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1996-03-09
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Document 0303
DOCN M9650303
TI AIDS risk-taking behavior during carnival in Sao Paulo, Brazil.
DT 9605
AU Hughes V; Stall RD; Klouri C; Barrett DC; Arevalo EI; Hearst N; Office
of the Secretary of Health, State of Sao Paulo, Brazil.
SO AIDS. 1995 Jul;9 Suppl 1:S39-44. Unique Identifier : AIDSLINE
MED/96085742
AB OBJECTIVE: The Brazilian Carnival is thought to be a time when the risk
of HIV infection is likely to be high. We therefore compared the risk
during Carnival to risk in the past month among male samba school
participants in Sao Paulo, Brazil. SUBJECTS AND METHODS: A
cross-sectional study was conducted among 380 male samba school drummers
randomly sampled during rehearsal for the 1993 Carnival in Sao Paulo by
means of a 20-min interviewer-administered questionnaire. The main
outcome variable was condom use with non-steady partners. RESULTS: The
sexual behavior of 36.1% of subjects risked HIV infection, but only 9.7%
of all subjects were at risk only during Carnival. Subjects with a
sexual risk of HIV differed from those without risk in substance use,
attitudes towards condoms and expectations about Carnival; those who
were at risk only during Carnival did not differ from those who were at
risk at other times. About half of the subjects had been given free
condoms during Carnival, although few of the men at risk had actually
used them. CONCLUSIONS: Though more than a third of the drummers were at
risk of HIV infection, only a small per cent were at risk only during
Carnival. The level of sexual risk of HIV infection is probably better
explained by factors in the men's daily lives, rather than through
information on risks taken during Carnival. These results raise
questions concerning the efficacy of universal condom distribution
during Carnival, since about half of the men were given condoms but few
of those at risk actually used them. A targeted distribution of condoms
to populations with a high demonstrated risk may be more effective in
preventing new HIV infection.
DE Acquired Immunodeficiency Syndrome/PREVENTION & CONTROL/ *TRANSMISSION
Adolescence Adult Brazil Condoms Cross-Sectional Studies
*Developing Countries *Holidays Human Knowledge, Attitudes, Practice
Male *Risk-Taking Sampling Studies Sex Behavior Support, Non-U.S.
Gov't Support, U.S. Gov't, P.H.S. *Urban Population JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).