Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #111182

Barbara Allen¹, Geneva Bell-Sanford², Matthew R. Facer, PhD³, Dennis Ferrero², Barbara Green-Ajufo¹, Jeffrey D. Klausner, MD, MPH⁴, George Lemp, DrPH⁵, Martin Lynch⁶, Willi McFarland, MD, PhD⁷, Fred Molitor⁸, Scott Morrow⁹, Kim Page-Shafer, PhD, MPH¹⁰, Juan Ruiz, MD, MPH¹¹, and Juan G. Ibarra, MPH, MSW¹². (1) Alameda County, 1000 Broadway, Suite 500, Oakland, CA 94607, (2) San Joaquin County, P.O. Box 2009/1601 E. Hazelton Ave., Stockton, CA 95201, (3) California Department of Health Services, Office of AIDS, 1616 Capitol Avenue, Sacramento, CA 95814, (4) STD Prevention and Control Services, San Francisco Department of Public Health, 1360 Mission Street, Suite 401, San Francisco, CA 94103, (5) University of California Office of the President, Universitywide AIDS Research Program, 300 Lakeside Drive, 6th Floor, Oakland, CA 94612, (6) Contra Costa County, 597 Center Avenue, Suite 200, Martinez, CA 94553, (7) HIV Seroepidemiology Unit, San Francisco Department of Public Health, 25 Van Ness, Suite 500, San Francisco, CA 94102, (8) ETR Associates, 2210 21st Street, Sacramento, CA 95818, (9) San Mateo County, 225 W. 37th Avenue, San Mateo, CA 94403, (10) Department of Medicine, University of California Center for AIDS Prevention Studies, 74 New Montgomery Street, Suite 600, San Francisco, CA 94105, (11) California Department of Health Services, Office of AIDS, 1616 Capitol Avenue, Sacramento, CA 95814, 916.449.5832, jruiz1@dhs.ca.gov, (12) University of California, Berkeley, School of Public Health, Berkeley, CA 94720

Objectives: To assess risk behaviors and prevalence of HIV, gonorrhea, chlamydia, and hepatitis C among a population-based sample of men aged 18 to 35 years from 5 counties in northern California. Methods: Blocks below the 10th percentile of median income within Alameda, Contra Costa, San Francisco, San Joaquin, and San Mateo counties were identified. Outreach teams recruited participants by going door-to-door in randomly-selected blocks. Selected characteristics and risk exposures within the last 6 months were assessed. Blood and urine samples were collected to assess disease outcomes. Results: Nearly half (49.0%) of 1,293 participants were Latino; 20.3% were African American, 12.6% were white; 48.6% were born outside of the United States. Thirty-five percent reported no or sporadic employment during the previous 6 months. Three-in-10 (30.4%) reported 2 or more sexual partners in the previous 6 months; no protection was reported for 62.6% of acts of vaginal intercourse during the past 6 months. Fifty-five (4.3%) men reported recent sex with men or transgender partners, but no protection was reported for 75.7% and 79.9% of acts of receptive and insertive anal intercourse, respectively. Cocaine and methamphetamine use during the past 6 months was 12.1% and 7.5%. Overall prevalence of HIV was 0.80%; gonorrhea, 0.40%; chlamydia, 4.05%; and hepatitis C, 1.33% Conclusion: A population-based, randomized sample of low-income young men from selected areas of California found very high levels of reported sexual risk, with respect to condom use, and in particular higher rates of unprotected intercourse with male compared with female partners.

Learning Objectives: At the end of the presentation, participants will be able to

(
• appreciate the advantages of a population-based HIV prevalence study; (
• understand the resources and time necessary to conduct a population-based study; and (3)identify the extent of risk behaviors conducted by young, mostly of color, heterosexual, bisexual, and gay men in selected areas of California.

Keywords: HIV Risk Behavior, Behavioral Research

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Recorded presentation