       Document 0245
 DOCN  M95B0245
 TI    Temporal trends in human immunodeficiency virus seroprevalence and
       sexual behavior at the San Francisco municipal sexually transmitted
       disease clinic, 1989-1992.
 DT    9511
 AU    Schwarcz SK; Kellogg TA; Kohn RP; Katz MH; Lemp GF; Bolan GA; AIDS
       Office, San Francisco Department of Public Health, CA 94102,; USA.
 SO    Am J Epidemiol. 1995 Aug 1;142(3):314-22. Unique Identifier : AIDSLINE
       MED/95358150
 AB    The authors analyzed temporal trends in human immunodeficiency virus
       (HIV) infection among men and women who visited the San Francisco
       municipal sexually transmitted disease clinic between 1989 and 1992,
       using blinded HIV seroprevalence data. Temporal changes in sexual
       behavior were evaluated by abstracting self-reported information on
       sexual behaviors from a random sample of charts of men who visited the
       clinic between 1990 and 1992. From 1989 to 1992, HIV seropositivity
       declined from 2.0% to 1.0% among women (p = 0.06) and from 18.9% to
       12.0% (p < 0.001) among men. The percentage of patients who reported
       having anal intercourse in the previous year did not change
       significantly during the study period. The percentage of male patients
       who reported having vaginal intercourse during the previous year
       decreased from 82.9% to 78.6% (p < 0.05), and the percentage of male
       patients who reported engaging in receptive oral sex during the previous
       year increased from 24.0% to 41.6% (p < 0.001). The percentage of male
       patients who reported that they always used condoms increased from 31.8%
       to 49.2% for anal sex, from 8.7% to 19.5% for vaginal sex, and from 1.4%
       to 6.3% for oral sex (p < 0.05). Among patients visiting the sexually
       transmitted disease clinic, there was a steady and significant decline
       in HIV seroprevalence. The decline in HIV seroprevalence was accompanied
       by a significant trend toward safer sexual practices. However, by the
       end of the study period, less than half of the patients reported using
       condoms all of the time, which suggests that there is a need to expand
       behavioral interventions to focus on high-risk persons.
 DE    Adult  Ambulatory Care Facilities  Chi-Square Distribution
       Condoms/TRENDS/UTILIZATION  Female  Human  HIV Seroprevalence/*TRENDS
       Logistic Models  Male  Middle Age  Questionnaires  Risk Factors  San
       Francisco/EPIDEMIOLOGY  Sex Behavior/*STATISTICS & NUMER DATA  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).

