Document 0728
 DOCN  M9480728
 TI    Seroprevalence of HIV and risk behaviors among young homosexual and
       bisexual men. The San Francisco/Berkeley Young Men's Survey.
 DT    9410
 AU    Lemp GF; Hirozawa AM; Givertz D; Nieri GN; Anderson L; Lindegren ML;
       Janssen RS; Katz M; AIDS Office, San Francisco Department of Public
       Health, CA 94102.
 SO    JAMA. 1994 Aug 10;272(6):449-54. Unique Identifier : AIDSLINE
       MED/94315723
 AB    OBJECTIVE--To estimate the prevalence of human immunodeficiency virus
       (HIV) infection and risk behaviors among young homosexual and bisexual
       men sampled from public venues in San Francisco and Berkeley, Calif.
       DESIGN--A survey of 425 young homosexual and bisexual men sampled from
       26 locations during 1992 and 1993. Participants were interviewed and
       blood specimens were drawn and tested for HIV, level of CD4+ T
       lymphocytes, and markers of hepatitis B and syphilis. SETTING--Public
       venues in San Francisco and Berkeley, including street corners and
       sidewalks, dance clubs, bars, and parks. POPULATION STUDIED--Homosexual
       and bisexual men aged 17 to 22 years. MAIN OUTCOME MEASURES--Prevalence
       of HIV infection and risk behaviors. RESULTS--The HIV seroprevalence was
       9.4% (95% confidence interval, 6.8% to 12.6%). The prevalence of markers
       for hepatitis B was 19.8% (95% confidence interval, 16.1% to 23.9%), and
       that for syphilis was 1.0% (95% confidence interval, 0.3% to 2.4%). The
       HIV seroprevalence was significantly higher among African Americans
       (21.2%) than among other racial/ethnic groups (P = .002). Approximately
       one third (32.7%) of the participants reported unprotected anal
       intercourse, and 11.8% reported injecting drug use in the previous 6
       months. At the time of interview, 70.0% of the HIV-infected men did not
       know that they were HIV seropositive, and only 22.5% were receiving
       medical care for HIV infection. CONCLUSIONS--The prevalence of HIV
       infection is high among this young population of homosexual and bisexual
       men, particularly among young African-American men. The high rates of
       HIV-related risk behaviors suggest a considerable risk for HIV
       transmission in this population. Prevention programs and health services
       need to be tailored to address the needs of a new generation of
       homosexual and bisexual men.
 DE    Adolescence  Adult  Bisexuality/STATISTICS & NUMER DATA
       Homosexuality/STATISTICS & NUMER DATA  Human  HIV
       Infections/EPIDEMIOLOGY  *HIV Seroprevalence/TRENDS  Likelihood
       Functions  Logistic Models  Male  Risk Factors  *Risk-Taking  San
       Francisco/EPIDEMIOLOGY  Support, U.S. Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).