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How much risky sex are people in Oregon with HIV having?

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How much risky sex are people in Oregon with HIV having - PowerPoint PPT Presentation


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How much risky sex are people in Oregon with HIV having?. the methods in brief— Medical Monitoring Project. Oregon 1/26 cities and states participating Interviews + chart reviews with people with HIV seen by doctor This presentation: 541 Oregon interviews during 2007/2008 Random sample

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Presentation Transcript
the methods in brief medical monitoring project
the methods in brief—Medical Monitoring Project
  • Oregon 1/26 cities and states participating
  • Interviews + chart reviews with people with HIV seen by doctor
  • This presentation: 541 Oregon interviews during 2007/2008
  • Random sample
  • Statewide
the population
the population
  • 541 participants
  • 89% male
  • 60% homosexual/10% bisexual
  • 76% white
slide6

Everyone

,

541

Female, 69

Male

,

472

slide9

Most had ≤1 partner

Males: # Sex Partners Previous 12 mos.

slide10

Most had 0 female partners

Males: # Female Sex Partners Previous 12 mos.

slide15

risky sex, defn #1

Male

,

472

>1 male partner, past year, 241

Unprotected anal intercourse

,

108

Discussed self and partner HIV

status with all partners

,

past year

Yes

No

66

42

(

10

%)*

*

Weighted estimate of proportion of all men seen for HIV care

slide16

risky sex, defn #2

Male

,

472

>1 male partner, past year, 241

Unprotected anal intercourse

,

108

Most recent partner unknown HIV

status or HIV-negative

Yes

No

33

(

8

%)*

75

*

Weighted estimate of proportion of all men seen for HIV care

risky vs not
‘Risky’ vs not§
  • Overall health good/excellent 68%:45%
  • Ever had opportunistic inf 17%:36%*
  • Duration positive 9y:13y*
  • Salary is primary income source 71%:39%
  • Seen in metro-area facility 96%:71%*
  • Aged <35 y 37%:09%*

§Definition #1: Unprotected AI, failed to

discuss with all partners

*P<0.5

conclusions
Conclusions
  • Minority of HIV-positive men in care engage in high-risk sex
  • This group is
    • Younger
    • more likely to be seen in metro area (live in metro area?)
    • More likely to be fully employed
    • Infected more recently
  • Either: Prevention with Positives working great

OR

Prevention with Positives is 90% waste of time unless focused on the right people

public health message
Public health message
  • Not everyone in care for HIV in urgent need of prevention-oriented behavior change
  • Let’s find out more about who is in the risky minority and focus prevention with positive messages better
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