 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Fred Molitor1, Reggie Caldwell2, Carol Crump2, Christina Kuenneth, MPH3, and Kelly Grogan1. (1) ETR Associates, 926 J Street, Suite 617, Sacramento, CA 95814, 916.313.4550, fredm@etr.org, (2) Office of AIDS, California Department of Health Services, 611 N. 7th Street, P.O. Box 942732, Sacramento, CA 94234-7320, (3) Center for Health Services Research in Primary Care, University of California, Davis, UC Davis Health System, 2315 Stockton Blvd., Grange Building, Sacramento, CA 95817
Objective: To examine risk behaviors, six months post-baseline, among men who have sex with men enrolled in the California PCM intervention, HIV Transmission Prevention Project (HTPP). Methods: Eighty-five men who have sex with men have been recruited from 11 sites throughout California for ongoing, one-on-one meetings with a counselor. Most counselors are licensed clinicians who provide therapeutic as well as case management services. HTPP clients are HIV-positive and HIV-negative individuals identified as high-risk. At enrollment, 57% of clients were diagnosed with a mental illness and 56% were unemployed. Baseline and 6-month follow-up risk-assessment questionnaires are completed via self-administration and mailed directly to the HTPP evaluation team. Results: Among the 35 HTPP clients for whom 6-month risk-assessment data are currently available, 77% are HIV-positive. Among these clients, the average number of reported male sexual partners for the previous two months decreased from 4.5 at baseline to 2.5 at 6-month follow-up. Consistent condom use during anal intercourse increased from 43% at baseline to 78%. Condom use for “last time” having sex increased from 49% to 69% over the six-month period. Decreases, from baseline to 6-month follow-up, were found for sexual relations with a known HIV-positive partner (from 46% to 29%), a known injection drug using partner (from 14% to 9%), exchange sex (from 17% to 9%), and diagnosis with a sexually transmitted disease by a nurse or physician (from 29% to 12%). Conclusion: PCM appears to be an effective means for reducing risk behaviors among high-risk men who have sex with men.
Learning Objectives:
Presenting author's disclosure statement:
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.