Bridging the Gap: Conference Record [Abstract book, International Conference on AIDS (12th: 1998: Geneva, Switzerland)]

682 Abstracts 33464-33469

12th World AIDS Conference

33464 1Role of PWAs in promoting positive behaviour change
Grace Nakawunde, Jeniffer Ekwau. The AIDS Support Organisation, Mulago
PO. Box 11485 Kampala, Uganda
Objectives: To sensitise people infected and Affected by Dramma techniques of
approach in Communities in School, Villages, Churches, through those Governing
and Leading them.
Project: TASO one of the none governmental organisation supports people
infected by providing centres where Educative programmes are carried out like
peer education using music dance and dramma which goes out to teach and
encourage positive behaviour change.
Results: In most areas where this positive behaviour change has been encouraged in Uganda there has been a reduction of stigma and re-infection among the
infected.
Participating in positive behaviour change is a very important strategy laid to
combat the spread of HIV.
33465 Patterns of condom use among adolescents: The impact
of maternal-adolescent communication
Kim S. Miller1, Martin L. Levin2, X. Xu2, D.J. Whitaker1. Centers for Disease
Control MS E45, 1600 Clifton Road, Atlanta, GA; 2Mississippi State University,
Mississippi St., MS, USA
Objectives: To examine the relationship between the occurrence and the timing of mother-adolescent discussions about condoms and adolescents' use of
condoms.
Methods: Interviews were conducted with a cross-sectional sample of 907
adolescents, aged 14-17, recruited from public high schools in Alabama, New
York, and Puerto Rico. Participants reported whether they discussed condoms
with their mother and whether the discussion occurred before or after their first
sexual experience. Participants also reported their condom use for the first sex
act, the most recent sex act, and their lifetime condom use.
Results: Adolescents who talked with their mothers about condoms were more
likely to use condoms for their first intercourse (males only, 57% vs. 44% p <.05) their most recent intercourse (males 75% vs. females 55%, p <.05), and
regularly throughout their lifetime (males only, 72% vs. 52%, p <.01). However,
this effect was moderated by the timing of the discussion; condom use at first
intercourse was three times more likely when the discussion occurred before the
first sexual act than when it occurred after the first sexual act or not at all p
<.01). Mediational analyses showed that the timing of the discussion directly
influenced condom use at first intercourse, and indirectly influenced later condom
use through its influence on first condom use. However, the single BEST predictor
of subsequent condom use was use of a condom at first intercourse.
Conclusions: Discussions about condoms before first intercourse are particularly important in promoting condom use by adolescents. Discussions with the
mother before first intercourse may lead to increased condom use during first
intercourse, and condom use at first intercourse clearly leads to subsequent
condom use.
33466 Perception of reliability of HIV/AIDS information in
employed and unemployed minorities in Houston, Texas
Ekere J. Essien1, A.F. Meshack2, M.W. Ross2. 1College of Pharmacy, Texas
Southern Univ. Houston, Texas 77004; 2University of Texas Sch. of Pub. Health,
Houston, TX., USA
Issue: Unemployed populations are less formally educated and less likely to have
access to medical and health education services than employed populations. Is
this associated with Utilization of different information sources and different beliefs
in reliability of such sources?
Project: We interviewed a sample of racial/ethnic minorities (261 African
Americans, 271 Latinos, 42 Vietnamese Americans, 141 Chinese Americans, 60
Philippinos, 31 Japanese Americans) in Houston, Texas, in English. Questions
included the major sources of HIV/AIDS education, estimates of the reliability of
this information, sources of unreliable information, and access to information.
Results: The sample contained 370 males and 438 females, the majority aged
18 to 29. Two thirds of the unemployed had not completed high-school compared with one third of the employed. The unemployed reported that their most
reliable sources of information were parents, siblings, and radio, compared with
the employed for whom the most reliable sources were TV, school, and health
educators. The least reliable sources for employed were friends, parents, and
siblings. If the ultimate source was TV or MD, the employed were likely to see
it as reliable. The unemployed used and saw as reliable personal sources while
the employed favored professional sources.
Lessons Learned: Employed minorities have greater information access. For
greater impact, outreach education should utilize the differences between unemployed and employed populations. when designing intervention programs for
these populations.

33467 Discordant partnerships: Production of video which
leads to discuss those differences
Julio Cesar Pacca1, A.L.C. Monteiro1, C. Passarelli2, A. Fischer3, R. Bianco4,
S.M. Egidio2. 1STD AIDS Sao Paulo state Program, Rua Frei Canecca 1140,
01307-002 Sao Paulo; 2Projeto Bela Vista, Sao Paulo, SP; 3Mix Brasil Festival,
Sao Paulo, SP; 43 Laranjas Producoes, Sao Paulo, SP, Brazil
Problem: advances marked on site of infection treatment by HIV, besides to
improve the quality of people life with HIV/AIDS, it comes to guarantee an increase of surviving rate pos-AIDS prospect. In the meantime, it has to discuss
and checking-out the sociability with holders and the adoption or not of safer
behaviours for infection prevention by HIV. This subject is extremely important
when it observes the sociability between soropositive patients and other ones
soronegative, which has been called discordant partnership (D.P.).
Project: Data used for the preparation of this study were collected from the
interviews made in deepness with three discordant couples, two of them homosexual males and one of them heterosexual. An interdisciplinary team picked-up
central elements within these interviews, which the preparation of a video over
D.P. The production of that video intends to create on an instrument that acts as a
thematic shooter for discussion and reflections about D.P. The target public of that
video is the consuming population of the social services to patients with HIV/AIDS,
even though with groups of sociability and prevention activities developed in ATC
(Anonymous Testing Centers).
Results: Interviews were able to isolate several factors in sociability between
D.P., even in perspective of live and projects of those who live together with
HIV/AIDS, as those of others who are soronegative. The anguish of waiting by
possible death, the motives that lead to the adoption or not for the usage of condoms between partners and the contribution of soronegative partner in adhesion
to the treatment were some of the results gathered from the interviews. At the
same time, this material has showed up useful to the creation of a video script,
which allows to express the questions that involve in D.P. viewing to get lesser
restrict population groups.
Conclusion: The preparation dramatized from a video script, generated from
the material collected from the interviews and its posterior edition leads to raise
the reflection about D.P. in collective situations, aiming to carry out the educational
work in health with general population, which concerns to the infection prevention
by HIV/STD.
33468 Youth information and awareness campaign based on the
input of young Quebecers between the ages of 14 and 25
Michel Villeneuve1l2, Christian Fortin3, Mario Champagne3. 11035 De La
Chevrotiere-11e etage Quebec; 2Ministere De L'Education; 3CSP Quebec,
Canada
Issues: To date, previous campaigns to promote safe sex have not been successful in producing any significant change in the behaviour of young Quebecers.
Project: The Mouvement Jean-Boudreau and the Centre de sante publique
de Quebec (Quebec public health centre) staged a contest called LOVE LIFE!
LOVE SMART! The purpose of the contest was to raise awareness and stimulate discussion among young people by giving them the opportunity to tell a
story describing how they feel about love and sexuality, AIDS and other sexually
transmitted diseases (STDs).
Results: The stories selected by the jury were used to develop more effective and more appropriate prevention strategies aimed at reducing the spread
of STDs and AIDS among young people. Over 800 diverse and original stories
were entered by some 1300 enthusiastic participants from across the province.
Based on the winning stories, the following were produced in collaboration with
the authors: a provincewide bus advertising campaign; three songs; three films,
a tour of schools and youth centres; and a prime-time television special.
Lessons Learned: A first in Quebec, this project generated true partnership between government, social and community organizations and businesses. Several
of Quebec's opinion leaders also lent their support to the project.
33469 Getting HIV prevention information into the hands of
parents: Is the print media an underutilized resource?
Linda Koenig, K.S. Miller, D.J. Whitaker, L. Vaux. Centers for Disease Control &
Prevent'n, Atlanta, GA; CDC 1600 Clifton Rd Mailstop E-45 Atlanta, GA 30333,
USA
Background: The CDC and others have called upon parents to discuss HIV
risk factors with their children, but many parents don't have the information or
confidence to discuss HIV or sexuality. Popular magazines may be an alternative
venue for prevention information for parents. Therefore, the content of HIV-relevant articles published in monthly magazines was content-analyzed to determine
the extent to which they convey this information.
Methods: Two reference sources were used to locate titles, audiences, and
circulation rates (1-7.5 million). The top 7 magazines for women (WM), 2 for
African Americans (AAM) and 3 for parents (PM) were selected. Three databases

were searched for HIV/AIDS, sex, and teens/children. When articles were content
coded, most were categorized as AIDS human interest (eg, personal narratives),
AIDS information (eg, treatment), and sexual risk behavior (adult behavior, HIV
& teens, and child/teen sexuality discussions.) Interrater agreement was high
(92%).
Results: The 2 AAM published only 51 articles (M = 25.5) during 1987-1997,
and the 7 WM published only 99 articles (M = 14.14) during 1987-1997. AAM