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

Tu.C.2410 -Tu.C.2414

Tuesday July 9, 1996

Conclusions: HIV era rn dente varsies'mirkedly amorg U.S. heteroasexuals L ee r
thee LUD iipacent..is estee. Ipsi 101ersonyearsWhile HIVserc reatrs';
it ci tan el ci r ic r a i'5peterc curlls
I I l. r c! HJIMD, r. I L)for a r i io i ~1 a d Preverntior, 16 0 is P,?
NI05 sAt nt -A 303'3 USA Pr'L' 1(69 2085 Sic '0332
Tu.C.24 10
THE RELATIONSHIP BETWEEN HIV DISEASE, ETHNICITY AND GENDER OF SEX
PARTNERS AMONG MEN ATTENDING PUBLIC STD CLINICS: LOS ANGELES
COUNTY.
Vid IaDl. Foid VW, in cy U'> 'Kerrdt P Los ArgetesCoaurty Detmriestsri
hi iii Sir ac;,HIS I p dcia agy Proagiam, Lor Anageles,(CA "'LasAngees Cany
IDcpairto rctofr 5 urn 5i-cr. c STD ProgriminLo ArgeesCA
Objective: To ru i it c'wclethriHIV ifctndfe Ir s Ior searby the gecndes oI heirsex
pairtner s)
Method: Pit cisc isasir y 1)3 ard isairy 1995, sci iifris lb,215 mes alterndiny 7 public
exuill trairi ttdic SIL) clii siniL[a ArgecsCounity weetesedtfor HV inan
rrisriai'3study as' tistirestrtis weriie lidt c nll riri'iemorahisahr riik
cI icr i i r i rai iti a' Ic r diiicg rouancccliiintake asocclure' after all pcisca
icr iti 'si!rei'sc ccii. hr expocsice ofister'st,.gccdir ocisax partseer. mrs reprrted at
ics' Ic al c'sx witSh c rpm e r ywrier ory ea id cworier eqiually.caustly men, red morstly
come during tae1r * iarth iprcccding theirdnicii. xluively heteroasexualr accservce'd
as tic ucpripsi ii ii as.Theicomieofinret asais itie HIV actiaody test. The
tusy wayiied9'tIo5ASar'inAmericalWhite, rid Latnt aeeaca cuse aS rcmple.ize cithin st'it i ri r 'e eth t i. eslcripive ata'' t ic ti irirS'ied in/l c'es rcd a lagisti c xcgrionsa
isa l Ic'aiis!i ciiiitoa ine icr reltosiplatwcn',.s'ider ol ex pairripradIV
Results: hisexcandiihoariseuilrisc'swere iinare licpy tobe infecedmw ithHV thran het
as cxa. iHiowccir, hc aid ohfaieasc assaorited cith the gernderaSfrarman'" sex par tr
vaird oversi ac/ethicci>itycteyci c PForeamriple, tireodds of infhecioncvassied mie nmec
mloi i spres (igsex it!t'ccii s Imrtssequilly cere cimpared touexclusivelylhet
ersuaii icr ciii i ri er'thnicty grouipsPPg15ris Arriec r 10.0. tII,.59.;
PPwIr, 7.0 [I6. 104']:PPRLitt a1 1.6. [;.69, /9."]), chile sicrila'- estinats'ofaSdisers
cwire s, ~tira r' slacer cheni cxclusicely8 rmosexiraliren mere comcpared to exclusiaely
hccterosiexua ii c's PP,11 rrc n r Ann 5i.0. hill 9.2]: PC)Rvshrii - 7.4,[39,1.3I]:
PP ( ' Irr 1 6,[it9, 1IC6] PcIeltiocc persisred1aftei controcling lar-isarital satu',rye,
crisctri evlccini irtcslf-percruvedl iklihucdoalcxposurelao UIV, red ticernrrmberaof
cex partiers reartedifor itie cciipiortochir ciksilt.
Conclusions: lairiii i s suggest thatithe itasi iatteccidigpsbic STDUcirncs hae Idicrent
lees sac' foirIiiIllisecrc lepenidgyaparnIbath tic'gererifuhheirsexapPrtrierstel
thir iicer cicit, ciau. Ala., sire groupsIoci'en chi repoit having cx wth batl men
ird cvr' i pma ccmoe is' lytabe ineeted cith HIiltihsrthsemwhoareportecusive
sarisscxiil!1clii i 'Ii etr ccninsciivraaplit ne reason tar thie disparites ofHIVidiseae c'or ted aiici cwamen colo
Dorotip J I/ipe, PIiDL, 60((5 C sa-ri i cci IAae.,St tc 1920.Las AcneeCA 9aoo x
Tens1:cc21 3) 35 I 810,lix (213)38/7'1(83
Tu.C.241 I
SEXUAL BEHAVIORS AND NONINJECTION DRUG USE AMONG YOUNG MEN 15-22
YEARS OF AGE WHO HAVE SEX WITH MEN:YOUNG MEN'S SURVEY LOS ANGELES
Scyanc I S ric P V/cWeberhiDhuFIr/n/( (circdt, PR. Ioe ArgeesCoutieaipasr triect uf
Hecrti Snrva.1 ilIV p (,~l p Prograi, LosAngrlIc A, USA
Oblective: I ac' ic it 'erisrpi scaati~t'Ic. exii lbeaiois an rc cie.i'' r drug
IJa 'sir s erw! v av ii" cv 'al cc'
Methods: iii" /rs 7saAugust 19)4 rd [)cera Oret 1)5,1470 arcng ecsgca I5-2. mh
[I Jca 'rI 1i Ir 5 i c ',cx i ricsar 'are 'otsrav ce dI ii 3 otc isf'I rI iillS Ti c i aaa g i e c
cerc:'(Ite r om s t'ri5' r rr -irt'd ib ' " m.t 's c, o.r'ch i n5iiiii rmcthod; A t.in i e 5 ~r i i.v is r 'ii 5 l ' i.i pAi) 1a,eo"3 llect dciii U irhc ad
HIV5 'c a ", k' ' ' ' ' 'rt itij
Results: )ierr hiS c 'i s's v I ''i Ic' rcet wte'1 51
P.1), rii was's a a. ''is I a'e P Paletir i i' ls i!accctcd'd chthe'
Only s Ci r cci i' ts. hAl:1 irixp rt icli iti Iraeiscx prtners ripysri
4", iii i,ul ci S',nile5s'x'aritnr r ling; 555riior6(is ith P heccirity (78%
rips 't mi.1 i)orsaciiarterc 'i ily lonart! '5ccIiora2time),I7 it ruse'is!
u C tat' partner si r is 5 icr 3ex c ii irn t i e 'de/, tUa%)with/fa lst eadi
ptrr fSI), id in0,, citriac' not'rt~d itrr Ih1Ji. C dom useairredric aex
pir ii t e ' hpe irDrig ic' catac scralexIO%'i a i cd co'dccii cith LISP, /1'almay
used c c n m L'ttiNP cindonyr 3a iip ci 5 cnms ih MhP.Lshe airhill
thec iur ia s edcic ri csihFP0 lu incyvinsiiec nird ertve anal cx (IS9

Project: A pieots '...,.s'1,'!,acted ic Lacy Beah, Ciaciriat provide pselrriry pncormaetianabarat theHI,/ ' e.4 ' 'r8skbehrviass red sacial cetmarkhi uh MSMs mho ccseneclice diugs, c. a:, ',)r meahraphictamnare tc he iced in develepirng 5inter eso
its alcy as foher. a ' ' ' ' ase e m awreainercieced arid paricerpated 5ii ane as
mars'fcus a:....r ii, '1/% el -dens he 5 s ccisuil, 3350 dcclifed ai hater-o
ex sri, snd a' ' 0 ' y
Results: The a a~, f i iismrthariiphetanice and the proacisior uf sex hasri urtey/diucy
mere srlyai pipc raed in0oth saxalacticity Fbetmeeni menarid the pIiiIcc If unsare
sex. Ic rdditien, the pria'.ice I taig sex cwih wmtec mhaoieautamwire oI their cliug race
ancd sexualactrarty cith meccwateIai bed a.i5 rlyIcommon. Hacing lriited accecsIaoeaan
needles, rat haisa byeOch,.feelig diusy-cek red beig ahfared fsee dirags mere aisoriled
mith unsafe coedla ace. Dr ag-sinssg MSMs mace described as sclated SianmSbroader, ruedrug-using saciely and asI.ivicg close relatinships primarily wish athec dirug user s. As such,
they typicanip are cat fIalp walcosme with is lhe gay cammuitly becau'e uS sheir cconomin
circumstanices aed dirug ase. Daipile lire presenea of lacal prevactiae proyr a asridru
users andrida~y men, riinchamatin abaut HIV trrismissncper sit. Participants rated
that drug-usinig MSMs maoald be mare i kelp to access HIV servaires 5f they mere availaOle in
the comristypactha'streats, irs thre parusred at lisa lacaccisingsitsa. Participacts
empacized the vcleirofulpads inceamadals red mrde sevalcsu ggestiars regrding the
development ah HIVpiraedenas'npraysrins.
Lessons Learned' Among drag-usny MSMs ic Lang Berrh, sexua risk aS HIV sa ryelp
related to the high prevalenceaofhsex-tradrrng red the usao e'art'hrimphetamine red circk,
red liritad acressa asto! stea ediesront5inusaacto fuctioas bir 0 ta'ssIcafe saeedle use.
Mar eover the social netwark chamactaristicsoh dirag-asing MSM asgges' thart th isppuar
true dues, sin fartSfunction as a lr'ansmissnebOsdye belmacn thagry carimmunyand helenasexcial raimmnunity as cell is betmeen ditty-usirig and noc-dcug-using popuslrtions.
Michele M. Wood, Cli Sod BchaviaaiRas & Sen a.9/0 Prcific Ace Larry Beah, CA )081I3
Taeaephone:310-491-0230 Fix: I0-495-b209 Emrs'lmesm ar las acrr~.cdc go
Tu.C.24 13
PREDICTORS OF CONDOM FAILURE IN A COHORT OF SEXUALLY ACTIVE GAY
AND BISEXUAL MEN
Staote Elizabeth, Serge U' 'VII enghahl E'. DannellD*""' Kah in B","" [Dougl as
Bachbindee S*. the HIV Nelmark han EfficacylTrials (H-IVNET. 'SF Dept rf Palinc Heaills.
CA: *rAbl Attaocirtes, Casrirdye MA: *"FredHuchisac Research Center. Scattle WA:
**a'NY Blaod Center, NY. '"*' '"*Dener Public Health, CD.
Objective: La evaluate athe precancea rnd piradictors oI condoariurae in r rohart ah sexualip active gay and bisectsrua en at rinsk San HIl.
Methods: Basaline datas an risk belhacirnsInfrts HIlsen c regal ac highrus k gyiFexuati men
ensrailed in six oS Ihe HIVNLTVrcc cc Prearednass Study cr1s (BosIon. Chiergo. Urnvser.
New Yasrk, Seattle, SanFramnce) mesa aoliletIdin astacdardxizesitareraw Wr' asad the
Chi-sqarec test and lagiscsepressinr to exauaae predictlas uf condofarilhrer
Results: DS the 3260 cciensnaoled, 95%a'repaorted having antl sex in Ira praor- ix martha.
amoag the 2592 184%) whaoitsad candoarrt lerst acce, I Ia raportled in5 rcrndom
hi-etrage. 8% condomrslippige. and 17% ether breakage as slippage (condom it'15 xc
Candom hailane did eat dOftenr.ccarnrytIarari' aneducrtion. Amphealmiuercs swcere y
nhfic antly maca likely to reportI any condfahre than sacnsases (2(6"a'vs 5.p<
0.001). Similar but weaker.rsscuatins mesa absecved mith use ah ather drags learaina.
25% as 16%, P=0.03: henoinc 38,'xcvI 6%, p=.001; pappas: 1Icas IS%, p=0.021. Lass
than 2% ofahthese mnnre pusrteanijectinndrag use. In a riulscisaritelagistic itodecocar
trailig fSage, ra.c, ite nd Inraquancy aS condouri, amaiphetarinre use'rs mane rs'ou'a
irkely 10 'apartcanatr ilrse 'hninnucsers (DR=.25. 95%a'C.I..148, p-0. 1
Incceased candoahire arcms also seen in Sac Francsca and in men in thi'ar en' a 3)
Conclusions: Pieees's ussacige Iarugeted at cnnnecting gry Or oxun inseterimust address
tieoe ncidrug use usn inste r'xap5adcces. Cactitinx'sfytorten speeificageycgroups
and geogsaphi cr nedOfuter explocailonc
EN 'Stene, SF DPH, AIDS OfC31ha.25 Van NessAce. San Francisca, C A 94102, USA Phoncc
a1l 5.) 549007. hax' (415)621-C4 I, criCBetl a Slaccaiph sh a 5
Tu.C.24 14
SUBSTANCE USE AND RISKY BEHAVIOR AMONG MEN HAVING SEX WITH MEN
Wacad GCare aOF-Me'zger. Dl1, Marmoisn M2,Goess Mt.MciRnr ar[34, KbaneB5, I reel
D6 University aS PA/Priladelthia VAMC I; NYU Medical Cenes2 Al I As a iste I-lHoarnd
Braown Helerta Casseus1, NewYor kBlood Centda red Hlistbnson Carcers Cect" 6,JSA
Objectives: Ta detarin re the rcioeehipIbetweealcaol an aedidrpguse, imd 5rikc icca
lelavior twang far chonhavecasex with mn n MSM)
Methods: Subjacts were I3bC0 scranegaice swan ensotlea in 6 Ni/NEl saes.DatiaIonsu
al beehareor, alcaaonlan ru se wa"micobtairnea San she 6rmcc s ipicr5- t latdyidiiorn
Results: 89% repaorlad alchal use red 64% iic'rt dray use with 5SO arimhuana 30a puppersI13a'ccairna(peowder), I I/ amphetminet, and 3a' crack. Dnly I.89/0" ad injacled
dra g'S/xrpa.tad -ski.cx. ctrAd4 r ais cepinralactedna prt ic rc i cx sait1 n inIi

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