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

560 Abstracts ThPeE7890-ThPeE7894

XIV International AIDS Conference

icant relationships between variables and high-risk sexual behavior, suggesting
the commonality of issues confronting people living with HIV/AIDS in maintaining
safer sex practices. Although social, economic, political and culture considerations should be a part of designing effective risk avoidance strategies, there may
be limits to public health education and intervention. Further investigation is merited.
Presenting author: Jerry Cade, 1923 Capistrano Avenue, Las Vegas, Nevada,
89109-2281, United States, Tel.: [phone], Fax: [phone], E-mail:
[email protected]
ThPeE7890 Every psychological characteristic of adolescent
correspond to a specific sexual behaviour risk
factor
S. Traore. Save the Children, Save The Children (UK) B.P 166, Motpi, Mali
Background: Getting a positive behaviour change is one of major challenges
in fighting against HIV When it is know psychological characteristics are determining factors. Based on strengthening psychological resources an intervention
has initiated by Save The Children (UK) and its partners in Mali, Mopti region
in October 2000. The main objective of this intervention is to help adolescents,
vulnerable groups, to apply safe sexual behaviour.
Methods: The project covers fourteen villages, which are randomised into two
groups, intervention group and control group. The Intervention aims to reinforce
psychological resources and improve adolescent rights on reproductive health.
Focusing on psychological characteristics, live skills will be developed through
peer education approach. The target group is girls and boys aged 15-19 years.
To reach this objective, a cohort of 1747 boys and 1490 girls will be followed.
Results: The results of baseline evaluation don't show difference between girls
and boys according to behaviour control. In contrast, boys have high level of assertiveness than girls. And the level of self-confidence is high among girls than
boys. Adolescents who started sexual intercourse are more fatalistic. Indeed,
44% (846/1916) of adolescents who think that God is responsible if their unmarried sister get pregnant have started with sexual intercourse. But only, 31%
(395/1287) of teenagers who refuse to involve God responsibility have started
sexual intercourse. On the other hand, adolescents with high assertiveness have
used more contraceptive method during their first sexual intercourse, teenagers
who have low assertiveness. 27% of adolescents who had courage to declare
their love had used contraceptive method during their first sexual intercourse versus 13% who had not courage to declare their love.
Conclusions: It is very important to identify before intervention focused on psychological aspects to know which psychological characteristic determine which
risk factor in a specific areas.
Presenting author: Sidy Traore, Save The Children (UK) B.P. 166, Motpi, Mali,
Tel.: [phone], Fax: [phone], E-mail: [email protected]
ThPeE7891 Brazilian strategies to to face the aids (assistance
and prevention)
D.L.F Faria1, L.M. Medeiros2, K. Shiratori3, E.S.F Valle4, A.A. Silva4,
J.R.G. Silva'1. 1Oswaldo Cruz Foundation, rua Professor Heitor Carrilho,
260/306, S~o Lourengo - Niter6i - Rio de Janeiro, 24030230, Brazil; 2Ministry of
Health, Brasflia, Brazil; 3University of Rio de Janeiro, Rio de Janeiro, Brazil;
4UNIGRANRIO University Duque de Caxias, Brazil
The brazilian program of combat the aids is an example in the fight against the
illness, so it aims at the guarantee of individual and social rights of people living
with hiv/aids. However, the prevention campaigns still present strategical errors
and with this, they are not effective and don't contemplate all situations of vulnerability of the various social/cultural groups. It was objectified to study the profile
of the campaigns from 1994 until 2001; arising concerning questions about insufficient information. Unknowledge is not decided in few minutes of propaganda
and some dates of the year. This is a descriptive study from bibliographical survey. The results show the exclusion of the mass campaigns and therefore it has
the necessity of the character of the information, including schools, unions and
organizations in general. Finally, we point a reflection on the necessity of these
campaigns to reach vitiated in alcohol; bisexuais; participants of group sex and
old people. Concluding, we recommend that is necessary to offer continued sex
education to destroy taboos, for then, to have effective prevention.
Presenting author: Deise Faria, rua Professor Heitor Carrilho, 260/306, S7o
Louren~o - Niterbi - Rio de Janeiro, 24030230, Brazil, Tel.: [phone],
Fax: [phone], E-mail: [email protected]
ThPeE7892 The protection and promotion of human rights:
Latin America and the Caribbean HIV/AIDS and
human rights project (subregion of Central America

and the Spanish Caribbean)
K.A. Morrison', E. Carrasco2. 1lnstituto Nacional de Salud Publica, INSR Av
Universidad 655, Cuernavaca, Morelos, Mexico; 2LACCASO, Carracas,
Venezuela
The protection and promotion of human rights are essential to preventing the
spread of HIV and to mitigating the social and economic impact of the pandemic.

Many countries in Central America, defined by vast differences in wealth and
access to health care, are in the process of political transformation from dictatorships to democracies. Concrete follow-up to UNGASS has been deficient in
the area of human rights. In order to reinforce the response to the HIV/AIDS
epidemic in the Latin American and Caribbean region through the promotion
and defense of Human Rights related to HIV/AIDS over a period of three years
2002-2004, Panama, Nicaragua, Costa Rica, Honduras, El Salvador, Guatemala,
Belize, Cuba, Dominican Republic and Mexico have joined together to create a
human rights project. Key strategies include: Skills Development (training and
capacity-building tools and mechanisms related to the understanding, promotion and defence of human rights related to HIV/AIDS in Latin America and the
Caribbean), Monitoring
National Situations, Advocacy, and Public Education (social communications
campaigns and materials to promote understanding of human rights). In the first
year of the project, several important lessons have been learned including: reinforcing existing structures before trying to set up new structures, developing
close working relationships with human rights and ombudsman organisations as
well as public health institutions, developing strong communications networks,
developing an evaluation system early in the project, being as transparent and
inclusive as is practical and beginning with a diagnosis of existing strengths and
weaknesses so as to develop effective capacity-building tools.
After a slow start, the Latin America and the Caribbean HIV/AIDS and human
rights project has demonstrated both the relevancy and the effectiveness of the
project. Although difficult to finance, it has been a good example of concrete
follow-up to outcomes of UNGASS.
Presenting author: Ken Morrison, INSP, Av Universidad 655, Cuernavaca, Morelos, Mexico, Tel.: [phone], Fax: [phone], E-mail: kmorrison
@correo.insp.mx
ThPeE7893I Stigmatization of HIV-positive mothers who have
sex with women
H.V. Unqer1, J. Hunter1, T. Reeves2, A.A. Ehrhardt1. 1HIV Center for Clinical
and Behavioral Studies, New York State Psychiatric Institute and Columbia
University, New York, NY, United States; 2Gay Men's Health Crisis, New York,
United States
Background: AIDS-related stigma reinforces prejudices towards marginalized
groups in society and has adverse effects on service provision to people with
HIV/AIDS. HIV-positive mothers who have sex with women constitute an understudied population that is prone to stigmatization on multiple grounds. This pilot
study explores the impact of multiple stigmas on the interactions of these women
with service providers and peers.
Methods: Semi-structured interviews were conducted with 14 key informants associated with 10 community based organizations in New York City. The sample
includes service providers, HIV activists, peer educators, clients and caretakers,
six of whom are HIV-positive mothers with same-sex sexual experience.
Results: Stigmatization occurs in relation to women's HIV infection, sexual relationships with women, bisexuality, race/ethnicity, drug use, incarceration and
sex work experience. As HIV-positive women they are generally assumed to be
heterosexual, especially since they are mothers. Those who self-identify as bisexual or lesbian often encounter sexual prejudice from service providers, family
members and HIV-positive peers and are ostracized in the lesbian community.
As a result, levels of secrecy, social isolation and sub-optimal service provision
are high. Key informants stress the need to reduce stigmatizing and discriminatory practices to improve social service and health care provision to HIV-positive
bisexual and lesbian mothers and their families.
Conclusions: HIV-positive mothers who partner with women are subject to multiple stigmas that affect service provision and further increase their social marginalization. How they experience and cope with these stigmas, especially their skills
of resisting and challenging stigmatization, needs further investigation.
Presenting author: Hella von Unger, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside
Drive, Mailbox 15, New York NY 10032, United States, Tel.: [phone],
E-mail: [email protected]
ThPeE7894 Utilization of psychosocial PHA support services
by British and Spanish men who have sex with men
(MSM): the problem of information control
S. Rinken. Instituto de Estudios Sociales de Andalucia (IESA-CSIC), Cordoba,
Spain
Background: Focusing on MSM in the UK and Spain, the study explores why
some people with HIV or AIDS (PHA) defer contact with psychosocial HIV service organizations (HIVSOs) for large periods of time despite severe biographical
disruption due to HIV.
Method: 40 expert interviews (mean experience in HIV client work: 10 years)

were conducted at 25 HIVSOs located in (a) the area with the most developed
support network (London & Barcelona) and (b) a smaller city in a distinct region
(Edinburgh & Granada).
Results: When estimating the share of local HIV+ MSM who had approached
HIVSOs, UK respondents were much more optimistic than Spanish ones. The
general population's acceptance of HIV and its transmission modes, the HIVSO
infrastructure for MSM, and the appreciation of emotional support as a client ser