Document 0338
 DOCN  M9590338
 TI    Men who have sex with men and inject drugs.
 DT    9509
 AU    Crofts N; Marcus L; Meade J; Sattler G; Sharp R; Epidemiology Unit,
       Macfarlane Burnet Centre for Medical Research,; Fairfield, VIC.
 SO    Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:160 (unnumbered
       abstract). Unique Identifier : AIDSLINE ASHM6/95291761
 AB    OBJECTIVE: to survey a wide spectrum of homosexual men who inject drugs,
       to inform the development of specific policy and programs for HIV
       prevention and provision of treatment services. METHODS: a
       cross-sectional survey of a wide spectrum of men who had ever had
       homosexual contact and who had injected an illicit drug at least once
       within the preceding twelve months in Melbourne and Sydney, recruited by
       a variety of methods, undertaken by outreach interviewers. RESULTS: Of a
       sample of 169 men, self-reported HIV prevalence was 27%. Decreasing
       compliance with safe sex guidelines was associated with HIV
       seropositivity, increasing age, and increased participation in sex work;
       one or more regular male partners was protective against unsafe sexual
       behaviour. On average, the riskiest men were older, somewhat more likely
       to use amphetamines only, engaging in sex work, less stable (no regular
       male partner, shorter time of residence at current postcode) and more
       likely to be HIV infected. Sexual risk was not a predictor of unsafe
       needle/syringe use behaviour, which in general was safe. CONCLUSIONS:
       Men who both have homosexual sex and inject drugs are a group at high
       risk of HIV infection; sexual risk is more important in this group than
       risk from shared injecting equipment. A sub-group of somewhat older gay
       men is at extreme risk, as prevalence of HIV is higher with age, and
       both are positively associated with indicators of increased sexual risk.
       This is clearly a group in need of priority targeted interventions, both
       for support and for behaviour change.
 DE    Adult  Cross-Sectional Studies  Homosexuality, Male/*STATISTICS & NUMER
       DATA  Human  HIV Infections/EPIDEMIOLOGY/PREVENTION &
       CONTROL/*TRANSMISSION  Knowledge, Attitudes, Practice  Male  Needle
       Sharing/STATISTICS & NUMER DATA  *Population Surveillance  Risk Factors
       *Sex Behavior  *Street Drugs  Substance Abuse,
       Intravenous/COMPLICATIONS/*EPIDEMIOLOGY  MEETING ABSTRACT

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