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

188 Abstracts WePeD6421-WePeD6425

XIV International AIDS Conference

point for working effectively with men. Defining duties of male health workers including doctors and community outreach staff for encouraging male participation
can contribute for promoting healthy reproductive life for men and women.
Presenting author: Swati Pongurlekar, Women Centred Health Project, 1st
Floor, BMC building, Nehru Road, Vile Parle(E), Mumbai - 400 057, India, Tel.:
+91 -022 - 6162436 / 6186607, Fax: [phone] attn: Dr. Ubale, E-mail:
[email protected]
WePeD6421I HIV/AIDS, reproductive health and HIV/AIDS in
China
J.S. Sazaki. United Nation Populaiton Fund, 2 Liang Ma He Nan Lu, Beijing,
100600, China
Issues: The number of HIV/AIDS cases will increase rapidly due to low level of
awareness of HIV/AIDS among health workers and the public and low allocation
of the Government's funds. It is important to implement an effective HIV/AIDS
Prevention Porgramme in a country, with the largest population in the world. Most
of the donor funds are channeled through the National AID/HIV Committee and to
the Ministry of Health. However, the importance of working with the State Family
Planning Commission (SFPC), China Family Planning Association (CFPA) and
China Contraceptive Supply Center (CCSC), which are the main distributors of
condom and have the most extensive network to cover population at reproductive
age, is rather forgotten.
Description: A pilot Adolescent Reproductive Health (ARH) Project and a Condom Social Marketing Project, both aiming at preventing HIV/AIDS, together produced high impact on increasing awareness of HIV/AIDS, promoting safe sexual
behavior and increasing the use of condom in Beijing and Shanghai, targeting
university students and floating population. The collaboration with SFPC, CFPA
and CCSC was very effective.
Lesson learned: (1) Using the extensive network of CPFA, SFPC and CCSC to
increase awareness of HIV/AIDS and to promote the use of condoms; (2) Importance of involving high level political personnel through advocacy; (3) Involving
adolescents in the comprehensive "life-skills" programme, instead of in the programme focused only on "ARH" or "HIV/AIDS prevention" in order to have understanding and collaboration of parents, who are usually one of the key obstacles.
Recommendations: To cover the large population in China, especially in rural areas for HIV/AIDS prevention it is important to work with SFPC, CFPA and CCSC.
The presentation will include: (1) how to effectively collaborate with SFPC, CFPA
and CCSC; (2) our plan to expand the pilot experiences towards other provinces
and (3) other effective strategies.
Presenting author: Junko Sazaki, 2 Liang Ma He Nan Lu, Beijing, 100600,
China, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeD6422I Heterogeneous practices and attitudes towards
treating HIV-infected substance abusers in Russia
NA. Doljanskaia, T.S. Bousina2. Chief of Department of Prevention of AIDS
and Other Infectious Diseases, Research Institute on Addiction, 3 Malyi
Mogiltsevsky Per, 121921 Moscow, Russian Federation; 2Senior Staff
Researcher of Department of Prevention of AIDS and Other Infectious Diseases,
Research Institute on Addiction, Moscow, Russian Federation
Background: Issues associated with substance abuse treatment among HIVinfected persons in Russia are not well studied.
Methods: We surveyed 50 staff narcologists from Moscow's clinic of Research
Institute on Addictions about their clinical practices and beliefs concerning HIVinfected substance abusers compared to uninfected patients.
Results: Forty-two per cent of the surveyed doctors said that they did not treat
HIV-infected patients differently from their HIV-free counterparts. The remaining
58% of respondents believed that HIV infection was adding to the complexity
of substance abuse treatment. The atypical course of the withdrawal syndrome
and recovery from it, and increased frequency of relapse were among commonly
cited treatment complications in HIV-infected patients. Such patients were often
referred to as psychopathic, feeling doomed, losing meaning of life, difficult to
motivate for treatment continuation and completion. On the other hand, physicians noted that for some patients, HIV infection became an additional stimulus for seeking treatment both for drug dependence and for HIV itself. In such
patients, the doctors successfully induced positive motivation for the future. At
the same time, some doctors thought that treatment of patients with HIV was a
waste of efforts and they avoided not only discussing HIV infection with them, but
also having to treat them. Virtually all doctors agreed that specially trained professionals should carry out pre-and post-HIV test counseling. Most respondents
believed that psychologists and infection disease specialists should participate in
treatment of HIV-infected substance abusers.
Conclusions: Our survey indicated heterogeneity in beliefs and practices to
treating substance abuse in HIV-infected patients among physicians in a Moscow

inpatient treatment facility, which may have implications in the treatment outcome.
Presenting author: Natalia Doljanskaia, 3 Malyi Mogiltsevsky Per., 121921
Moscow, Russian Federation, Tel.: [phone], Fax: [phone],
E-mail: [email protected]

WePeD6423I Challenges facing hiv positive youth, post HAART
M.A. Etzel, M.A. Lightfoot, M.J. Rotheram-Borus, D.T. Swendeman. UCLA-NPI
Center for Community Health, Los Angeles, CA, United States
Background: The advent of highly active antiretroviral therapies (HAART) has
raised fears about increased transmission acts for those taking medications, particularly among youth living with HIV (YLH). The goal of this study was to examine
the differences in YLH, their sexual and substance use risk acts, and quality of
life before and after the advent of HARRT.
Methods: Two cohorts of YLH in 4 AIDS epicenters in the US were each monitored over 2 years. The first cohort was recruited in 1993-94 (TLC, n=350) and
the second recruited in 1999-2000, after the wide availability of HAART (CLEAR,
n=177). Sexual and substance use risk acts and quality of life were compared
among gay/bisexual men and women in the two cohorts.
Results: The two cohorts were highly similar: 38% Latino, 33% African American,
and 17% Caucasian; 72% male and 28% female; and 66% gay/bisexual and 30%
heterosexual. After the advent of HAART, YLH were more like likely to engage
in risk behaviors: unprotected sex (OR= 1.78, p<.01); alcohol use (OR= 2.28,
p<.01), marijuana use (OR= 2.01, p<.01), and hard drug use (OR= 1.78, p<.01).
After the advent of HAART, YLH were more likely to have spent time in jail during
their lifetime (OR= 2.76, p<.01), were more depressed (OR= 1.46, p<.01), and
were more likely to cope by engaging in self destructive acts (OR= 1.70, p<.01)
than YLH in 1993-94.
Conclusions: Increasingly, YLH after the advent of HAART engage in behavior
that can spread HIV, including self-destructive risk acts, and experience poorer
quality of life than YLH prior to HAART. Targeted interventions for YLH that address risk behaviors and aim to improve quality of life are still needed.
Presenting author: mark etzel, ucla-npi center for community health, 10920
wilshire blvd., suite 350, los angeles, ca, 90024-6521, United States, Tel.:
+1+310+794+3516, Fax: +1+310+794+8297, E-mail: [email protected]
WePeD6424 Health disparities between court referred and
community substance abusing women enrolled in
an HIV prevention study
C. Meeks', L. Cottler', W. Compton', A. Ben-Abdallah', J. Williford',
B. Crecelius2, J. Sullivan2, M. Thomas3. 1Washington University School of
Medicine, 40 north kingshighway, suite 4, st. louis, mo 63108, United States; 2St.
Louis City Municipal Courts, St. Louis, MO, United States; 3St. Louis City
Department of Health and Hospitals, St. Louis, MO, United States
Background: To evaluate disparities in risk behaviors among court-referred and
community (GEN POP) respondents to focus on gaps in hiv and std prevention
and treatment.
Methods: We had the opportunity to augment our ongoing NIDA-funded study
of GEN POP drug using women, 18-44 years old, in St. Louis, Mo, with courtreferred women. Based on involvement with the criminal justice system, these
women represent an especially vulnerable population with potentially elevated
risks for HIV, Hepatitis C and STDs.
Results: To date, our sample is comprised of 166 drug-using women. Although
court (N=21) and GEN POP (N=145) women did not differ in terms of number of
lifetime arrests, court referrered women reported more nights in jail or prison and
were also more likely to test positive for HCV (43% court vs. 22% GEN POP).
Sexual risk behaviors were significantly elevated in court referred women: four or
more sex partners (29% court vs. 10% GEN POP); and sex trading (95% court vs.
50% GEN POP). Court referred women were more likely to trade sex for drugs
or alcohol (76% court vs. 38% GEN POP), money (86% court vs. 47% GENPOP), food (38% court vs. 14% GEN POP), a place to stay (42% court vs. 11%
GEN POP), and clothes (33% court vs. 5% GEN POP). Moreover, reported substance use differed by recruitment method. GEN POP referred women, compared
to court referred women, were more likely to report past year alcohol use (88%
vs. 57%) and cannabis use (57% vs. 33%). Although nearly all women reported
lifetime cocaine use, court women were more likely to meet criteria for cocaine
dependence (95% vs. 77%).
Conclusions: These results reveal that court referred women are disproportionately in need of intense prevention interventions focused on HIV and STDs. Based
on these results, it is clear that efforts to evaluate disparities among women must
remain a fundamental focus for the research community.
Presenting author: catina meeks, 40 north kingshighway, suite 4, st. louis, mo
63108, United States, Tel.: [phone], Fax: [phone], E-mail: meeksc
@epi.wustl.edu
WePeD6425 Can peer education have an impact on partner
referral fo sexually transmitted diseases
management and voluntary counselling and
testing

K. Noko, G. Makarawo, V. Mzezewa. Colleague, Zimbabwe AIDS Prevention
Project, 103/105 Rotten Row, Harare, Zimbabwe
Issue: Factory workers and their partners seeking sexually transmitted diseases
management and voluntary counselling and testing in the Factory Workers AIDS
Prevention Project.
Descriptions: Factory Workers AIDS Prevention Project March 2000 - February
2001 has four components which are as follows: