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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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

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


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


How much risky sex are people in oregon with hiv having

Everyone

,

541

Female, 69

Male

,

472


Some data

some data


Males number of sex partners

males—number of sex partners

+


How much risky sex are people in oregon with hiv having

Most had ≤1 partner

Males: # Sex Partners Previous 12 mos.


How much risky sex are people in oregon with hiv having

Most had 0 female partners

Males: # Female Sex Partners Previous 12 mos.


What constitutes risky sex

what constitutes risky sex?


How much risky sex are people in oregon with hiv having

Males: Anal Sex w/ another male with and w/o condom, previous 12 mos.


How much risky sex are people in oregon with hiv having

Males: Discussed HIV Status w/ all male sex partners previous 12 mos


How much risky sex are people in oregon with hiv having

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


How much risky sex are people in oregon with hiv having

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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