Program Supplement [International Conference on AIDS (14th: 2002: Barcelona, Spain)]

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correctional setting to self-administration in a moderately
structured program focused on treatment compliance deserves
further research.
Corresponding author: Cloutier, Mark, 255 Golden Gate Ave.,
San Francisco, California, 94102, United States,
Tel: [phone] x lol, Fax: [phone],
Email: [email protected]
[ LBPEF9056 ]
Preliminary findings on a drug Treatment and HIV/AIDS
program for high risk Latinas in East Los Angeles
Cervantes, Richard, Kappos, Barbara, Gonzalez, Gabriela
(United States)
Issue: According to the 1999 LA County, HIV Strategic Plan,
Latinos account for an increasing percentage of AIDS cases.
Among AIDS cases diagnosed in 1997, Latinos accounted for the
largest percentage of all AIDS cases (39%) for the first time.
Census tracts with low median household incomes have the
highest cumulative AIDS rates (384 per loo,ooo) with
decreasing rates according to increasing median household
incomes. Latinas represent 38% of female AIDS cases in LA.
Description: The project is designed to assist participating
Latinas with achieving parenting skills, family relations and
expanding natural support networks; reducing risks and
increasing protective factors associated with youth substance
abuse; and increasing the community's capacities to address
substance abuse and HIV/AIDS among Latina mothers. Services
are gender specific and provided by culturally competent staff.
The pretest is administrated after orientation and a follow-up is
conducted 6 months after program initiation. Finally, a 12 month
follow-up and discharge form are completed.
Lessons Learned Since the inception of the program, the TCE -
HIV project has served 130 participants.

SLBPEG9057 ]
The key to the problem: community participation
in the fight against HIV/AIDS -
an effective, realistic and acceptable approach
Nivongabo, Come (Burundi)
Issues: For a long time, the response to HIV/AIDS in Burundi has
been centralised and sector-specific. However the HIV/AIDS
problem in Burundi is a result of a combination of socio-cultural
factors including taboos surrounding sex and sexuality, high
illiteracy rates and other socio-cultural factors which cannot be
addressed through a centralised approach that has been shown
to be ineffective, expensive and non-sustainable
Description: Save the Children, UK, is working with the
communities of Gitega and Mwaro to combat the H IV epidemic.
Our approach is based on a decentralised response in, for, and by
the community. Using the Stepping Stones methodology SCUK
has trained community peer leaders to animate and facilitate
community responses to HIV/AIDS allowing communities to
analyse their situation and propose realistic and acceptable
solutions that take into account the socio-cultural aspects of
their community.
This participatory, community based approach benefits from a
deep knowledge of socio-cultural aspects of the community to
bring about results including:
- Adopting responsible sexual behaviours
- Breaking downs taboos around sex and sexuality
- Increasing use of condoms
- Increasing accessibility and availability of condoms through
peer group distribution posts
- Engaging community organisations in the fight against
HIV/AIDS
- Provide care and support for children affected by HIV/AIDS
- Mobilising young people to develop Stop AIDS clubs
Lessons learned: Community participation in the fight against
HIV/AIDS is an effective approach. It is efficient, acceptable,
realistic and gives sustainable results.
Recommendations: The fight against HIV/AIDS must rely on
community actions. It is at the community level that our fight
against AIDS will be won or lost.
Corresponding author: Niyongabo, C6me, Save the Children,
PB 2o010, Bujumbura, Burundi, Tel: [phone],
Fax: [phone], Email: [email protected]
LBPEG90581
The association between violence against women
and HIV/AIDS
Namur, Jenny (United States)
Issues: A vast amount of research addresses violence against
women and HIV/AIDS in women as individual issues, but little
qualitative or quantitative research has been conducted
pertaining to the intersection of these two public health
issues. Despite the fact that "For millions of girls and women
worldwide it is clear that violence, AIDS, and human rights
abuses are experienced as three strands of the same traumatic
reality," the intersection of HIV and violence continues to be
ignored by the majority of healthcare providers and service
organizations. Description The purpose of this research is to
review available literature regarding the relationships between
HIV and violence as they pertain to women, identify policy
implications, and make recommendations for the future.
Lessons Learned: The intersection of these two epidemics -
violence against women and HIV - is complex and

XIV International AIDS Conference BARCELONA - JULY 7-12

Domain Instrument Pre-Test
Mean
Parent Stress Parenting Scale 74.6
STD/HIV STD/HIV Scale 11.2
Knowledge
STD/HIV STD/HIV Scale 32.o0
Attitudes
Drug Drug Scale 13.78
Knowledge
Somatization Brief Symptom 3.35
Inventory (BSI)
Obsessive/ BSI 5.13
Compulsive

Post-test Dispersion
Mean
64.6 SD=19.16
11.8 SD=2.1

Statistci P
t=-2.61o.015
t=-1.669.104

34.3 SD=11.58 t=-1.142.262
14.97 SD=2.9 t=-2.52.o16
1.76 SD=3.56 t=2.723.010
2.28 SD=4.9 t=3.7.00l

Based on preliminary findings are both positive and important in
preventing the spread of HIV/AIDS among drug using Latinas.
The results suggest significant improvements and positive
change in a number of important HIV risk factors. First, the
perception of parent stress was decreased. While not statistically
significant, there was a trend toward women's increased
knowledge and attitudes regarding STDs/HIV. Although, STD/HIV
knowledge and attitudes were not significantly changed, the
respondents have shown an increase in drug knowledge (p <.o05)
and a significant decrease in the use of illicit drugs (p <.05).
Recommendation: Overall, the project has achieved a positive
effect on participants risk behaviors associated with substance
abuse and HIV.
Corresponding author: Cervantes, Richard, Behavioral
Assessment Inc., 291 South La Cienega Blvd. #308, Beverly
Hills, CA. 90211, United States,
Tel: [phone], Fax: [phone],
Email: [email protected]

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