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1994-08-27
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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).