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M94A2483.TXT
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1994-10-25
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Document 2483
DOCN M94A2483
TI Differences between bisexual and heterosexual women in self-reported
HIV-risk behavior, Los Angeles County.
DT 9412
AU Simon P; Wiley D; Ford W; HIV Epidemiology Program, Los Angeles, CA
90005.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):294 (abstract no. PC0102). Unique
Identifier : AIDSLINE ICA10/94370092
AB OBJECTIVE: To assess differences in HIV-risk behavior between bisexual
and heterosexual women attending public sexually transmitted disease
(STD) clinics in Los Angeles County. METHODS: We analyzed data from
women at eight STD clinics who consented to HIV antibody testing and
completed a standardized interview between June 1990 and December 1992.
Drug use and sexual behavior were compared for women reporting
exclusively heterosexual activity and those reporting bisexual activity
since 1978. Odds ratios (OR) and 95% confidence intervals were
calculated after adjusting for racial/ethnic, age, and educational
differences between the two groups. RESULTS: Bisexual activity was
reported by 271 (3.4%) of the 7,868 women who participated. Four (1.5%)
bisexual women and 61 (0.8%) heterosexual women were HIV seropositive
(OR 1.7 [0.5, 5.4]). Bisexual women were more likely than heterosexual
women to report injection drug use (24.1% vs. 4.0%; OR 8.2 [5.8, 11.6]),
cocaine use during the preceding 6 months (39.1% vs. 12.8%; OR 3.6 [2.7,
4.8]), sex with a bisexual man (35.6% vs. 4.3%; OR 9.5 [6.8, 13.2]), sex
with a man who injects drugs (37.4% vs. 10.3%; OR 4.5 [3.3, 6.2]), anal
intercourse (42.0% vs. 14.8%; OR 3.2 [2.4, 4.3]), and trading sex for
money or drugs (43.4% vs. 10.9%; OR 5.7 [4.3, 7.6]). Among women
reporting sex with 1 or more men during the preceding 12 months, 54.4%
of heterosexual women and 31.8% of bisexual women reported no condom use
(OR 2.4 [1.7, 3.2]). DISCUSSION AND CONCLUSIONS: While HIV
seroprevalence in this STD clinic population was relatively low,
bisexual women were much more likely than heterosexual women to engage
in behaviors that increase their risk of HIV infection. Specific efforts
should be made to intensify STD and drug prevention and treatment
services for bisexual women.
DE *Bisexuality Comparative Study Female Human HIV
Infections/*PREVENTION & CONTROL/TRANSMISSION HIV Seroprevalence Male
Risk Factors *Sex Behavior Sexual Partners MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).