mizuno, Y2; Metsch, L3; Wu, Y1; Latkin, C4; Gomez, C5; for the INSPIRE Project Team In this sample of HIV+ IDUs, the majority felt personally responsible for limiting the sexual transmission of HIV which is in contrast to literature showing that IDUs have an awareness to curb risks associated with their drug use, but not sexual risk behavior. Improving HIV knowledge in this group and ensuring social support are potential avenues for increasing personal responsibility, and as observed here, may lower sexual risk behavior. A limitation of this cross-sectional analysis is that it is not known how long IDUs felt, nor what triggered, such responsibility. However, among this group who was long-aware of their HIV-status, these findings suggest little evidence for prevention fatigue and that appealing to one's sense of responsibility is acceptable and important for limiting actual risk taking during sex. |
| T1-A0404 | PROVIDERS' HIV PREVENTION DISCUSSIONS WITH HIV-SEROPOSITIVE INJECTION DRUG USERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-A0404 Wilkinson, JD1; Zhao, W1; Santibanez, S2; Arnsten, J3; Knowlton, A4; Gomez, CA5; Metsch, LR1; the INSPIRE Team Interventions are needed to improve patient-provider communication during the brief time frame of a primary care encounter and to help providers base prevention messages on risk behaviors rather than on demographics. |
| T1-A08-02 Impact of the World Wide Web (WWW) on HIV Transmission |
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| T1-A0801 | "A LADY IN THE STREET, BUT A FREAK ON THE WEB": BLACK ADOLESCENT GIRLS' SEXUAL AND RELATIONSHIP SCRIPTS IN CYBERSPACE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-A0801 Stokes, CE As the first documented study of black adolescent girls' home pages, this interdisciplinary research study introduced the home page as a medium for adolescent HIV/AIDS research and elucidated the significance of the Web and hip hop-influenced popular culture in shaping HIV sexual risk among black adolescent girls coming of age in the 21st century. Findings suggest that a one-size-fits-all approach may fail to address important contextual issues that affect girls. HIV risk. As such, researchers should collaborate with black adolescent girls to develop culturally relevant and youth-friendly HIV risk reduction initiatives that respond to the influence of hip hop culture and the Web on the sexual development of youth of color. HIV risk reduction strategies that incorporate media literacy education and foster girls' self-empowerment are urgently needed. |
| T1-A0802 | HOW MSM MANAGE HIV RISK BEHAVIOR WITHIN THE ONLINE "PARTY AND PLAY" SUBCULTURE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-A0802 Rebchook, GM; Curotto, A In order to design effective HIV prevention programs for men who PnP, it is important to understand the depth of their experiences. Many participants expressed that PnP irrevocably changed their lives (e.g., "I am poz I wish I wasn't, but there you go. I do think it was a direct connection to PnP-ing. After all, I have always had a lot of sex my whole life, but wasn't unsafe until after I started PnP-ing....I'm not saying it's the drug's fault...I did it. But the drugs certainly made the behavior easier". Others reported remaining safe while partying-and-playing and felt that they could manage this behavior in healthy ways; however, even these men acknowledged that they are likely to be exceptions to the rule. |
| T1-A0803 | "THE TIP OF THE ICEBERG": A PILOT STUDY OF INTERNET SEX IN YOUNG MEN HAVING SEX WITH MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-A0803 Garofalo, R1; Herrick, A2; Chamberlin, B3; Donenberg, GR4 Similar to MSM adults, adolescent and young adult MSM utilize the Internet to meet potential romantic/sexual partners and appear to engage in high-risk sexual activities with IPs. Additional research into racial/ethnic and psychosocial predictors of high-risk Internet-related sexual behaviors among young MSM is needed to better understand this phenomenon so targeted interventions may be developed preventing the spread of HIV/STDs within this community. |
| T1-A0804 | SEXUAL RISK BEHAVIOR AND THE INTERNET: RESULTS OF THE MEN'S INTERNET STUDY (MINTS) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-A0804 Rosser, B1; Bockting, W1; Gurak, L1; Konstan, J1; Ross, M2; Coleman, E1; Jacoby, S1 Using the Internet, it is possible to recruit high-risk MSM into HIV studies. Further, the Internet environment appears associated with increased risk, principally by increasing access to number of partners (greater efficiency). Rigorous Internet research of sexual behavior is possible, but the difficulties involved should not be under-estimated. Demonstration protocols at every stage are necessary, including for provision of informed consent, data security, de-duplification, instrument validation, and retention. Prevention targeting Men who use the Internet to seek Sex with other Men (MISM) is a priority. |
| T1-B07-12 HIV/AIDS Surveillance in the Era of HAART: Methods, Evaluation and Risk Assessment |
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| T1-B0701 | CAN HIV/AIDS RISK FACTOR ASCERTAINMENT BE IMPROVED? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B0701 McDavid, K; Chen, M Healthcare providers do not consistently assess or document risk factors for HIV infection. Finding ways to efficiently and completely gather all known HIV risk factors at the provider level will prove a useful outcome of CDC's focused activities to decrease the proportion of HIV/AIDS cases reported without risk factor information. |
| T1-B0702 | COMPLETENESS OF ASCERTAINMENT OF HIV TRANSMISSION RISK FACTORS AMONG ADULT AND ADOLESCENT HIV/AIDS CASES, SELECTED STATES IN THE US, 2002-2003 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B0702 Chen, M; Glynn, MK; Gerstle, JE Although 12-months of RF follow-up investigations has significantly lowered the number of NIR cases, five of the seven states did not achieve the 85% completeness standard. Future efforts to improve ascertainment must include ongoing education, training, and evaluation of health care providers and surveillance personnel regarding the importance of collecting, documenting and reporting of patients. RFs for HIV infection. Educational tools and materials should address challenges that providers may encounter in collecting RF information, particularly from female patients, racial/ethnic minority patients, and older patients. |
| T1-B0703 | WHO IS IN CARE AND WHO IS NOT: CAN SURVEILLANCE DATA HELP TARGET EFFORTS? Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B0703 Scalco, B; Wendell, D The unmet need analysis provided the HIV/AIDS program with an opportunity to identify and address weaknesses in the laboratory surveillance system. The analysis also proved to be quite valuable for prevention and services programs. The linkages between counseling and testing and referral to care needed to be strengthened. Therefore, a policy was implemented requiring post-test counselors to schedule newly diagnosed clients an appointment for medical care and case management during the post-test counseling session. A workgroup was created to develop protocols for implementing case finding activities in collaboration with medical centers, to increase efforts to reach clients who had fallen out of care. The analysis was also used to target resources to populations and geographic areas where additional interventions were needed. Surveillance data was essential in improving the proportion of HIV infected individuals who were receiving the Public Health Service standard of medical care. |
| T1-B0704 | MORBIDITY MONITORING PROJECT: METHODS AND PROGRESS OF SURVEILLANCE FOR CLINICAL OUTCOMES AND BEHAVIORS OF HIV-INFECTED PERSONS IN CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B0704 McNaghten, AD; Sullivan, PS The MMP project will expand supplemental surveillance to include a larger number of cities and states, and will provide ongoing, population-based state and national estimates of morbidity, the impact of treatments, adherence to antiretroviral medications, utilization of health care, risk behaviors, and quality of life among persons with HIV. These data will be used to evaluate new prevention initiatives, quality of care and the need for care and support services at the local level (community planning groups and local planning councils) and to allocate CDC and Ryan White CARE Act funds. |
| T1-B10-06 HIV Surveillance Among Incarcerated Persons |
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| T1-B1001 | HIV STATUS AND HEPATITIS SERVICE ACCESS AMONG ILLICIT DRUG USERS INCARCERATED AT THE COOK COUNTY JAIL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1001 Thompson, RM1; Soofi, H2; Benbow, N2; Weinbaum, C3; Sabin, K3 Illicit drug users entering Cook County Jail were seen by HCPs, but were largely not provided with recommended viral hepatitis prevention services even when HCPs were aware of patients. risk behaviors. Respondents advised to seek services were likely to get immunized/tested indicating that access was not a barrier. It is critical that HCPs not only seek clients. risk history but adhere to ACIP/CDC guidelines for recommending services. |
| T1-B1002 | UNRECOGNIZED HIV SEROPOSITIVITY AMONG RECENTLY INCARCERATED INDIVIDUALS REPORTING CONCURRENCY AND DIFFERENT PARTNER TYPES IN LOS ANGELES COUNTY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1002 Butler, QR; Harawa, N; Bingham, T This analysis provides no indication that there is an increased risk of HIV infection associated with concurrency in this incarcerated population. However, there may be an association between partner type and HIV risk for those with steady non-marital and exchange partners. HIV prevention and education should identify effective strategies for incorporating safer sex practices among those in long-term, unmarried relationships as well as those involved in short-term exchange partnerships. |
| T1-B1003 | EPIDEMIOLOGY OF HIV AMONG PERSONS INCARCERATED IN STATE AND FEDERAL PRISONS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1003 Hammett, TM The evidence on transmission and burden of disease calls for a measured but comprehensive response, including confidential VCT on request linked to high quality HIV and other health care, multi-modality substance abuse treatment, peer education, access to the means of HIV prevention, and programs to improve transitions to the community for releasees. |
| T1-B11-13 What Is Really Happening with HIV Trends in the United States? Modeling the National Epidemic |
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| T1-B1101 | ESTIMATED HIV PREVALENCE IN THE UNITED STATES AT THE END OF 2003 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1101 Glynn, M; Rhodes, P Using either estimation method, there were approximately one million persons living with HIV/AIDS in the U.S. at the end of 2003. Of these, approximately one quarter remain unaware of their HIV infection. Efforts must be continued to ensure that persons at risk for HIV find out their serostatus and are appropriately linked to care and prevention services. These results show that HIV/AIDS surveillance data, representing persons diagnosed with HIV infection, can be used to provide robust estimates of the overall HIV prevalence in the U.S. |
| T1-B1102 | MODELING THE HIV EPIDEMIC Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1102 Rhodes, P; Glynn, K The talk will look at a statistical model, an expanded form of backcalculation, that estimates the size and composition of the HIV epidemic in the United States and mathematical models that describe the impact that interventions might have on HIV incidence. A crucial and unifying element for both models is the number and composition of undiagnosed HIV+ individuals. |
| T1-B12-07 Integrating HIV/STD Surveillance |
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| T1-B1201 | HIV/AIDS AND SYPHILIS CO-MORBIDITY IN LOUISIANA: 2000-2004 Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1201 Robinson, WT1; Longfellow, L2; Ewell, JD2 The high proportion of new syphilis cases among persons living with HIV/AIDS raises some important considerations. For example, since many of these new syphilis cases were detected in persons who had an HIV detection for over a year, these cases may represent individuals who continue to engage in unsafe or risky sex practices. These data, while not fully exploring the relationship between HIV and syphilis, do point to important target populations for prevention of both HIV and STD. |
| T1-B1202 | SYPHILIS EPIDEMICS AMONG MEN WHO HAVE SEX WITH MEN, UNITED STATES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1202 Weinstock, H; Peterman, TA; Berman, SM Widespread syphilis epidemics are occurring among MSM. Gender of sex partners will be reportable in the future, so trends among MSM will be easier to assess. In many cities rates are continuing to increase. Many MSM with syphilis are HIV-infected, so cases could be detected and prevented by screening and counseling persons receiving HIV care. |
| T1-B1203 | PREVALENCE OF STD INFECTIONS AMONG HIV POSITIVE PERSONS ATTENDING A STD CLINIC PRIMARILY SERVING MEN WHO HAVE SEX WITH MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1203 Rudy, ET1; Kerndt, PR1; Horton, T2; Amezola, P2; Smith, LV1; Bolan, B2; Anderson, D2 HIV infected MSM/MSMW/TRTS are more likely to be infected with a STD compared with their negative counterparts and represent an important core transmission group to target for screening, aggressive treatment, case management, and behavioral interventions. |
| T1-B1204 | THE ROLE OF ORAL SEX IN THE TRANSMISSION OF SYPHILIS, CHICAGO, IL Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1204 Ciesielski, C1, 2; Tabidze, I1 These data suggest that during 2000-2002, a substantial proportion of P&S syphilis in Chicago were transmitted through oral sex, particularly in MSM. These data likely underestimate the role of oral sex in syphilis transmission. Most persons with P&S syphilis engaged in anal and vaginal sex as well as oral sex; transmission was attributed to oral sex in only the 14% of cases in which oral sex was the only sexual exposure reported during the interval when syphilis was likely acquired. Many of those who engaged in oral sex believed they were practicing safe sex, highlighting the critical need for increased education about the risk of syphilis transmission and acquisition through oral sex. |
| T1-B1205 | USING ENHANCED STD SURVEILLANCE TO IDENTIFY HIV RISK Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-B1205 Chase, J; Samuel, M; Lo, T; Bolan, G Overall a larger proportion of male syphilis cases are MSM than are gonorrhea cases. The proportion of both syphilis and gonorrhea MSM cases co-infected with HIV is high, although much higher among syphilis cases. These data suggest that methamphetamine use is of particular concern among gonorrhea and syphilis case co-infected with HIV. The high rates of HIV infection among MSM gonorrhea and syphilis cases underscore the importance of tailoring STD prevention efforts for HIV-infected MSM. HIV intervention activities among STD clients continue to be important for both detecting new cases of HIV infection and for providing opportunities for HIV prevention. |
| T1-C01-14 Interventions for Substance Using Women |
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| T1-C0101 | SEXY HARM REDUCTION: USING HARM REDUCTION PRINCIPLES TO DISCUSS SEXUAL RISK WITH SUBSTANCE USERS AND THEIR SEX PARTNER(S) Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C0101 McAdoo, L; Rigmont, E When working with substance users, applying Harm Reduction to sexual behavior facilitates reduced risk for the user and their sexual partner(s). This practice should be as prolific as Harm Reduction, as it effectively reduces infections and contributes to more inclusive and meaningful prevention work with substance users. Widespread use of sexual Harm Reduction starts with providers talking to each other, sharing their experiences and using Harm Reduction to discuss sexual risk with their clients. |
| T1-C0102 | A BRIDGE TO DRUG USE REDUCTION: HARM REDUCTION INTERMEDIATE TREATMENT FOR DRUG USING WOMEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C0102 Ryan, L; Lockett, GJ; Mathai, S A central frustration in street outreach is bridging phases in clients. readiness for treatment with treatment programs. Some clients are ready to reduce their drug use but not to totally abstain. Treatment programs will not work with those not ready to totally abstain from drugs. |
| T1-C0103 | THE EFFECT OF A WELL-WOMAN EXAM ON CHANGES IN HIGH RISK BEHAVIORS IN A COMMUNITY SAMPLE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C0103 Cottler, LB; Meeks, CC; Ben Abdallah, A The use of holistic methods to increase healthy behaviors can be employed as a method for decreasing high risk behaviors. Women also find the exam helpful and useful; it has been described as .a reason to participate. in the research study. Additionally, the use of intent-to-treat analyses for community based samples may bias results. Reasons for this statement will be discussed as well as a cost-effective model for showing both short and long term changes using this holistic intervention strategy. |
| T1-C09-19 Prevention Case Management: Outcomes and Lessons Learned |
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| T1-C0901 | BACK TO BASICS WITH PREVENTION CASE MANAGEMENT (PCM): LESSONS LEARNED FROM ONGOING DEMONSTRATION PROJECTS, THE CDC-PCM WORK GROUP, AND THE FEDERAL CASE MANAGEMENT WORK GROUP Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C0901 Stratford, D; Bosshart, J; Purcell, DW; Spikes, PS, Jr. PCM is a challenging program to implement and evaluate. CDC is in the midst of developing more in-depth PCM tools, including a revised implementation manual that will apply to HIV-negative and HIV-positive clients. In addition, CDC is discussing a potential revision to its PCM Guidance. In the meantime, the Federal Workgroup is trying to develop guidelines to help untangle the overlapping HIV/AIDS case management systems. This presentation provides a good example of how preliminary results from a single project (the ongoing PCM-AHP Demonstration Project) can provide additional evidence to support other programmatic experience as well as poli-cy-level efforts within and between federal agencies. Panel members are involved in these three projects and will discuss emerging implications for PCM. |
| T1-C0902 | TRENDS IN SERVICE USE AND TYPES OF RISK REDUCTION PLANS OVER ONE YEAR AMONG CLIENTS OF A PREVENTION CASE MANAGEMENT INTERVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C0902 Molitor, F1; Alexander, S1; Mendoza, M1; Kuenneth, T2; Crump, C3; Caldwell, R3 PCM interventions can expect service use in terms of frequency of sessions with project staff to remain stable, but the duration of sessions should decrease over the course of treatment. More importantly, most risk reduction plans will not be related specifically to HIV sexual and drug using behaviors. Sexual Risk plans will decrease and Drug and Alcohol plans will increase over time. Clients and prevention case managers may address sexual risk early on, and give drug and alcohol use increased attention as time goes on. Sexual risk plans such as Always use condoms are likely too broad and ambitious. These types of plans may be appealing early on but were discarded over time for HTPP. Plans such as Use condoms for a specific period of time may be more realistic and thus are more effective in addressing unprotected sexual behaviors. |
| T1-C0903 | RISK MANAGEMENT: ENHANCING PREVENTION SKILLS FOR PEOPLE LIVING WITH HIV Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C0903 Yordy, CA; Carrel, J, Jr. Historically, HIV prevention has focused on primary prevention. In April 2003, the Centers for Disease Control and Prevention (CDC) launched a four-part HIV prevention initiative, known as Advancing HIV Prevention, which focuses in part on individuals already HIV infected and their partners. Effective programs targeting the infected population need to be created, implemented, and evaluated. Therefore in January 2004, the Louisiana Office of Public Health HIV/AIDS Program (OPH-HAP) created and implemented demonstration projects focusing its efforts on people living with HIV/AIDS. One of these projects created was Risk Management (RM). |
| T1-C10-05 Interventions in Clinical Settings |
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| T1-C1001 | INTEGRATING BEHAVIORAL RESEARCH INTO A BUSY PUBLIC STD CLINIC Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C1001 Coury-Doniger, PA1, 2; Carey, MP3; Vanable, PA3; Senn, TE3; Morrison-Beedy, D4; Urban, MA5 Flexibility and cooperation on the part of both study and clinic staff were needed to integrate this research project into the clinic flow without compromising patient care or clinic volume. Implementation of the research protocol presents increases the burden on patients, and creates challenges for researchers as well as clinic staff. Close collaboration, regular communication and problem solving, support for additional clinic staff, and the presence of the research staff facilitated these changes. We believe such efforts are very worthwhile because they increase the representativeness of the research findings, and enhance the likelihood that research findings will transfer to practice settings. |
| T1-C1002 | A MULTISITE STUDY OF A VIDEO-BASED HIV/STD PREVENTION INTERVENTION FOR STD CLINIC WAITING ROOMS: STUDY DESIGN, DEVELOPMENT, IMPLEMENTATION, AND BASELINE PATIENT PROFILES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C1002 Klausner, JD1; Warner, L2; O.Donnell, L3; Rietmeijer, C4; Vrungos, S5; Greenwood, GL6; Malotte, CK5; Myint-U, A3; Richardson, DB4; Margolis, AD2 Desirable features of a brief structural intervention include low intervention costs, high feasibility, minimal risk, and broad generalizability. However, such an intervention presents tradeoffs and challenges for evaluation. These include a low anticipated effect size (10%) that, in turn, requires a large overall sample size to assess outcomes. As a result, evaluating the impact of a brief structural intervention requires a large-scale trial to assess outcomes in terms of behavior and disease reduction. Our work documents how such an intervention can be successfully developed and delivered to diverse STD clinic populations. If proven effective, this approach has the potential for inexpensively reaching large numbers of at-risk men and women who may not be able or motivated to attend more intensive programs. |
| T1-C1003 | IDENTIFYING OPPORTUNITIES FOR HIV TESTING IN EMERGENCY DEPARTMENTS AND URGENT CARE SETTINGS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C1003 Torres, GW1; Hasnain-Wynia, R1; Whitmore, H1; Pickreign, J1; Stanger, JK1; Lentine, D2; Romaguera, R2 Despite capability, few persons are screened for HIV in ED and UC settings. These data indicate there continue to be many missed opportunities for early diagnosis in these settings which many believe are the primary or sole access points to medical care for many at-risk or HIVinfected patients. These data also show that rapid HIV testing is slowly being adopted, with low percentages of hospitals using rapid tests or planning to do so within the next 12 months in their ED and UC settings. Currently most EDs do not perform routine HIV screening; more than half indicate their hospitals prohibit it. This issue requires further exploration. Hospitals. concern for privacy and confidentiality is a major barrier. Issues concerning staffing, procedures, and cost are also important considerations for the future of ED-based HIV screening. |
| T1-C1004 | OFFERING AND RECEIPT OF HIV PEP IN RHODE ISLAND EMERGENCY DEPARTMENTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C1004 Merchant, RC; Mayer, KH; Becker, BM Despite presenting more often than HCWs for blood or body fluid exposures and being exposed to a similar percentage of known HIV infected sources, patients who were not HCWs were less likely to be offered or receive HIV PEP than HCWs even when they sustained exposures that put them at risk for an HIV infection. These findings underscore the need for national policies on HIV PEP for patients who are not HCWs. |
| T1-C11-04 Interventions for HIV Positive Persons: Issues and Outcomes |
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| T1-C1101 | RECRUITMENT AND RETENTION CHALLENGES FOR PREVENTION WITH POSITIVES STUDIES IN A LARGE PUBLIC HIV CLINIC IN DEKALB COUNTY, GA Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C1101 Sinclair, EM; Clemons, J; Baker, E; Howard, R; Ghourm, MM; Thompson, MA New guidelines for integration of HIV prevention messages into primary HIV care present significant implementation challenges in busy HIV clinics. We are evaluating guideline implementation and comparing prevention interventions in a large clinic without an existing research infrastructure. In this setting, it is important to introduce research in a manner that will be minimize disruption to the clinic routine and be acceptable both to clients and staff. Challenges include establishing trust within the population, winning the cooperation of clinic staff, devising systems for patient scheduling and follow-up, and changing clinic culture into one in which prevention messages are routine. |
| T1-C1102 | FEASIBILITY AND ACCEPTABILITY OF AN HIV PREVENTION INTERVENTION FOR HIV-INFECTED MSM INCORPORATED INTO THEIR PRIMARY CARE Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C1102 Safren, SA1; Goldhammer, H2; Knauz, RO1; Salomon, L2; Capistrant, B2; Driscoll, J3; Kissler, B4; Mayer, KH5 Incorporating prevention into the care setting using HIV+ peers or medical social workers may be a feasible and acceptable secondary HIV prevention strategy. A randomized controlled trial and an evaluation research program will provide data on the utility of the intervention in actually reducing risky HIV behaviors and/or averting potential future infections. |
| T1-C1103 | PROVISION OF HIV TRANSMISSION PREVENTION COUNSELING TO HIV-POSITIVE PATIENTS WITHIN THE PRIMARY CARE SETTING (THE PATIENTS. PERSPECTIVE): A SNAPSHOT FROM THE PROJECT TEAM STUDY Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C1103 Gooden, LK; Pereyra, MR; Metsch, LR Clinicians providing primary care to HIV-positive individuals are providing prevention counseling at a low frequency and do not appear to be providing targeted prevention messages to patients engaging in risky behaviors. Implementing a mechanism within the HIV primary care setting to identify patients engaging in risky behaviors is needed to facilitate provision of HIV prevention counseling at a frequency high enough to impact HIV transmission. |
| T1-C1104 | POSITIVE CONNECTIONS: A RANDOMIZED CONTROLLED TRIAL FOR HIV-POSITIVE MEN WHO HAVE SEX WITH MEN Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-C1104 Jacoby, SM; Rosser, BR; Coleman, E; Miner, MH; Robinson, BE; O'Dell, B; The Positive Connections Team Identified challenges include ensuring equivalency in behavioral interventions, finding methods to rapidly train and integrate facilitators to lead these trials, and recruiting HIV+MSM of Color in cities with varied racial/ethnic diversity. Yet strong collaborations between university-based researchers, CBOs, and HIV+MSM leaders can meet these challenges. Sexual health interventions that address the complex concerns and health needs of HIV+MSM are needed and among the next generation approaches to HIV prevention current being tested. Answering the question whether programming that targets HIV-infected MSM alone, or programming that targets all MSM together, is more effective in reducing HIV+MSM. s risk behavior long-term should address a vital gap in HIV prevention knowledge. |
| T1-D10-03 HIV Prevention Program Approaches with Diverse Communities of Women |
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| T1-D1001 | HIV WISDOM FOR OLDER WOMEN: A PROGRAM OF PREVENTION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-D1001 Fowler, JP Senior women and their supporters can learn and benefit from the call to "get educated about the transmission and prevention of HIV" - especially when a woman who is aging with the virus delivers that message. Putting a wrinkled face on the epidemic is a memorable way to demonstrate that the disease does not discriminate, and is a critical step in preventing the spread of the virus among vulnerable, naïve older women. |
| T1-D1002 | UNA PLATICA CON TIGO Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-D1002 Sapien, R; Rodriguez-Escobar, Y Through our pláticas, Mujeres Unidas strives to address the unmet needs of the HIV/AIDS community in the San Antonio Metropolitan Area, namely those of the Latino population. Our organization is the only agency in the city of San Antonio which offers services specifically to Latinas and their families. This unique characteristic of gender-specificity affords our support group services the opportunity to reach out to the marginalized individuals of a minority population. Moreover, because we are one of two agencies in the San Antonio area that provide support group services for native Spanish speakers, we are able to provide access to care for those that often do not have this option due to language and cultural obstacles. Our agency attempts to ensure that those typically unable to receive this type of care are able to transcend socioeconomic factors that act as barriers. Mujeres Unidas is able to create a sense of familia (family) so that all those served do not have to fear the pain of being stigmatized. |
| T1-D1003 | EFFECTIVE HIV PREVENTION INTERVENTIONS FOR AFRICAN AMERICAN WOMEN: FOUR MODELS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-D1003 Fuller, TR; Brown, M; King, W; Carey, A; Prather, C HIV prevention interventions that are designed to account for gender and cultural differences are found to be more effective and must continue to be developed, implemented, and evaluated. The 4 interventions discussed have the capacity to reduce HIV transmission risk behaviors and improve communication and negotiation skills necessary for African American women to improve their health outcomes. |
| T1-D1004 | WHO TAKES PART IN HIV PREVENTION PROGRAMS? RECRUITING WOMEN FOR THE PROTECT AND RESPECT PROJECT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-D1003 Lloyd, L; Teti, M; Rubinstein, S Successful recruitment in a busy clinic requires cooperation with clinic processes and the assistance of peer educators, who act as valuable bridges between patients and research staff. To include as many women as possible in risk reduction interventions, projects must meet the diverse needs of women living with HIV, and problem-solve to overcome barriers and challenges to participation. |
| T1-D15-17 School-based HIV/AIDS Education: Policies and Programs |
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| T1-D1501 | FIFTY STATES. K-12 SCHOOL POLICIES ON HIV/AIDS, SEXUALITY, AND ABSTINENCE EDUCATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-D1501 Bogden, JF We found that 46 states have some type of policy that encourages teaching about HIV and AIDS in schools, but that specific provisions vary widely. Not all state education policies promote effective HIV prevention, but few policies prevent schools from implementing best practice recommendations. |
| T1-D1503 | THE IMPORTANCE OF COMMUNITY INVOLVEMENT IN LOCAL SEXUALITY EDUCATION POLICIES AND PROGRAMS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-D1503 Smith, S Increasingly, abstinence-focused programs based on community wishes/standards are growing in schools throughout the country. |
| T1-F08-11 Interventions to PRomote and Sustain Safer Behaviors Among HIV Positive Persons |
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| T1-F0801 | BRIDGING THEORY INTO PRACTICE FOR PREVENTION CASE MANAGEMENT Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-F0801 Novoa, DJ The Montrose Clinic's PCM program integrated cutting edge and innovative prevention methods into the PCM program that have been proven successful in substance abuse counseling, in particular Motivational Interviewing (MI), Harm Reduction Psychotherapy and Cognitive-Behavioral counseling. These methods were successful in motivating the client to change habitual high-risk behavior; and they were useful in moving a person from Pre-Contemplation and Contemplation to Action, as illustrated in the Trans-Theoretical Model (Stages of Change). |
| T1-F0802 | FOSTERING LINKAGES BETWEEN HIV PREVENTION AND TREATMENT PROGRAMS: EMPOWERING NON CLINICAL PROGRAM STAFF TO DELIVER BASIC TREATMENT INFORMATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-F0802 Fallon, S; Narvaez, RR Non-clinical staff can be trained to provide information in plain-language about seemingly complex treatment topics that relate to HIV prevention. Reinforcement of prevention messages helps make the messages more relevant to the client's whole life, outside the clinical setting. |
| T1-F0803 | DEVELOPMENT AND PILOT ASSESSMENT OF A MOTIVATIONAL INTERVIEWING-BASED "PREVENTION FOR POSITIVES" PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-F0803 Golin, CE; Paulovits, K; Patel, S; Boland, M; Aspden, C; Quinlivan, E Our study suggests we have developed an acceptable, useful, and feasible method to conduct safer sex counseling routinely in the clinical setting among PLWH. Additional studies are now needed to test its effect on patients' attitudes and behavior. |
T1-F0804 | STRATEGIES FOR THE SUCCESSFUL INTEGRATION OF PREVENTION AND RYAN WHITE CARE ACT (RWCA) CASE MANAGEMENT IN A CLINIC SETTING Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-F0804 Downes, AM To successfully provide prevention case management services to HIV+ clients, you must integrate prevention case management in your current care system. Successful integration strategies include joint meetings between RWCA case managers, a multidisciplinary approach to case conferencing, intense social marketing with the RWCA system, flexibility, and a co-case management approach to risk reduction. Implementing these strategies will support client recruitment efforts, enrollment, client follow-up, and enhance risk reduction efforts that will be a catalyst to decreasing the numbers of people becoming infected with HIV/AIDS. |
| T1-F13-10 Adolescents and Women: Prevention and Care |
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| T1-F1301 | IMPLEMENTING HIV PREVENTION PROGRAMS IN HEALTH CARE SETTINGS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-F1301 Rodriguez, LE; Figueroa, MM It is important for HIV Health Care Providers to give constant and uniform prevention messages to their clients each time they come for services. This is the most effective way to help reduce high-risk behavior among people living with HIV thus minimizing new HIV cases. It is recommended to document every prevention message given to the patient to help monitor the patient's advancement and to evaluate the cost-effectivety of the intervention. |
| T1-F1302 | ADOLESCENT IMPACT: PRELIMINARY FINDINGS ON ENGAGING & RETAINING HIV INFECTED ADOLESCENTS IN RESEARCH Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-F1302 LaGrange, RD1; Metcalf, M1; Abramowitz, S2; Trexler, C3; Peralta, L1; Barnes, W4 Research studies that are carefully planned and developmentally appropriate can be a viable method of engaging and retaining youth in care. Healthcare providers can encourage positive health behaviors in adolescents with HIV by creating a safe and supportive environment for youth to participate in research initiatives. |
| T1-F1303 | AN EVIDENCED-BASED INTERVENTION FOR PREVENTION CASE MANAGEMENT FOR PERSONS LIVING WITH HIV/AIDS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-F1303 Rotheram-Borus, MJ1; Parkhurst, A1; Klosinski, LE2; Phields, ME3 Product developers, marketers, community providers must be involved at all stages in the intervention design and delivery. |
| T1-F1304 | WOMEN, HIV AND INCARCERATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-F1304 Behning, S Having a successful relationship between WLP and DWCF has allowed for women living with HIV in the prison setting to receive more effective and efficient care, treatment and support. Building relationships with the Parole system has been a struggle but has happened with a few jurisdictions. Also if a client does happen to return, there are no penalties given from WLP. Pick up where we left off and build on what happened and why and develop goals and objectives for the next release. |
| T1-G04-15 Issues of Gender in Prevention |
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| T1-G0401 | STD/HIV TRANSMISSION ISSUES AMONG TRANSGENDER COMMERCIAL SEX WORKERS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-G0401 Huber, P1; Bowers, MD, ML2 HIV/STD transmission issues within the TG (transgender) community are misunderstood not only by the general population but by the transgender individual themselves. HIV/STD’s are also increasing at an alarming rate within the TG community. |
| T1-G0402 | STD/HIV RISK WITHIN THE TRANSGENDER POPULATION Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-G0402 Thomas, B This workshop aims to educate individuals regarding the transgender population, present the issues that are pertinent to STD/HIV prevention and look at some little know risk factors. In addition we will also look at the needs of the population and how having these needs met, would greatly decrease the incidence of STD/HIV within this population. |
| T1-G0403 | DOMESTIC VIOLENCE AS AN INTEGRATED COMPONENT IN HIV PREVENTION AMONG HAITIAN WOMEN, MEN, AND NEW IMMIGRANTS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-G0403 Bonhometre, C1; Jean-Pierre, P2 This workshop aims to educate individuals regarding the transgender population, present the issues that are pertinent to STD/HIV prevention and look at some little know risk factors. In addition we will also look at the needs of the population and how having these needs met, would greatly decrease the incidence of STD/HIV within this population. |
| T1-G0404 | ENTRE NOSOTRAS/BETWEEN US: A PREVENTION PROGRAM FOR LATINAS Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-G0404 Goldson, I; Rojas, M Effective HIV prevention programs for Latinas need to use a holistic, relational and ecological approach recognizing how issues of gender role and lack of power create significant barriers in the implementation of knowledge concerning HIV prevention in sexual relationships. Culturally meaningful interventions with Latinas must reflect the realistic strategies for negotiating with partners that Latinas and other women of color creatively generate out of different and shifting ecologies of risk. Domestic violence and economic constraints, alcohol and substance abuse either by them or by their partners, loneliness and isolation from extended family due to the circumstances of migration, are realistic situations in which our participant population all too often found themselves struggling with, and are the real contexts for sexual relationships and HIV prevention for Latinas in Boston. Implementing community level interventions requires time for program development and reaching capacity. |
| T1-G11-16 Models of Comprehensive Integrated Programs |
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| T1-G1101 | A COMPREHENSIVE WOMEN'S HIV PREVENTION PROGRAM: INTEGRATION INTO A SUBSTANCE ABUSE TREATMENT PROGRAM IN AN URBAN CLINIC Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-G1101 Jeffers, A; Miller-Hill, R; Kunins, HV The integration of intensive HIV prevention services into a methadone maintenance treatment program is feasible. Incorporating reproductive health issues has been key to recruiting clients, for many women are more likely to believe they are at a higher risk for pregnancy or reproductive health problems than HIV infection. Targeting women who are pregnant, have STIs or abnormal Pap smears enabled at-risk women to be identified and subsequently recruited to participate in group and individual interventions. Offering concrete transportation and escorting to off-site appointments helped prevention staff gain the trust and cooperation of clients and substance abuse treatment staff alike, and further helped to recruit and engage women in HIV prevention services. |
| T1-G1102 | WALL TALK: AN INMATE PEER EDUCATION PROGRAM Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-G1102 McCann, K Peer educators develop skills that are not only marketable in the free world, but also personal skills including assertiveness and decision-making that can literally change their lives. Peer education is an efficient and powerful means of spreading risk reduction messages in prisons. |
| T1-G1104 | MAXIMIZING STD, HIV, AND PREGNANCY PREVENTION OPPORTUNITIES IN STD CLINICS: LESSONS LEARNED FROM LOS ANGELES Natl HIV Prev Conf 2005 Jun 12-15: abstract no. T1-G1104 |