Document 2249
 DOCN  M94A2249
 TI    HIV-1 seroprevalence among gay and bisexual (gay/bi) men attending
       sexually transmitted disease (STD) clinics in California.
 DT    9412
 AU    Ruiz JD; Wilson D; Mikanda J; Littaua R; Kerndt P; Lemp G; California
       Dept of Health Services, Sacramento 95814.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):347 (abstract no. PC0620). Unique
       Identifier : AIDSLINE ICA10/94370326
 AB    OBJECTIVE: To assess regional HIV-1 seroprevalence and associated risk
       factors among gay/bi men attending STD clinics in California. METHODS:
       Using standardized protocols developed by the Centers for Disease
       Control and Prevention, we tested unlinked serum specimens from 9,776
       gay/bi men attending 23 STD clinics of California's 61 local health
       jurisdictions between 1989 and 1992. We analyzed risk factors for HIV-1
       using logistic regression and trends in HIV-1 seroprevalence using X2
       test for linear trend. RESULTS: TABULAR DATA, SEE ABSTRACT VOLUME. Using
       white gay/bi men as the reference group, the odds for HIV-1 infection
       was highest among African American men (OR = 1.7 95% CI 1.5-2.0). Using
       California Valley as the reference group, the odds for HIV-1 infection
       was highest in San Diego (OR = 2.7 95% CI 2.1-3.4), San Francisco (OR =
       2.6 95% CI 2.2-3.2), Los Angeles (OR = 2.0 95% CI 1.7-2.4), and Central
       Coast (OR = 1.7 95% CI 1.3-2.2). Factors associated with HIV-1 infection
       included age over 25 years (OR = 2.2 95% CI 2.0-2.5), and history of
       injection drug use since 1978 (OR = 1.5 95% CI 1.3-1.7). CONCLUSION:
       HIV-1 seroprevalence declined for gay/bi men in STD clinics in
       California. Regionally, gay/bi men attending STD clinics in San Diego,
       San Francisco, and Los Angeles were more likely to be HIV-1 infected.
       Regional information is valuable for prevention efforts in local
       communities.
 DE    Adult  Bisexuality/*STATISTICS & NUMER DATA  California/EPIDEMIOLOGY
       Homosexuality/*STATISTICS & NUMER DATA  Human  HIV
       Infections/*EPIDEMIOLOGY/PREVENTION & CONTROL/TRANSMISSION  *HIV
       Seroprevalence  *HIV-1  Male  Negroid Race  Risk Factors  Sexually
       Transmitted Diseases/*EPIDEMIOLOGY/PREVENTION & CONTROL/  TRANSMISSION
       MEETING ABSTRACT

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