4277.0: Tuesday, November 14, 2000 - 4:58 PM

Abstract #13116

Young men who have sex with men (MSM) in commercial sex venues (CSV) in Los Angeles: Comparing risks/assessing needs

Alan D. Brown, MA, William J. Reidy, MHA, Denise F. Johnson, MPH, and Trista A. Bingham, MPH, MS. HIV Epidemiology Program, Los Angeles County Department of Health Services, 600 S. Commonwealth Ave, Ste. 1920, Los Angeles, CA 90005, 213-351-8173, abrown@dhs.co.la.ca.us

Objective: To examine the relationship between attendance at commercial sex venues (CSV) and risk for HIV and a history of sexually transmitted disease (STD).

Methods: In a sample of 687 MSM interviewed for the Young Menís Survey in Los Angeles, we examined associations between HIV and STD infections and attendance at a CSV (eg., bathhouse, sex club).

Findings: Prevalence of HIV and STD is higher for MSM who attended CSV. They also have more sexual partners, engage in riskier sexual behaviors, and are more likely to have used drugs/alcohol the last time they had sex.

 

CSV

(n=71/10%)

Non-CSV

(n=616/90%)

 

 

n

%

n

%

 

HIV+

13

18

44

7

c 2=10.13 p=.001

STD History

23

32

75

12

c 2=21.06 p=.001

> 7 sexual partners/ last 6 months

42

59

56

10

c 2=128.99 p=.001

Unprotected:

 

 

 

 

 

Analingus

54

76

262

43

c 2=28.80 p=.001

Digital Penetration

58

82

255

41

c 2=41.67 p=.001

Fisting

9

13

21

3

c 2=13.09 p=.001

Anal Intercourse

42

59

240

50

c 2=2.12 p=.145

High/Drunk during last sex

25

36

133

24

c 2=5.05 p=.025

Tested for HIV

56

79

406

66

c 2=4.79 p=.029

Conclusions: Despite the association between higher prevalence of HIV and risky behavior in commercial sex venues, it is unclear if these associations are causal. Further research to investigate a causal relationship between CSV attendance, risk behaviors, and HIV transmission should be conducted, perhaps most appropriately in the public sex environments.

Learning Objectives: Participants will understand the importance of HIV outreach and prevention activities in commercial sex venues

Keywords: HIV Risk Behavior, Gay Men

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA