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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. |