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Barbara Collins & Ana Alvarez Houston Dept. of Health & Human Services

Anonymous Sex Venues for MSM: Implementing Outreach Screening for Syphilis and HIV at Adult Bookstores. Barbara Collins & Ana Alvarez Houston Dept. of Health & Human Services Brent Pendleton - Montrose Clinic. Bookstore Outreach. Pursuing opportunities to reach

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Barbara Collins & Ana Alvarez Houston Dept. of Health & Human Services

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  1. Anonymous Sex Venues for MSM:Implementing Outreach Screening for Syphilis and HIV at Adult Bookstores Barbara Collins & Ana Alvarez Houston Dept. of Health & Human Services Brent Pendleton - Montrose Clinic

  2. Bookstore Outreach Pursuing opportunities to reach at-risk persons through screening in anonymous sex venues

  3. Identifying the Need for Bookstore Outreach • 35 yr.old Hispanic Male, Single, MSM • Diagnosis: Secondary Syphilis at HDHHS STD clinic • Co-infection: HIV positive since 1996 • Partners: multiple anonymous sex partners at an adult bookstore • Provided name and location of adult bookstore

  4. Implementing Bookstore Outreach • Identify venues through case management activities • Make visits to venues to meet with managers/owners • Negotiate days/times for conducting outreach in venue • Identify resources for screening- staff needed • Collaborate with CBO partners - Bread of Life and Montrose Clinic

  5. Bookstore Outreach • Screening at 1st bookstore began in March, 2003, 1 day a week • Screening at 2nd bookstore began in April, 2003, 1 day a week • Began screening in July, 2003 at 3rd and 4th bookstore. • Patrons • Primarily Male • White and Hispanic • All ages

  6. Collaboration is the Key • Adult bookstores not responsive to testing in past years by Montrose Clinic • HDHHS secures bookstore for screening • HDHHS seeks technical assistance from Montrose Clinic • Health Educators conduct MSM 101 for DIS staff

  7. Tailoring Techniques for MSM • Montrose Clinic Health Educators are specialists in their own business • Wide range of races, ethnicities, ages and subcultures, knowledge and beliefs • Differences in social networks and sexual practices • Questioning sexuality, multiple anonymous partners, sexual addiction, substance use, depression

  8. Bookstore Outreach • Face to face encounters • All patrons offered confidential testing for Syphilis & HIV • Condoms distributed • Materials distributed to increase syphilis awareness and encourage prevention • HDHHS press releases • Brochures • Incentives provided

  9. Screening ResultsMarch - December, 2003 • 286 Persons screened for Syphilis & HIV • 11 HIV positives • 4 White Males & 7 Hispanic Males • 8 new cases & 3 previously reported • All counseled and referred for services • 10 Syphilis reactors- • 1 previously treated • 9 infected and brought to treatment

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