Document 0667
 DOCN  M9440667
 TI    HIV infection and risk behaviors among heterosexuals in alcohol
       treatment programs.
 DT    9404
 AU    Avins AL; Woods WJ; Lindan CP; Hudes ES; Clark W; Hulley SB; Division of
       General Internal Medicine, San Francisco General; Hospital, CA.
 SO    JAMA. 1994 Feb 16;271(7):515-8. Unique Identifier : AIDSLINE
       MED/94133362
 AB    OBJECTIVE--To measure the prevalence of human immunodeficiency virus
       (HIV) infection and high-risk behaviors among heterosexuals in alcohol
       treatment. DESIGN--Cross-sectional survey. SETTING--Five public alcohol
       treatment centers. SUBJECTS--Consecutive sample of 888 heterosexual
       clients entering treatment between October 1990 and December 1991.
       Respondents were 51% black, 10% Hispanic, 33% white, and 76% male. The
       overall response rate was 68%. MEASUREMENTS--Structured interview and
       serotesting for HIV antibodies. RESULTS--The overall seroprevalence of
       HIV infection was 5% (95% confidence interval, 3% to 6%). There were no
       significant differences in rates of infection by age, gender, or race.
       The prevalence of infection in heterosexual respondents without a
       history of injection drug use was 3% in men and 4% in women, several
       times higher than published estimates from a similar community-based
       heterosexual sample. Unsafe sexual practices were common: 54% of
       respondents reported multiple sexual partners in the previous year, 97%
       of nonmonogamous respondents did not use condoms during all sexual
       encounters, and few respondents consistently asked new sexual partners
       about previous high-risk behaviors. CONCLUSIONS--There is a substantial
       prevalence of HIV infection among heterosexual clients in San Francisco
       (Calif) alcohol treatment programs, much of which is not associated with
       injection drug use. Because of this and the high prevalence of unsafe
       sexual behaviors, there is a relatively high likelihood of heterosexual
       spread of HIV among the large population of clients seeking treatment
       for alcohol dependency. Interventions to prevent HIV spread should
       become a standard part of alcohol treatment programs.
 DE    Adult  Alcoholism/PSYCHOLOGY/*REHABILITATION  AIDS Serodiagnosis  Female
       Human  HIV Infections/*EPIDEMIOLOGY/PREVENTION & CONTROL/PSYCHOLOGY/
       TRANSMISSION  Male  Prevalence  *Risk-Taking  San Francisco/EPIDEMIOLOGY
       *Sex Behavior  Socioeconomic Factors  Substance Abuse Treatment
       Centers/*STATISTICS & NUMER DATA/  STANDARDS  Support, U.S. Gov't,
       P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).