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

Track D: Social Science: Research, Policy & Action
patients for MDs in practice and 29 for PA/NP's.The mean number of HIV/AIDS patients
seen was much lower for the family practice residents group, 9.The data indicate that 87%
of the participants provide care for HIV/AIDS patients at least until symptoms develop
(87% for MDs in practice, 90% for residents, and 80% for PA/NPs) while 53% continue to
provide primary care throughout the patients' illness (68% for MDs in practice, 59% for residents, and 63% for PA/NPs).
Lessons Learned: Brief clinical training can have a significant impact on increasing the number of primary care professionals caring for persons living with HIV/AIDS.The level of care
provided by participants exceeded expectations. Even though residents did not care for as
many patients as the others, their inclusion is important in meeting future demands for care,
as opposed to current demands.
Jerry D. Gates, Ph.D. USC School of Medicine, Pacific AETC, 1420 San Pablo St., PMB-B205,
Los Angeles, CA 90033 Tel.: [phone] Fax: [phone] Email:
[email protected]
Tu.D.2812
DENVER HEALTH BEHAVIOR TRAINING CENTER (HBTC):A COMPREHENSIVE
TRAINING CURRICULUM FOR THE PREVENTION OF HIV/STD
Yamaguchi, Keith I, Douglas JM, Rietmeijer CA. Denver Public Health, Denver Health &
Hospitals, Denver, Colorado, USA.
Objective: To train individuals and organizations utilizing didactic and practicum components
on the application of theory-based, behavioral interventions to prevent HIV/STD.
Methods: Denver Public Health is one of four sites in the USA funded by the Centers for
Disease Control and Prevention (CDC) to develop a nationally oriented training center for
theory-based behavioral interventions focusing upon HIV/STD prevention. In May 1995 a
curriculum committee of educators including state and local health department staff,
Medical School, and Anthropology Department Faculty convened to develop a comprehensive 3-5 day course, comprised of didactic and practicum components, including epidemiology psycho-social and cultural behavior change theory individual level intervention, prevention case management, group level intervention, community level intervention, public information, and program evaluation. Planning for intensive special topic follow-up courses,
extended training internships, and off-site agency training was completed. A database was
compiled listing potentially interested agencies and individuals.
Results: The comprehensive course is presented every two months. Beginning in
September 1995 with 4 students, this course comprised of 8 hours theoretical and 16
hours practicum training was piloted. A second pilot course with 8 students followed in
November Students included Case Managers, Counselors, Health Educators, Medical
Assistants, Outreach Workers, and Program Coordinators.Two Community Level
Intervention internships, I Individual Level intensive follow-up, and I Prevention Case
Management internship have been completed. A request for Community Level off-site training is being considered.
Conclusions: In the absence of a preventive vaccine, behavior change is still the only effective means of decreasing the spread of HIV. As a result there is an increasingly stronger call
for effective, theory-based HIV/STD prevention interventions and associated training
opportunities.The Denver HBTC, in collaboration with CDC is developing a curriculum to
meet these needs.
KJYamaguchi, 605 Bannock Street, MC2600, Denver, Colorado, 80204 USA Telephone: [phone] I Fax: [phone] II
Tu.D.2813
MANDATED CURRICULUM REVIEW FOR MEDICAL ACCURACY: HIV/AIDS
EDUCATION IN PUBLIC SCHOOLS -WASHINGTON STATE EXPERIENCE
Pam Tollefsen OSPI Old Capitol Building PO Box 47200 Olympia WA 98504-7200
Issue: Review of public school HIV/AIDS curricula for medical accuracy as required by
Washington State law.
Project: Since passage of the 1988 AIDS Omnibus Bill, Washington State law has required
annual HIV/AIDS prevention education for grades 5- I 2. Curriculum materials must be
reviewed and approved for medical accuracy by the Department of Health (DOH).The
DOH reviews materials submitted by local school districts for medical accuracy based on
the U. S. Centers for Disease Control and Prevention (CDC) Guidelines and provisions of
Washington State law.The Office of Superintendent of Public Instruction (OSPI) provides
school districts with information on the review process, and distributes the listing of materials reviewed for medical accuracy OSPI and DOH have established a mutually supportive
relationship to provide consistent, technically accurate information and assistance for school
districts.
Results: In the past eight years, DOH has reviewed approximately 400 HIV/AIDS curricula,
videos and supplementary materials for medical accuracy DOH has provided direct technical assistance to 45% of school districts in 37 of 39 counties in Washington.Washington
state students have a uniform foundation of HIV/AIDS information regarding modes of
transmission and methods of prevention.Washington state students had the highest rates of
correct responses regarding HIV and AIDS information in a national survey conducted by
the CDC one year following implementation of the AIDS Omnibus Law.
Lessens Learned: Requiring medically accurate information in public schools has increased
the partnership between education and public health to prevent the spread of HIV and
contributed to student knowledge through a variety of medically accurate materials.
Pam Tollefsen Ospi Old Capitol Building PO Box 47200 Olympia WA 98504-7200
Tu.D.28 14
IMPACT OF AN AMBULATORY HIV CLINIC ROTATION ON THIRD YEAR MEDICAL
STUDENTS: PILOT EVALUATION
Stasko, Robert SToerne J. Pacific AIDS Education Training Centet UCSD Medical Centet,
San Diego, CA
Issue: The impact of an ambulatory HIV clinic rotation on 3rd year medical students has
not been addressed. UCSD offers a unique chance for students to care for healthier HIV+

people in an intensive learning environment. After one month, students exposed to an
ambulatory HIV clinic were hypothesized to have greater comfort with and intention to
treat HIV+ patients.
Project: All students were assessed at baseline to measure reported frequency of routine

Tu.D.2812 - Tu.D.2817
risk/sexual assessments with new patients, senior physician mentoring, knowledge of occupational exposure risk, and intention to treat. Students were randomly assigned to ambulatory clinics with four students per month sent to the HIV clinic. Pretest responses of HIV
clinic graduates will be compared to those of non-graduates.
Results: Pilot baseline data from the first cohort of students (n=3 I) reveal the following
demographics: I I females, 20 males, I15 Asians, 14 Caucasians, I Afirican American, I other
The prevalence of students always reporting to inquire about baseline sex histories was 6%,
and one student always inquires about sexual orientation. Sixty-one percent report never
providing pre-and post test counseling and 74% never inquire about end of life wishes;
senior staff were reported to rarely mentor these skills. Only 10 (32%) of students correctly identified their occupational risk Seven (23%) feel AIDS care endangers their health; 7
(23%) feel they have the right to refuse to work with AIDS patients. Change scores (postpretest) regarding attitude shifts and willingness to treat will be compared for graduates and
non-graduates using repeated measures ANOVA.
Lessons Learned: At baseline, students report rarely performing complete sexual histories,
providing HIV testing, or discussing end of life issues. Surprisingly senior staff were reported
to rarely demonstrate these skills.We hope our data will show that an HIV rotation will
enable students to gain an increased comfort level and willingness to care for HIV+ men
and women.
RS Stasko, Owen Clinic, UCSD Med Center, 200 W Arbor Dr., San Diego, CA 92 103-868 I.
Telephone: [phone] Fax: [phone]
Tu.D.28 15
SOCIAL ANXIETIES, SOCIAL SKILLS AND SEXUAL ACTIVITIES IN INDIAN COLLEGE
STUDENTS
Mathai, Rabia*, Ross, Michael W*, Hira, Subhash*,**. *University of Texas, Houston TX USA;
**AIDS Research & Control Center, Maharashtra State Government, Bombay India
Objective:To determine the relationships between social skills/ anxieties in HIV prevention
and actual and anticipated sexual behaviors in year II & I 2 Indian students.
Methods: A quantitative questionnaire examining HIV and STD risk behaviors, knowledge,
attitudes and beliefs, and the AIDS Social Assertiveness Scale (ASAS) were administered to
I230 year I I & 12 college students.The 5 scales of the ASAS were scored and compared
on ANOVA on three groups: those who had had sexual experience (HS), those who anticipated being unable to refuse sex (AS), and those who did not anticipate problems in refusing sex (DS).
Results: Those in the AS group had significantly greater anxieties about refusing sexual or
other risk behaviors than the HS and DS groups, and there were also significantly greater
anxieties about dealing with condoms in the AS and DS groups compared with the HS
group. Confiding sexual or HIV/STD-related problems to significant others was considered
more anxiety-provoking for the AS group compared with the HS group, and the AS group
were more anxious about interactions with people with HIV.
Conclusions: Social skills training in sexual negotiations, condom negotiations, and confiding
HIV/STD-related concerns to significant others should reduce the risks of Indian college
students having unwanted or unprotected sex.
Dr Michael W Ross, School of Public Health, University of Texas, P0 Box 20 I 86, Houston
TX 77225, USA.
Tu.D.2816
HIV EDUCATION IN THE UNITED STATES - HOW GOOD IS IT?
Kann, Laura, Brener ND, Collins JL, Small ML. Division of Adolescent and School Health,
Centers for Disease Control and Prevention, Atlanta, Georgia, USA
Objective:To measure policies and programs related to HIV education at the state, district,
school, and classroom levels nationwide.
Methods: All 5 I state education agencies, a nationally representative sample of 4 13 districts,
a nationally representative sample of 607 middle/junior and senior high schools, and a random sample of 1961 classroom teachers were surveyed in 1994. Self-administered mail surveys and telephone follow-up were used at the state and district-levels. On-site personal
interviews were conducted at the school- and classroom-levels.
Results: In 78.7% of states and 83.0% of districts, HIV prevention is a required education
topic. All of the states that require HIV education provide in-service training and materials
on HIV education to schools; 61.9% of the districts that require HIV education offer in-service training and 73.4% provide materials to schools. However, only 35.7% of teachers who
teach HIV education received in-service training during the two years preceding the survey
In addition, only about half of teachers who teach HIV education also cover related topics
such as pregnancy prevention and STD prevention.While more than three-quarters of the
health education classroom teachers taught about the basic facts of HIV infection (86.6%),
HIV transmission (83.8%), and reasons for choosing sexual abstinence (77.6%), only 37. 1%
of these teachers taught about the correct use of condoms.
Conclusions: This first ever study of the status of HIV education in the U.S. demonstrates
that HIV education has been widely implemented. Howevet many teachers are not receiving adequate training and the coverage of important topics needs improvement.
L Kann, CDC, 4770 Buford Highway, NE, MS-K33, Atlanta, GA, 3034 I -3724 Telephone: [phone], Fax: [phone], E-mail: [email protected]
Tu.D.2817
RESEARCH TO CLASSROOM: SELECTING AND DISSEMINATING EDUCATION
PROGRAMS THAT REDUCE HIV RISK BEHAVIORS AMONG ADOLESCENTS
Susan Wooley Ph. D. Health Education Specialist, Division of Adolescent and School Health,
CDC, Atlanta, Georgia, US.
Issue: It is critical to identify and implement the programs that can most effectively reduce
HIV risk, behavior among youths.
Project: The Centers for Disease Control and Prevention (CDC) has established a process
for identifying and disseminating programs that have credible evidence of effectiveness in

reducing risk behaviors for HIV infection among youth.This process was developed and
implemented at the request of schools and communities who were seeking effective HIV
prevention programs for youths. CDC initiated an intervention surveillance process to identify all existing studies that were designed to reduce risk behaviors among teens, used
treatment and control or comparison groups, and measured behavioral outcomes. Studies

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