Abstracts Vol. 1 [International Conference on AIDS (11th: 1996: Vancouver, Canada)]

Mo.D.1735 - Mo.D.1742

Monday, July 8, 1996

Dropouts are more likely to engage in unprotected anal sex and use needles tI mii ir n
who complete treatment. In addition, they have less education, are less likely to use sex for
tension relief, less likely to attend AA/NA meetings, report more social problems, more self
blame for problems, and more likely to have used substances prior to intake. ( ee ta ble)
Conclusions: Gay/bisexual men who drop out of substance abuse treatment are an identifiable group at very high risk of HIV infection for whom specialized interventions can be
designed. With the development of a screening device that identifies this high risk group at
intake, more intensive treatmnent could be provided during the first I 5 visits before dropout
occurs.
G. Michael Crosby, PhiD), MPH-I UCSF-CAPS, 74 New Montgoimery Suite 600, Sa in Francisco, CA
94 105, USA. Phone: [phone]: Fax: [phone]: e-mail: michael_crosby'[email protected]
Mo.D.1735
SOCIAL COGNITIVE DETERMINANTS OF SEXUAL EXPERIENCE IN COLLEGE
STUDENTS
Dilorio, Colleen, Dudley B.*, Watkins, J.**, Durojaiye, M."*, Soet. J.E.*, Manteuffel, B. *Emory
University; ** Clark Atlanta JUniversity; and ** Morris Brown College; Atlanta, GA, UISA
Objective: To examine psychosocial factors which differentiate college students who engage
in sexual intercourse from those who don't.
Methods: The social cognitive variables examined were self efficacy outcome expectancies,
peer norms, perceived risk, and general and sex-based communication with parents.The
influence of alcohol and drug use was also examined. Data were collected from students
randomly selected from registrar lists at six colleges and universities in a large metropolitan
area in the southeastern U.S. Respondents who reported that they were single, ages 18 25,
and that they were Black, Asian, or White were included (n = 1,641).The mean age of this
subsample was 20.4 years, 56% were female, and the respondents were evenly divided
among freshman through senior classes. Logistic regression was conducted to determine
factors which differentiated sexually active and non active participants.
Results: Results demonstrated that participants who had more positive sellf evaluative outl
come expectancies for abstinence (3- 1.2369, p<.0001 I), who perceived greater risk of contradcting HIV even when using condoms (P- 1.0765,p<.0I), and who reported more positive
communication with their parents ( h1.0637, p<. 01) were more likely to report never hayving had sexual intercourse. In contrast, those reporting higher levels of self-efficacy for saying
no to sex (ji=.9564, p<.00 I), who used alcohol or drugs (3=-.76 19, p<.000 I), and who talked
with parents more about sex (j=.8458, p<.001) were more likely to be sexually active.
Conclusions: Our data suggest that in developing HIV prevention programs foir sexually
abstinent college students attention should be given to the use of social nmarketing principles
in developing slogans that enhance one's positive beliefs about refusing sex or remaining
abstinent; the inclusion of role plays to practice refusing sex in a variety of situations: and discussions about the influence of alcohol and drugs on inhibiting decision-making is it relates
to sexual intercourse. National Institute of Nursing Research No. I ROI NRC3124-0IA I
Colleen Dilorio, Rollins School of Public Health, Emory University 1518 Clifton Rd, 5th
Floor, Atlanta, GA, 30322, USA Tele: 404/727 874 I; Fax: [phone]; email:
[email protected]
Mo.D.1736
POPULATION ASSESSMENT ON TRUCKERS ON STD/HIV/AIDS
Alam Shafigul, Dr. Roy Biswajit, Islam,Tariqul
Issue: Truck Drivers and helpers have to stay away ifrom their family for a good number of
days at a stretch while taking trips to far away places.
Project: To assess the KAP of the truckers a qualitative assessnment was planned.The survey,
held at Aricha Ferry Ghat, a transit point where the truckers fiom east side of the country
cross the river Jamuna towards west, used focus groups, face -to-face interviews and observations for information gathering.
Results: Staying away firom family passing sleepless nights behind the steering. lack of healthy
recreation and proper sanitation, harassment by Police etc. are the main problems ficed by
the truckers in their everyday life. Due to these truckers lead in irregular and unhealthy
lifestyle, their prime recr eation being boozing with the peer s at local wine('Bangla') shops
and visiting nearby brothels. Condoms are less available to and less practised by the truckers as a whole. Excess intake of alcohol loosens the sense of safety during sex.The truckers
often suffer from STDsThe truckers knowledge on HIV/AIDS is not mentionworthy.
Lessons Learned: The truckers are highly vulnerable to HIV/AIDS as a result of having
unsafe and uncontrolled sex.TFo improve the truckers' knowledge on STD/HIV/AIDS, their
transmission route, dreads and means of pr evention, to educate then about the affects of
excessive intake of alcohol & other fiorms of addiction as well as about personal health and
to promote the use and availability of condoms among them an intervention piogram is
necessary for this community
Shafiqul Alam, Executive Director, CEDAR, 768 Satmasjid Road, Dhanrsrondi, Dhaka 1209,
Bangladesh
Mo.D. 1737
SEXUAL PRACTICES AMONG WORKERS IN A BRAZILIAN CITY WITH A
POPULATION PREDOMINANTLY OF AFRICAN ORIGIN
Noronha CV*, Oliveira JP*, Mendonga S*, Dourado I. *Federal University of Bahia,
Brazil: *Grupo de Apoio e Preven;ao a AIDS/Brazil
Objective: The theme of sexuality in Brazil was first studied principally with regard to repro
ductive health.With the AIDS epidemic, researchers started to investigate the association of
sexual practices and sexually transmitted diseases. Howeve, sexual practices among wok
ers have not received much attention.We design a study to ascertain AIDS-related knowledge, beliefs, attitudes and practices of sexual behavior among union members in Salvado
Bahia, Brazil, in order to develop AIDS preventive measures sensitive to this segment of the
population.
Methods: This is a cross sectional survey using a convenient sample of 500 workes fiom
14 different unions who volunteer themselves for the study
Results: As of October 15, 1995, 255 workers have been interviewed.-T-he majority of them
(90%) reported their orientation as heterosexual. 38.2% of the women and 6.7% of the
men referred to a regular sexual partner 56. 1% of the men and 43.9% of the wonen
reported always using condoms during intercourse. Most of them (85.6%) know about

HIV/AIDS and its m ode of transmission. 88.2% reported being at no isk for IIV infection.
Conclusions: Epidemioogic l studies of the determnninants of sexual behavior andc sexual contact patterns, as well tle design and evaluation of intervention for specific gi roups are needed.
Ceci Noronha. Ra P cre Feio, 29 40 anda Canela- Salvador Bahia, Brazil 40 110.1I70.
Fel:071-245-05414 iax: 07I-237-5856 email: mainesGufba.br
Mo.D.1739
ASSESSMENT OF NON-RESPONSE BIAS IN A PROBABILITY HOUSEHOLD SURVEY
OF MALE SAME-GENDER SEXUAL BEHAVIOR.
lzazola-Licea JA,* Gortmaker SL,o*DeGruttolaV,* Und iPilai" Mann J.k' * SIDALAC,
Fundaci6n Mexicana para la Salud, v" Harvard School or Public Health, ** CONASIDA,
Mexico.
Objective: To assess non participation bias in a survey of male sexual behavio
Methods: A household survey was carried out in 1992-93 using a probability sampling
firame in Mexico City Demographic variables were available for all eligible men. The extent
of non-participation bias was estimated using a version of the Heckman method, which utilizes two equations, one to predict participation and a second to predict reports of same
gender sexual behavior:
Results: 8,068 of the 13,713 eligible men completed a face to face questionnaire (response
rate 59%); 173 men (2.1I%) reported bisexual behavior in their lifetime, and 37 (0.4%)
reported only male partners. Survey participation was p edicted using demographic van
ables: 67% of the observations were correctly predicted by a probit regression: 82% of participants and 53% of non-participants (pseudo-r2=0.13). Same gender sex was predicted by
variables indicating belonging to gay/bisexual soacial networks, history of sexually transmitted
diseases, positive attitudes towards gay and bisexual males, and lack of support fromr male
relatives. 97% of the cases were correctly predicted in the probit model (pseudo r2= 0. 14).
The correlation between these two equations was not statistically significant.
Conclusions: These results indicate that the prevalence estimates of same gender sexual
behavior among Mexico City men were not biased by selective survey participat ion.Tlhe
careful selection and training of household interviewers mnay have assisted in minimizing
potential bias.
Pitar Unda-Jimenez. Perifdrico Sur # 4809. Col. El Arenal- Tepepan. Mexco. DF. CP 14610.
Mexico.Tel:[phone]-II Fax:[phone]-II
Mo.D.174 I
ANONYMOUS COUNSELLING TO HIV POSITIVE PEOPLE THROUGH
"PSYCHOLOGICAL CHAT BBS".
Barreda Victoria, Wainstein C., Amed M. Programa SIDA, Secretaria de Salud Buenos Aires,
Argentina.
Issue: Many people, especially HIV infected, have fears abou _asking for counsellng face to face.
Project:We have installed a BBS since the beginning of I1993, in an experimental way.Then,
in July 1993 we spread the information through mass media and others BBS.The system
called Psychological Chat, is free and allows people to receive, using a PC with modem,
counsellling and information about HIV infection and AIDS.They can "talk" (Chat) on line
with a counsellor or download files which contain information about prevention, nutrition,
safe sex, therapies,workshops, etc. Callers may use an alias or nickname if they prefer not
to identify themselves.
Results: About 15000 calls were received from 1993 until december 1995. This number
includes people who have called more than once.They could express themselves freely,
telling their own stories of life, and asking for information in an anonymous way. Most od
them were aged between 14 and 30 years.A high number of callers have shown their fears
about making an HIV test,but after chatting with our counsellor, many people made their
decission to visit a physician.
Lessons Learned: Fears and shame may keep people fromn receiving help A BBS based on a
PC with modem,may allow them to overcome these obstacles and receive information and
accurate counselling.
Celia Wainstein, Honorio Pueyrredon 364,8' "A" (1405) Buenos Aires. Argentina
Fax:54 I-807 -0428
Mo.D. 1742
THE WELCOME MEETING AT A PLWHA ORGANIZATION: COUNSELING AND
ACTIVISM.
Menezes. Alexandre V, Darriba,V. Grupo Pela Vidda, Rio de Janeiro, Brazil.
Issue: People living with HIV and their families in Brazil are still faced with prejud ce and iso
lation, lacking social references for reliable information and for meeting other Ph SSWHIV.
The Project: As a group of people living with HIV and AIDS, Pela Vidda in Rio de Janeiro
provides the newcomers with an overview of it's activities and the opportunity to address
personal and social problems at the Welcome meeting.This happens twice a week, and it's
attended by PLWHIV their fiiends and families, each meeting has from 2 to 7 particpants
The Meeting is coordinated by a trained counselor that encourages the participants to talk
about their needs and share information with one another That way the participants learn
from the experience of their companions, through the diversity they break stereotypes and
develop solidarity skills. Besides this, the counselor gives the participants basic infermation
on treatment, civil rights and other relevant issues.The meeting exists since 1989, and one
of its main focuses is to stimulate an active attitude in ones personal life and social environment, in order to assure the PLWHA's basic rights. Starting from the right to share experiences without fear of discrimination.
Results: The Welcome meeting is well known as a counseling service by the health care
professionals in Rio de Janeiro, that constantly refer their patients to It. Participants report it
is an important opportunity to break the silence that and isolation usually related to AIDS.
Every year over 300 hundred people participate of this meeting, part of them become the
activists that keep PelaVidda alive.
Lessons Learned: Group counseling can be a powerful tool to stimulate particiption and
break stereotypes, facilitating activism and helping to build the necessary skills to discuss
openly the issues related to HIV Group counseling is an opportunity to experience the

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