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

Tu.C.2543 -Tu.C.2547

Tuesday July 9, I1996

usrep ttitu ioirnd behavoFV sFSpeoriricquesti ors orHIV tsrpnandonedleor r r r p were0
alsoF incuded rn the rter voew.
Results: Everyoe inthe sample (0"x)Fecogrrizod AIDS is0 Feous, le I' err nirI il
res andFallFFdFbieFor areF canc(r erI about conrctinFtgIIV.Tho mor a'A t Fe FFF pie
(80%, FFFdirtoe thFat they hid either rrade chanyes rn their behavierr or IFaFtnever adFopte
ursafe behaor-OF prr FFir y due tF the AIDS epidemice.The self-reported p irtt(F Fof Oruog
Fuse,how that 86% of ti F sampie haid shored needies.'13% haFd useda ''drr ty''reedie, rnd
needl "e FFanngtech err r FF were ofterrinconsstentFrnd/'oFrefhfetivo. Mest of tihe sarnpie
(8(% haFriboon resteoiiH IV Fed ever yorreindctetd that they wanted to 1)e tested.
EFFhty pix percent of the srrpe iodicated tiht F needle exhange prougramFFFas agFoodF irdea
in FF0 Whey Fitd haveFtutii F oh iFpogramn whilte Fusngdrugs.
Conclusion: TArt sallftierFeseaFFceiprojeet Frevealdd5Forne omonehvioVeraF Fndi attitu
diral ),iFt O rr r 00FF F p i rre Frd VW hito I inil rtwo Phoerrix-or0 e iru r eFa tFOeort IFOciF
tre"VWh iFe,tr. y,e"r 1/ Fdoctt hbt isaic rFaFd VshrteIDUS wore well orware
of ththFFeFt of AltDS.FtFF0coFFerndd rot aws rantee in Ftocoorsistenrtly site drug
enetit Fel av FId,0 vOF F haer trerr didtemergye.Intervirewees repo'rted less sharicryof
roedl~e' nrre tropFritFi (arn my hnrrres, 0 ndFreda)O teFrOFs0of nneredleie/ththe
Fare rn'rugFirirte Fr1ntoret".Irhe sore ro signifcFtethnt' icOffFrene,,obsrued
in rttite o u t fIiV/Ari r Firrdru.' innr litd el ror Fhowever IiFer~iFOwire f~ound
rr irf of r1Noire
fi.r 5s'ophrBr owenFh8F N. ftaFk rr yor Hihirytrw 52n))230-58193 Phoor a. AZ 85015
USA
Tu.C.2543
INJECTION DRUG USE AND RISK OF HIV TRANSMISSION AMONG HOMELESS
MEN WITH MENTAL ILLNESS
Ber kr'rF AlaFF0 S r er F',ValtnciO F", MN ier Mr. ri V C enter for ClrnriclFord Behaioraol
Studers, NewYoFrk State P yoh tF rsttrute Fnd FCotumbiaF UFFvFrity Now 'Yesrk, ' Y.U.S.A.
Objective: To aFsess rreto c dr ug use andrd elted Fisk of HIV tranesrmrssron trronomrees FmOF witir menFaF FlFress e r Neon York Citp hettor: Soropr ovotonceresFFFoh 19r have
Iee FO oo FFOFFtooit hrs pputiFton.Fo spriFoFrFreOFFrth8hs hocused onspocirioc11)13 hri
ris f hvsoisk140F FF. reirrcFiLoneiors.F Ie rdditior, throre FF5 boon re OFFlier ivestryt
tiito FthFe sexaF iehviorsiftisyr r).
Methods: IDUi 0 d sexualbeti o rwreOFF 0FF F. Fd e nter v is witir218 mrer. hrst, 000
OutablFired the pro0p FFoFtiolnFofOmeFwhoihai over rrrtected dr ups. Secornd, 00000x00ted i
threy hFai00FFeFrFprFtid 5hilh FiFk IDU behaviors or hrad 000FF pFactreod[313UFrsk reduotroro
behaviFoFs I F tly we ox FFF 0' 1tire cor rent sexariFsk behaviorsof othe rreorwho hraiiinjectResults:IFity i(23%) of tie 218 rrio had over- inOjetod OF ug.the grtFrtF F 'i d prFcF
tee hig risF IDlUlbehaviorsFncudrng shaFFiog reodles (6~x) nd usirygstroo~ting potterie~s
(8%i few harctiFF edF 1i-455refuetror bhaviorF.srouhr as eteaFF0nopnnedlos withr beach
(2) tr Fri For FF Fotis alono, 18;'oof the inrion OFderug eusers hod urrproFr'cted sex
00ir womrrrc'rive00mFrFF0 t %) ha tFFFpr otected sex 00FFh IFerF
Conclusions: F his 'Fuiy docFurmets F hrgir ifetirmeo irevaFencee of ID/ OF Fe urbanFpopulahinfi ro -ils etcn wrtih FerntaF I 00 s.The FIaFority of thor nen whorineted JruFFs
'Or mo n etrenmelyhighpiFs Fk tDU behavi or s; ew Pr aetreed IDUU FiFk FedrictionirehorFs.
Man Frswere0 'e00aFlFyact ie'F d enggeinOI FFigrh Frsk sexual be'hoviors..Homeleos'rmoctaly itl
cdiv iuaF. whoihive Fn0'cted dr ugsFtFay Fb"drffcult to reach but ire to reportat FFpopiulaFio fiorcom'Fpreheivrs 'HItVprovernti0oF r FFFF5 '
Aiar BeerraF, coI P 0 1 rWestF168thFStiroet, #32. NYC..10032,, It oA leiiohrone:
U) 12)IP,10 3th haO() 2) i7)5 /7618, emaFilFFb3lh(ae l.odu
Tu.C.2544
HIV PREVALENCE AND BEHVIOUR FACTORS RELATED TO INJECTING DRUG
USERS
Vui Fnkv 0, HFl' lie V If FiFFOTVelI hov cM.[rFeierFt Insttute of Puiii iealFth,
ItiueofiPublir elFth fi 0ic' yr ieeBelgraide,1FR Yug~oslaviF
Objeccive:To detrmirnr e: I V orevlceS O iF F0describe bohravror ir Fss oeitoeI with
SOF 0) F ' F 0 iDiot.
Methods: 5'We Itudie' iehvoe'l aosinr g FinF0 F0OFp0trFavenr0FFouslrug u0eOF tFrFis OFFfr e quiFiton Fnd Fr rr r s':n f 1tire' iuO anOiF rFuFodO'iir F' F p/iFF,..s Fra0 saFFFpIeio f 1 I ) Us
IFOtry Or idr tietFeFtmentF Fir stir'teon roUuF' Alue ireBelrideihe statistFralretiFtn'
IF0 'er e e'rpoF 5trse' 0nF F' F 01 Fr iIDiU'tier e' F5ossed usinp two reeth d FFrst, Maentelhi C e l dsFrtio0./) ithiri95 ofrderce rrFor vii(Cl), C hr-squarreo te't were
erptoy1e'ito ise's:'r ' i r F 0itr F. ec'oed, uirrystepwisoeiutrple ogistiF-opre'
sin eici oi te ru10andsFur alF '0F behaFiFor vaia.bes we'rerrsedodrHIVlS er po5 tSO
0n i[lS FF F Vseoy it ye' Fe'ulF.l
Results: o)ft the )42IDU h e I"le"'opo"itivty 'ite For the' srmrptor '.s 270.Males.onstitrotod 8) '6or the Fram)le. I hr' redoianFFFroe0was 109. Meaniage tfir st psychoiFive lsr'b
Ftc ia''riuse' wasF8.3iai' It it itntraiverous dr ug ibuse 21.7 MoeFF rye it hirst sexua
Fntr irse' i F59. Avercyelevel f eductioFF OrsF12 yeiFry re r on in l S i ibove

Loter S,Tire-Quly y-. oxoy W *,CGreigR. k*r, Kerry K"**. 'Natiocot Centre for

Res.earch iF0r'0.heIF.0' r f D rug Ahiue, CurtFr Jorver ty PerthlWseFrnF An 'F aii
'Hlith Dopai ''e F ' ir'.tcoAustralia, Pe'rth, Weste1rFFAistralir
Issue: Mo'st.,.r,~ r' c. 'r '(IDUs) hoav' never be'n "ndr ug trreatment."yFrttmuch
researchoisoet '0 ' 'F' F vrth hryh treatrrro,F F tes.Thisbha s is r onrna rnrdsi
DHIF rrsk boh iic! its'.''"'y e number. If IDUs 'mp go urodetectod. Adrtirnaliy, such
treatrment fame00r'' ".i' h ",ir Fe Fforce flose comemurnity stereotypeo ibout ID~s wai
may ropede "''perFit F t; f somoe DIV risk reedutForstraregies
Project: Thrss uirvsy at terF pied to access 'hidene IDU' wedth tle or noistoy fI dr up
tr etment.Dier l70% /fFF'i'Odles or ovrded to IDUs ronVWesterno Austaii arcF' soldIhroughi
commnrity phaFrmacioes drup stores) rn oar d disposaFr cootainer'sFaled Ftp i s.F i p '.1
sol to drop users throurth 1-/ phamaies staFte-wrde otver 6 week pciod wore F 0 om
par rod wrth.i brief rnonmroeupriestioromaire whiciowaNideigneFrd00ithinopuitfir i rrIf/UsIt
isked about feedbiock or Ihe irrtpack chere, d'uguy se HItV risk bIehai'or i kerotlee
iHopatrtis C testiny. irdd cem'opra.phrcs. C omrpleted questonrnFFes culd be' 'FtuOFFedF Fy
bree'pout or, as an edodorrmentseoarod red ret rened tI aphariFcFF0npexoag fo r'freero
Fitprack, for which phormaistFwere' re F oh Frse' Iy he re'e rcohrs
Results: A tirto of 2558 queiFonres0'were disrIFi'ibt ilo/Us h '0 F St.0%'
rUabe qeteroiros wero'e'tir't ~rrire '9/.9,% F'o f t"eIF!)' it ole'' is " 'xFl
ior aifreeohtpoie.POve''r lf thr'saole( 6. " irhd ir oF'edl r'tr'arIt'lFi nr F
thetprevousrmnth, 110wereoroed'othti ajFrityrf tirer' in inFt. l's r.F
Almoost haif ('17.1I'xi of the srnrple hodneve0Fr hrd amy treitmoentr t hir drag '.
iad only lord drug treatent hrfro agenes it pracioer or Fhosptl ro.i o F r 2 /"
repor ted any cootaret withoaFspecraitStdruy toeatnt eo cy /Irthe poastFronth F 71it
used r needleaibor so'cootno'else rod 153% hia paFsed F oeedle"o DirOnt latcF F
050cruion in thse preious I12 Foths 38.5% ifthoernrpe hid shared irroedle Fr'cios tih00
drd'r't hove enouyhlo neropto rry a.i tpook.
Lessons learned: Thenmethrodiris1proved a vitouaile.ridtr t o FootheorenFrse'
ste -itegres for accessrein rad to reearh dr uy niec tors. Resuits rrircote tihit somrris k F '1 is
iou's may be noore provalont thin suygesteod Frprevous resoearchohm rsinplo's with igyrer
treatment F tesThe cost 0oF needles ond tho numbers so tlpor pock aipeao' 'e'i 01oFn00
die shaing by tsorre rnjector s
Sin-ion Lenton. NCRP[)A, It/14Store' Strcet. Souto PertFh, 6i1I IAUSTRALIA P1FF F F' hr
368 2055 Faa: ~+ h19 'r67 81311 [oini ci inconr Fp0 icr-OFIF.eduu
Tu.C.2546
INCIDENCE AND PREVALENCE TRENDS OF HIV INFECTION AMONG DRUGS
USERS IN NORTHERN ITALY, 1990-1994.
Nrcolosr Alfredo. CorraLeto ML. Che a A. CotiirA. C zzolire [, [3 5 OFF R.C a. zzom
G. 'tefrno V SoFFFOFM Tro h Fr B, tosetto C,Vit ro F tDVo' oF.Lizzir i A I r the' I ISCA
Study
Objective: To doscibe thimoe trends of the DIV opidonic nOn rIaop F seringrp rser;
(IDUs) ttendrng dr uy deprr'nenoce treaotm et centers [J -1l-s i5o nI r~sdd
Nor thernF Italy
Methods: Prevaleoce eliHIV olectror wis cotcurted toy FuinotditaonF I/Us tter I 'Or'
the 81 DDTCs opel rtirnygi ho royion ieLobir dy betweero 19)0 redI1991. F i tr' moor
aye, more thronI10.000 sibects per year).1Inindonce Fritotier e estimated by usig0 IF' Ff
tho cohort of SOF omreyaemnveIDUs attondrop 32 UDIC "FrOFFt LobaFrdyaidrci 'FIFn otFF0 F
eniroiled rn the NISDA sturdy Incidence rates (IR Frnd confirderceieFrvai 1I itAF 'F' F
Irtod by thoe personcyrers 03') method ood represerotrd is 'F00/vingFes
Results: Beween 1990 mcI 1/91,89 Fews''erocor vOFr wereor've(FFin0F F 1 o t ii
loved for 1,828 0/ yotldrrnp in ave-rnlreordeoce FriteofI zJ/per- tOO PY ' 3 (_120-35,
The irroiderieorrte per 10/0 PY'wrs 3.5 I(95" Cl.8-6.0) in1990, 1. (2.)).1)it,'99,,
(1.2-'.8) inn 1992. 2.2 (1.0-8.2) re 19)3 and 1.6 f08 3.1) on198.Tho ircrenero!'kFito wrs 22
per 100OPY (95% CII.52 9) iimorles ird5.0 Finrrrrleou(95% Ci2.9.8.).FIr'mlesierte
decrersed frono 31 i 0to 1.1I Fe 1994. Iro femalestie rate decreised rnr'_8 ir)1
10 4.2 i0 1994.
Thor proorilroce of FIR amngryIDUs olroeidy ooider Iretrment de Fae i iFroa is' r F'
5l1.6%Fir 1990 to 38.7" iro 1994,,rdrinfaesbfrm 12% to11 h;r(-tine imime'
porirod. AronoripIDUs wirenroeFr ed F0 treatmnt, DIV prevaFlOFc doo eaFsedI,',F io sIr n
30.5% mn 1990 to 16.n1998, rid inifemalesifrom0.~1 ir I990 Fo21.4 In/9t
Conclusions: Tho speod of tir eopidenr omlfHIV infectioin FoygretraiserousIdriyosors
Irrom Nor thornIthly has been decironopiFnFn'olos, whito' tho del00eFisFFmalrer n r i o'. Ths
paternemis due o tIo rediuctioFF inothe parer Frainfaiioof 10' sexuaFlFF0dI'oI iIV tFrimm
FmisFsion.
A Nicotosm. Naioril Re'seamcii Cronci, vi Amopere 36, 20130 Min. Italy. telpon e: 344
706i43373 Fax: [phone]
Tu.C.2547
RAPID ASSESSMENT STUDY OF DRUG ABUSE IN MYANMAR:A MINISTRY OF
HEALTH & UNDCP CO-SPONSORED PROJECT
Trk e itnsoer i n, itroroi ADS r 080'F' Yr y i i tn-rA'r FCCi

and reasoos for seeking treatment.

359