Document 2489
 DOCN  M94A2489
 TI    Monitoring social and behavioural determinants of HIV seroconversion in
       homosexually active men.
 DT    9412
 AU    Kaldor J; Kippax S; Crofts N; Hendry O; National Centre in HIV
       Epidemiology and Clinical Research,; Sydney, NSW, Australia.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):292 (abstract no. PC0096). Unique
       Identifier : AIDSLINE ICA10/94370086
 AB    OBJECTIVE: To establish a mechanism for monitoring the social and
       behavioural determinants of new HIV seroconversion in homosexually
       active men (HAM), with the goal of better targeting HIV prevention
       activities. METHODS: A case control design was used. Cases of HIV
       seroconversion in HAM were reported by a network of general
       practitioners and diagnostic laboratories, based either on
       seroconversion within one year or documented HIV seroconversion illness.
       For each seroconverter (SC) a control was randomly selected from the
       medical practice that reported the SC. Both cases and controls were
       interviewed with regard to a range of social and behavioural factors.
       RESULTS: During the last 6 months of 1993 16 HAM who were diagnosed with
       new HIV infection agreed to be interviewed, as did 6 controls. SC were
       younger (mean 31 vs 43 years, p < 0.01) than control, and had a greater
       number of sexual partners in the last six months (median 6 vs 1, p <
       .01). A smaller proportion of SC were tertiary educated (56% vs 83%, p =
       .2). Almost all cases and controls self-identified as gay (93% vs 83%).
       One SC reported oral sex as the mode of infection; the remainder
       reported receptive anal intercourse, 80% without condom. CONCLUSION: HIV
       seroconversion in Australian HAM is occurring in HAM who are younger and
       have more frequent partner change. As the sample size increases, this
       ongoing survey will provide crucial information on risk factors for HIV
       seroconversion in HAM.
 DE    Adult  Age Factors  Australia/EPIDEMIOLOGY  Case-Control Studies
       Homosexuality/*STATISTICS & NUMER DATA  Human  HIV
       Infections/EPIDEMIOLOGY  *HIV Seropositivity  Male  Risk Factors  Sex
       Behavior  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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