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

XIV International AIDS Conference

Abstracts WePeD6346-WePeD6349 171

vention. Through trainings, teams of teachers, trade union leaders and representatives from ministries of education and health from countries in Southern,
Western Africa and Haiti developed country plans to implement and evaluate HIV
prevention efforts through schools.
Lessons learned: The education sector can contribute to reducing the impact of
HIV/AIDS in sub-Saharan Africa and other regions. It can also prevent the spread
of HIV/STI by improving training, learning activities, and access to education for
teachers. Implemented at all levels by skilled teachers, a program aimed at teaching responsible sexual behaviour is an essential element to slow down the spread
of HIV and STIs among young people.
Recommendations: El and its partners will increase their activities to enable
teachers to protect and educate themselves against HIV, and effectively train
young people through interactive teaching methods to reduce their risk for HIV.
Schools are a fundamental place for action in protecting the health of children,
adolescents, and the community against HIV/AIDS and related discrimination.
Presenting author: monique fouilhoux, 5, boulevard du rol albert II, 1210 brussels, Belgium, Tel.: [phone], Fax: [phone], E-mail: monique.fouilhoux
@ei-ie.org
WePeD6346 Secondary and tertiary prevention program for
HIV+ patients
A. L6pez Vibitez1, D. Cortizas Castro1, J. Varela Mallou1, A. Garcia Carreira1,
M.T Garcia Jimenez2. 1Investigation Group on Consumers Psychology,
Psychology Faculty Santiago de Compostela University, Caracas 5 3B, Vigo,
Pontevedra, 36203, Spain; 2Spanish National Health School, Madrid, Spain
Background: The intervention included: explicit recommendations for selecting
a complete and healthy diet and regarding food safe handling as a secondary
prevention strategy (stronger immunity and less morbid-mortality); tips on tertiary
prevention (life-quality improvement) on handling drug and infection complications
were also given.
Method: A pragmatic controlled trial was designed; the study population included
200 randomly chosen HIV/AIDS patients from Galicia (2,8% of total universe), divided in 4 study groups (7 clusters): a by-group education group (1 cluster/n=37);
a didactic intervention with reminder group (1 cluster/n=40); a didactic intervention with www group (1 cluster/n=40); and a control group (4 clusters/n=80). Pretest was administered concerned: treatment, weight, anthropometrical parameters, gastrointestinal complications and the knowledge of basic diet principles.
Three months after education program the post-test was administered. Mixedeffect linear models were applied to data analysis.
Results: In pre-test we observed: 32% under their normal weigh (BMI lower than
18,5 Kg/m2 among 7,5% and obesity among 30,5%), 30% had experimented
loss of appetite and 58,9% gastrointestinal illness for at less two weeks last year,
41,3% stated dental problems; low level of nutritional knowledge was observed,
and diminished daily intake in respect to nutritional requirements (1859,9 + 605,0
Kcal/day). By-group education group obtained an average assistance of 12%; in
the written material group, the average assistance was of 80%; and the www
group obtained an average assistance of 75%.
Conclusions: A short educational session to HIV/AIDS patients can improve their
health awareness and consequently achieve modifying their nutritional habits, as
well as optimising the therapeutic compliance. Nevertheless it supports poor confidentiality, there have been proved other strategies (written material and web
page) that have resulted more effective.
Presenting author: Amil L6pez Vieitez, Caracas 5 3B, Vigo, Pontevedra, 36203,
Spain, Tel.: [phone], Fax: [phone], E-mail: amil77@hotmail.
com
WePeD6347 Sources of information on post-exposure
prophylaxis (PEP), Nonoxynol-9 (N9), HIV
treatment advances and other HIV-related topics in
a diverse sample of men who have sex with men
(MSM)
M. Rader, G. Mansergh, G. Marks, G. Colfax2, R. Guzman2,
S. Buchbinder2. 1National Center for HIV STD and TB Prevention, Centers for
Disease Control and Prevention, 1600 Clifton Rd., MS E-45, Atlanta, GA 30333,
United States; 2HIV Research Branch, Department of Public Health, San
Francisco, CA, United States
Background: This study assessed sources and types of important emerging HIVrelated information in MSM.
Methods: 476 MSM were recruited at street locations and agencies in San Francisco (32% black, 32% Latino, 36% white; 30% age 18-29; 36% HIV+; 31% income <$10,000). Participants gave an unprompted list of HIV-related information sources from the past 2 years, which we later grouped as Media, People,
Health Agency, Work, Other. The men were then given a list of potential information sources and asked if and where they received specific types of new infor
mation (e.g., Post Exposure Prophylaxis[PEP], Nonoxynol-9[N9], HIV treatment
advances).
Results: Unprompted, 84% stated Health Agencies as a source of HIV information in the past 2 years, 66% Media and 37% People. Prompted, 87% received
information on condoms, 86% on HIV treatments, 60% on N9, and 36% on PEP. In
multivariate analysis controlling for race, age, HIV status and income, white men
(vs. black men) were more likely to use Media (OR 2.9, 95% CI 1.8-4.9) and Peo
pie (OR 1.8, CI 1.1-2.9) as sources of information. Men with higher income were
more likely to report Media (OR 1.5, Cl 1.2-1.9) and less likely to report Health
Agency (OR 0.8, CI 0.6-1.0) sources. In another multivariate analysis (same covariates), PEP information was associated with being white (vs. black) (OR 1.6,
CI 1.0-2.7) and having higher income (OR 1.6, CI 1.3-2.0). Men who received
information about N9 were more likely to be white (vs. black) (OR 1.6, Cl 1.0-2.5),
HIV+ (OR 1.9, CI 1.2-2.9), and have higher income (OR 1.3, CI 1.1-1.6). Information on HIV treatment advances was associated with being HIV+ (OR 5.2, CI
2.3-1
1.7) and having higher income (OR 1.4, CI 1.0-1.9).
CONCULSION: Differences by race, income and HIV status suggest that emerging HIV-related information is not reaching certain groups of men, suggesting that
there may be barriers to access. Improved efforts are needed to reach groups
where the epidemic continues to grow.
Presenting author: Melissa Rader, 1600 Clifton Rd., MS E-45, Atlanta, GA
30333, United States, Tel.: [phone], E-mail: [email protected]
WePeD6348 Expansion of the AIDS prevention education
program in secondary schools of Mumbai, India
S.A. Bhardwaj1, T.I.E. Sequeira2, P.M. Gurnani3, A. Karande4, V. Desai5.
1 coordinator, AIDS prevention education program, fogarty fellow, university of
alabama, 1714,13th court south, birmingham, alabama, 35205, United States;
2Coordinator AIDS prevention education program, AHO Schools, brihanmumbai
municipal corporation, mumbai, India; 3program officer, UNICEF, mumbai, India;
4Executive health officer, brihanmumbai municipal corporation, mumbai, India;
5brihanmumbai municipal corporation, mumbai, India
Issues: the AIDS prevention education program is being successfully implemented in the secondary schools of Mumbai since 1993. This is a Brihanmumbai Municipal corporation project in collaboration with the Mumbai Districts AIDS
Control Society and UNICEF
Starting out with 51 municipal schools in 1993, today the program reaches out to
nearly 650 schools
Description: due to an excellent response from the schools, parents and students, the program was extended to private schools in 1995. the State run education department has increasingly become more involved and one of the objectives is to hand over the program to the Education department with the Health
department serving as a support system only.
Lessons learned: all stakeholders in the program were involved at every step
in the program. this helped in building rapport. The workings of the education
department were studied so as to enable the program to become a part of the
system. constant revisions and changes were made based on observations and
feedback.
A system of support, monitoring and supervision for the teachers was built up.
Doctors were given teachers to mentor, and this helped in rapport building. Parents and teachers meetings were held in every school. The event session by the
students was shown in a big central function which helped in increasing more
participation and motivation for the program.
Recommendations: the program can serve as a successful model. It has been
adopted by the Maharashtra state, for all schools in the state. also being adopted
by schools in another state,Bihar, India.
The program has reached all schools, municipal, state, trust managed, private,
central government and the Archdiocesan Board of education schools in Mumbai.
community outreach has also been proposed and is in the process of implementation.
Presenting author: sanjana bhardwaj, 1714,13th court south, birmingham, alabama, 35205, United States, Tel.: [phone], E-mail: sanjanabhardwaj
@ rediffmail.com
WePeD6349I Disclosure of HIV status by HIV-positive gay men
to their sexual partners - A prevention strategy
still worth promoting?
J. Imrie1, G.J. Hart 2, M.D. Davis1, C.H. Mercer1, I.G. Williams1,
O.R. Davidson3, J.M. Stephenson1. 1Dept of STD, Royal Free & University
College Medical School, Dept of STD, Royal Free & Univeristy College Medical
School, Mortimer Market Centre, off Capper Street, London WC1E 6AU, United
Kingdom; 2MRC Social and Public Health Sciences Unit, University of Glasgow,
Glasgow, United Kingdom; 3Mortimer Market Centre, Camden & Islington
Community Health Services NH-S Thust, London, United Kingdom
Background: To be an effective prevention strategy, disclosure of HIV status must
be based on equal expectations. But UK surveys suggest such equivalent expectations do not exist, and more negative and untested men expect disclosure than
positive men prepared to disclose. We looked at disclosure practice among gay
men attending a London HIV clinic (SHARP - Sex, Health and Antiretrovirals
Project).

Methods: Quantitative data from a cross-sectional study (N= 413) were analysed
to validate qualitative findings. 25 tape-recorded, verbatim transcribed interviews
and 413 computer-assisted self-interviews (CASI) were analysed in relation to the
research question. Quantitative analysis explored disclosure during 2 episodes of
sex in the last 6 months.
Results: Of all CASI respondents, 301 men each described 2 episodes of sex
with different partners in the last 6 months; in 39% (235/602) of episodes re