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How much risky sex are people in Oregon with HIV having?

How much risky sex are people in Oregon with HIV having?. the methods in brief— Medical Monitoring Project. Oregon 1/26 cities and states participating Interviews + chart reviews with people with HIV seen by doctor This presentation: 541 Oregon interviews during 2007/2008 Random sample

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How much risky sex are people in Oregon with HIV having?

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  1. How much risky sex are people in Oregon with HIV having?

  2. the methods in brief—Medical Monitoring Project • Oregon 1/26 cities and states participating • Interviews + chart reviews with people with HIV seen by doctor • This presentation: 541 Oregon interviews during 2007/2008 • Random sample • Statewide

  3. the population • 541 participants • 89% male • 60% homosexual/10% bisexual • 76% white

  4. Everyone , 541 Female, 69 Male , 472

  5. some data

  6. males—number of sex partners +

  7. Most had ≤1 partner Males: # Sex Partners Previous 12 mos.

  8. Most had 0 female partners Males: # Female Sex Partners Previous 12 mos.

  9. what constitutes risky sex?

  10. Males: Anal Sex w/ another male with and w/o condom, previous 12 mos.

  11. Males: Discussed HIV Status w/ all male sex partners previous 12 mos

  12. risky sex, defn #1 Male , 472 >1 male partner, past year, 241 Unprotected anal intercourse , 108 Discussed self and partner HIV status with all partners , past year Yes No 66 42 ( 10 %)* * Weighted estimate of proportion of all men seen for HIV care

  13. risky sex, defn #2 Male , 472 >1 male partner, past year, 241 Unprotected anal intercourse , 108 Most recent partner unknown HIV status or HIV-negative Yes No 33 ( 8 %)* 75 * Weighted estimate of proportion of all men seen for HIV care

  14. ‘Risky’ vs not§ • Overall health good/excellent 68%:45% • Ever had opportunistic inf 17%:36%* • Duration positive 9y:13y* • Salary is primary income source 71%:39% • Seen in metro-area facility 96%:71%* • Aged <35 y 37%:09%* §Definition #1: Unprotected AI, failed to discuss with all partners *P<0.5

  15. Conclusions • Minority of HIV-positive men in care engage in high-risk sex • This group is • Younger • more likely to be seen in metro area (live in metro area?) • More likely to be fully employed • Infected more recently • Either: Prevention with Positives working great OR Prevention with Positives is 90% waste of time unless focused on the right people

  16. Public health message • Not everyone in care for HIV in urgent need of prevention-oriented behavior change • Let’s find out more about who is in the risky minority and focus prevention with positive messages better

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