The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

5038.0: Wednesday, November 19, 2003 - Board 2

Abstract #71431

HIV Infection and Related Risk Behaviors among Latino MSM in the Tijuana-San Diego Border Region

Juan D. Ruiz, MD, DrPH1, Assunta Ritieni, MHS1, Matthew R Facer, PhD1, and Fred Molitor2. (1) HIV/AIDS Epidemiology Branch, Office of AIDS, California Department of Health Services, 611 North 7th St., Suite A, Sacramento, CA 95814, 916-445-0700,, (2) ETR Associates, 926 J Street, Suite 617, Sacramento, CA 95814

Objective: To assess HIV prevalence, sexual and drug using behaviors, and history of HIV testing among a cross-section of Latino men who have sex with men (MSM) from San Diego, California, and Tijuana, Mexico.

Methods: From May 2000 to April 2002, a cross-sectional survey of Latino men aged 18 to 29 years was conducted at MSM-identified venues (e.g., bars, dance clubs) and cruising sites (e.g., parks, shopping areas) in San Diego and Tijuana. Participants were interviewed using a standard questionnaire, had blood drawn for HIV testing, were given appointments to obtain test results, and were provided HIV-prevention counseling and referral for care when needed.

Results: Of the 122 participants in San Diego, 42 (34%) tested positive for HIV compared to 47 (19%) of the 249 participants in Tijuana. Of the HIV-infected MSM in San Diego, 34 (81%) were unaware of their infection compared to 26 (55%) of the HIV-infected MSM in Tijuana. Over 40% of the Tijuana MSM reported lifetime injection drug use, with 90% of these ever sharing needles or works. Of the 107 men in San Diego who reported recent sex with men (in the last 4 months), 69 (65%) reported having unprotected anal intercourse compared to 68 (49%) of the 140 men in Tijuana who reported recent sex with men. Of the 139 MSM in Tijuana who reported recent sex with women, 107 (77%) indicated engaging in anal/vaginal unprotected intercourse.

Conclusion: These findings underscore the urgency of improving HIV-prevention efforts for all young MSM at this U.S.-Mexico border region.

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.

Special Topics: Poster Session

The 131st Annual Meeting (November 15-19, 2003) of APHA