Abstract Book Vol. 2 [International Conference on AIDS (14th: 2002: Barcelona, Spain)]

132 Abstracts WePeC6204-WePeC6207

XIV International AIDS Conference

Indonesia, LPUI Bldg. Kampus UI Depok, West Java, 16424, Indonesia, Tel.:
+(6221)7270154, Fax: +(6221)7270153, E-mail: [email protected]
WePeC6204I Prevalence and characteristics of HIV-infected
individuals who engage in high risk sexual
behavior
S. Napravnik1, R.G. McKaig2, P. Menezes3, L.M. Haskins3, S.S. Burge4,
M.G. Abernethy3, C. van der Horst3, J.J. Eron Jr.3. 1Department of
Epidemiology, University of North Carolina at Chapel Hill, Department of
Epidemiology, University of North Carolina at Chapel Hill, McGavran-Greenberg
Hall, Chapel Hill, NC, 27599-7400, United States; 2Center for AIDS Research,
University of North Carolina at Chapel Hill, Chapel Hill, United States; 3School of
Medicine, University of North Carolina at Chapel Hill, Chapel Hill, United States;
4School of Pharmacy University of North Carolina at Chapel Hill, Chapel Hill,
United States
Background: The present study was undertaken to estimate the prevalence of
high risk sexual behavior (HRSB) among HIV-infected individuals, and to understand the characteristics of those who engage in HRSB.
Methods: A convenience sample of 122 HIV-infected patients attending primary
HIV care in the Southeastern US were interviewed between 1999 and 2001 regarding their sexual behavior in the prior 12 months.
Results: HRSB was defined as having 4 or more sexual partners in one year
and report of using a condom "rarely" or "never". The overall prevalence of HRSB
was 15% (95% CI, 9%, 22%). 29% (n=7) of men who have sex with men (MSM)
in comparison to 9% (n=5) of heterosexual or bisexual men reported HRSB
(p=0.025). No differences were found comparing women to heterosexual or bisexual men (14%, n=6; 9%, n=5; respectively; p=0.50). Less years of school
completed increased the risk of reporting HRSB; for example, 31% (n=5) of those
with <10 years, 13% (n=6) with 12 years, and 6% (n=1) with >14 years of school
completed engaged in HRSB (p=0.018). Multivariate analyses using logistic regression confirmed bivariate findings that MSM compared to heterosexual or bisexual men were more likely to engage in HRSB (OR=9.6; 95%CI, 2.1, 42.7).
Also, for each one year less of education the OR for engaging in HRSB was 1.6
(95%CI, 1.2, 2.1). No statistically significant differences were found by level of social support, current substance abuse problem, age, race, yearly income, or CD4
cell count at time of interview.
Conclusions: The estimated prevalence of HRSB is high among HIV-infected
individuals who attend primary HIV care, especially MSM. These findings highlight the importance of targeting HIV-infected individuals when considering HIV
prevention strategies. Moreover the data underscore the importance of understanding the education level of the target population when these strategies are
being designed.
Presenting author: Sonia Napravnik, Department of Epidemiology, University of
North Carolina at Chapel Hill, McGavran-Greenberg Hall, Chapel Hill, NC, 27599 -7400, United States, Tel.: [phone], Fax: [phone], E-mail: napravs
@med.unc.edu
WePeC6205 The Central American multicenter study of
HIV/STD and behavior: an innovative
epidemiological surveillance experience in this
region
R.J. Soto1, C.A. Nunez2, P. Cuchi3, K.K. Holmes4. 1PASCA/The furures Group
International, Proyecto PASCA, Colonia Palermo, Calle 1 No. 1838, Tegucigalpa,
MDC, Honduras; 2PASCA / The Futures Group International, Guatemala City
Guatemala; 3 UNAIDS / PAHO, Washington, DC, United States; 4Center for AIDS
& STD, University of Washington, Seattle, WA, United States
Issues. Collection of valid, reliable, scientifically sound and valuable HIV/STD
data for planners and decision makers has been a challenge and a felt need in
the Central American countries. A multicenter study was designed with the following objectives: to determine the prevalence and incidence of HIV and some STDs
(syphilis, gonorrhea, chlamydia, trichomoniasis and bacterial vaginosis) in female
sex workers (FSW) and men having sex with men (MSM); to examine the relationship of behavioral variables to HIV/STD prevalence; and to establish a baseline
for a regional second generation surveillance system. Participating National AIDS
Programs (NAPs) decided to implement it in capital cities and major seaports.
Description. It has been a collaborative epidemiological surveillance effort between in-country institutions (NAP, NGO, Universities) and PASCA/USAID, PAHO,
University of Washington, CDC, UNAIDS and Roche Diagnostics. Before starting
data collection, a country planning process was carried out including a one-week
training of staff in operational issues, laboratory testing, quality control and ethical
aspects. The FHI behavioral surveillance surveys guidelines were adapted. Twostage cluster sampling for FSW and when possible, targeted snowball sampling
for MSM were implemented. As of January 2002, data for Honduras, El Salvador
and Guatemala (preliminary) are available. Panama and Nicaragua started the
process more recently.

Lessons learned. It has been an innovative experience for the epidemiological
surveillance of HIV/STD in the region, requiring a balance of technical assistance,
local empowerment, NAP/MOH leadership, patience and effective coordination.
One important challenge has been to integrate it as a part of local health services' ongoing surveillance activities. All involved personnel, except a country
coordinator, worked permanently or in a voluntary basis with the health services
and/or NGOs.

Presenting author: Ramon Soto, Proyecto PASCA, Colonia Palermo, Calle 1 No.
1838, Tegucigalpa, MDC, Honduras, Tel.: [phone], Fax: [phone],
E-mail: [email protected]
WePeC6206I Knowledge of HIV/AIDS/STIS of adult male and the
prevalence of STI symptoms in six cities in
Indonesia 1998-2000
B. Haryanto. Center for healt research, University of Indonesia, center for health
research, university of indonesia, Ipui bid., kampus ui depok, west java 16424,
Indonesia
Background: Accurate information about Acquired immunodeficiency syndrome
(AIDS), human immunodeficiency virus (HIV), and Sexually Transmitted Infection
(STI) is important for prevention. This study determined whether prevalence of
STI symptoms varied among levels of respondent's knowledge to HIV/AIDS/STIs.
Methods: Respondents to the 1998 and 2000 Behavioral Surveillance Survey
in six cities in Indonesia, which is based on a cluster sample of 6,400 adult
men, were personally interviewed in their sentinel site of their knowledge to
HIV/AIDS/STIs and their experience in STIs. The different trend was measured
by T-test and 95% confidence intervals. The analysis of variance was performed
to measure variance differences among male groups.
Results: The prevalence of respondents reported ever had STI symptom in the
past year was beyond 22% to 41%. There were marked increasing of knowledge
to HIV/AIDS/STIs among adult male respondents with the average of 10% increase, and followed by the increasing of STI prevalence (with the average of 5%
increase). It was found that there was no evidence supported the increasing of
HIV/AIDS/STIs knowledge in reducing the risk of sexual behavior among adult
male respondents.
Conclusions: The results from this study suggest that the persons who have a
good knowledge of HIV/AIDS/STI were more likely having STI symptom. Meaning
that better targeted interventions need to be developed to promote and maintain
behavior changes.
Presenting author: budi haryanto, center for health research, university of
indonesia, Ipui bid., kampus ui depok, west java 16424, Indonesia, Tel.:
[phone], Fax: [phone], E-mail: [email protected]
WePeC6207 Behavioral characteristics and HIV risks among
street children in Hanoi, Vietnam
H.T. Nguyen1, N.H. Pham2, H.T. Pham3, T.M. Durant4, T.Q. Nguyen5,
G.R. West6, C.M. Luu7, M.L. Kamb3. 1Hanoi Medical University US Embassy
Hanoi, Health Division/CDC, 7 Lang Ha, Vietnam; 2Hanoi Provincial AIDS
Committee, Hanoi, Vietnam; 3 CDC/Global AIDS Program - Vietnam, Hanoi,
Vietnam; 4CDC/National Center for Chronic Disease Prevention & Health
Promotion, Atlanta, United States; 5Hanoi People's Committee, Hanoi, Vietnam;
6CDC/Global AIDS Program - Atlanta, Atlanta, United States; 7MOH/National
AIDS Standing Bureau, Hanoi, Vietnam
Background: Little is known about HIV risks among Vietnam's estimated 22,000
street children (<18 years old & living on the street). To address this, Vietnam
Ministry of Health conducted a behavioral characteristic & HIV risk assessment
among street children aged 12-18 years in Hanoi.
Methods: Focus groups were used for sampling strategies & questionnaire development. Street children were randomly selected from 46 out of 76 mapped
guesthouses in 5 Hanoi districts. In-person interviews, with socioeconomic & demographic characteristics, risk behaviors, knowledge on STD/HIV, reproductive
health & access to services variables, were conducted by trained district healthcare workers & staff members of District Committees for Child Care & Protection.
Results: Of the 322 street children interviewed, 58.5% were male; 57.5% were at
the age group of 12-16 (mean: 15.5 years); 65.9% had <6 years at school. 82%
reported they were on the street to earn money to support their family & 21% followed their friends. 74.2% reported >2 years working in the street. Their primary
jobs were cleaning shoes (35%), peddling (33%), hired labor (28%), picking rubbish (3%), & begging (1%). 1.6% reported ever using drugs & 5% having sex, but
respondents commonly reported their friends were using drugs (42.7%) or sexually active (39%). 14.3% (3/21) use condoms. 2.5% reported ever having STD
symptoms during the previous 12 months. 90.6% knew that using clean needles
& condoms (72.1%) were methods for HIV prevention. 80.6% reported receiving
social or medical supports during previous 6 months.
Conclusions: Hanoi street children have fairly good HIV knowledge. Although
they reported low personal risk, the substantial risks reported in peers suggests
otherwise. The findings recommend that existing social & public health services
for street children be assessed to ensure they are addressing street children's
needs & that peer education may be an effective HIV prevention strategy for this
population.
Presenting author: S. Patrick Chong, US Embassy Hanoi, Health Division/CDC,
7 Lang Ha, Vietnam, Tel.: [phone], Fax: [phone], E-mail: ChongPS

@state.gov