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1994-08-27
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Document 0759
DOCN M9480759
TI Seroprevalence, risk factors and attitude to HIV-1 in a representative
sample of lesbians in Turin.
DT 9410
AU Raiteri R; Fora R; Gioannini P; Russo R; Lucchini A; Terzi MG; Giacobbi
D; Sinicco A; Institute of Infectious Diseases, University of Turin,
Italy.
SO Genitourin Med. 1994 Jun;70(3):200-5. Unique Identifier : AIDSLINE
MED/94314310
AB OBJECTIVE--To estimate the HIV-1 seroprevalence, behavioural risks and
attitude to HIV-1 infection among lesbians. SETTING--Institute of
Infectious Diseases, University of Turin, Italy. SUBJECTS--From March
1992 to May 1993, 181 lesbians were tested for HIV-1 and included in the
study. METHODS--Sociodemographic details, nonsexual risks for HIV-1,
sexual behaviour, STD history and attitude to HIV-1 were obtained from
an anonymous, standardised, self-administered, 30-item questionnaire.
Snow-ball techniques were used to recruit the largest possible number of
participants. RESULTS--11 lesbians (6.1%) were found to be HIV-1
antibody positive. Of them, 10 were intravenous (i.v.) drug users. STD
episodes were higher among lesbians with HIV-1 than without (p = 0.04),
increasing in both groups over time. Syphilis, genital herpes and viral
hepatitis were highly associated with HIV-1 (p = 0.000). In univariate
analysis, i.v. drug use, bisexual behaviour, history of STDs, sex during
menses and vaginal/anal manipulation were significantly linked to HIV-1
(p = 0.000). In multivariate analysis only history of i.v. drug use (p =
0.04) and bisexual behaviour (p = 0.06) remained independently
associated with HIV-1. Seventy-one participants (39.3%) had already
undergone AIDS testing. Only 3.5% admitted to be at risk for HIV-1 and
11% changed their sex habits after first hearing of AIDS. No lesbian had
ever practised safe-sex. Television was the most important source of
information on HIV-1 (84%). CONCLUSION--I.v. drug use was the most
likely means of HIV-1 infecting the lesbians of Turin. The high rate of
STDs and the low perceived risk to HIV-1 require programmes of STD
prevention and AIDS information to be targeted at the lesbian community.
DE Acquired Immunodeficiency Syndrome/*PSYCHOLOGY Adolescence Adult
*Attitude to Health Female Homosexuality/*PSYCHOLOGY Human HIV
Seropositivity *HIV Seroprevalence Italy/EPIDEMIOLOGY Risk-Taking
Sex Behavior Sexual Partners Sexually Transmitted Diseases/ETIOLOGY
Substance Abuse, Intravenous Support, Non-U.S. Gov't Time Factors
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).