Transcript Sexual Risk, Drug Use, HIV Testing, and HIV Prevalence

Sexual Risk, Drug Use, HIV Testing,
and HIV Prevalence Among Young
Men in California Reporting Recent
Sex with Men or Transgender
Partners:
The California Hey Man Study
Presenter: Juan G. Ibarra, MPH, MSW
California Department of Health Services
Office of AIDS
DrPH Student at UC Berkeley, SPH
Principal Investigators
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Barbara Allen (1)
Dennis Ferrero (3)
Jeffrey Klausner (4)
Martin Lynch (6)
Fred Molitor (7)
Geneva Bell-Sanford(3)
Juan Ruiz (2)
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Matt Facer (2)
Barbara Green-Ajufo (1)
George Lemp (5)
Willi McFarland (4)
Scott Morrow (8)
Kimberly Page-Shafer (5)
1-Alameda County, 2-State of California, 3-San Joaquin County,
4-San Francisco City and County, 5-University of California,
6-Contra Costa County, 7-ETR Associates, 8-San Mateo County.
Background
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Non-injecting DU has been shown to be
significantly associated with HIV seroconversion
risk (SF Men’s Health Study).
Most affected are people of color, especially
African Americans and Latinos.
Neighborhood characteristics (i.e., poverty and
location) have been shown to be associated with
progression to AIDS.
The Hey Man Study
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Partnership between the CA Department of
Health Services, Office of AIDS, the University of
CA, San Francisco, & the five county health
departments.
Population-based study of young men (18 to 35
years old) residing in low-income areas in five
Northern CA counties:
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Alameda, Contra Costa, San Francisco, San Joaquin, & San
Mateo.
Objectives
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To assess risk behaviors, history of HIV testing,
and HIV prevalence among a population-based
sample of young men reporting sex with men or
transgender partners in the previous six months.
Methods
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Eligibility criteria: Men aged 18 to 35 years
residing in low-income neighborhoods in five
Northern CA counties.
Census data used to identify a sampling frame of
blocks below the 10th percentile of median
income within the CA counties.
Team of trained outreach workers recruited men
aged 18 to 35 by going door-to-door in
randomly-sampled blocks.
Methods
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Outreach workers interviewed participants using
standardized questionnaires.
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Available in either Spanish or English
Informed consent obtained from each
participant.
Series of items assessed the characteristics of
participants’ sexual partners and behaviors
within the last six months.
Methods
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HIV was determined and confirmed by
commercially available FDA-cleared
immunoassays from blood specimens.
Participants were given $40 compensation for
interview and specimen collection, and $10 for a
follow-up visit for lab results and post-test
counseling.
Results
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Data presented is in aggregate form for five
counties.
Results pertain to 55 (n) young men reporting
recent sex with a man or transgender.
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4.3% of 1,293 participants
Results: Demographics (n=55)
Latino
32.7%
White
29.1%
African American
14.5%
Asian/Pacific Islander
12.7%
Other
10.9%
18 to 25 years old
41.8%
26 to 35 years old
58.2%
Results: Sexual Risk
Sex with 2 or more partners
a
61.8%
Sex in exchange for money, drugs, or other
things a
60.0%
Insertive UAI
75.7%
Receptive UAI
a-lifetime, b-past 6 months
b
b
79.9%
Results: Drug Use
a-lifetime
a
Methamphetamine
50.9%
Cocaine
40.0%
Ecstasy
45.5%
Results: HIV
HIV Prevalence
7.4%
Ever been tested for HIV-antibodies
81.8%
Discussion
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Low-income young men from selected areas of
California reporting sex with men or transgender
partners are engaging in high-risk sexual and
drug-using behaviors.
HIV Prevention and drug treatment services are
needed.
Even though 8 in 10 MSMs have tested for HIV,
the majority continue to engage in high risk
behaviors.