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Abstract



Prevalence of HIV/STD and behavior in Honduran men who have sex with men -- The Central American multicenter study of HIV/STD and behavior

A E Ghee1, R J Soto2, I Padilla2, M A Alvarenga3, S Astete1, J P Hughes1, K K Holmes1
1Center for AIDS and STD, University of Washington, Seattle, United States; 2PASCA/The Futures Group International, Tegucigalpa, Honduras; 3Ministry of Health, National AIDS Program, Tegucigalpa, Honduras


Background: To determine prevalence of HIV, T. pallidum, N. gonorroheae and C. trachomatis; and describe behavioral patterns related to HIV/STD prevalence in men having sex with men (MSM).

Methods: Between May-October 2001, a cross-sectional study was carried out in the two largest cities of Honduras. After giving written informed consent, men 18 years or older who reported having had sex with another man within year prior to interview were included.

Results: Among 284 men prevalences were: HIV+ 13%, RPR+ test 4.9%, gonorrhea 7%, and chlamydia 17.5% (among 57 processed samples for NG and CT). Mean age was 24.4 yr. and 2% were illiterate with a mean of 9.2 yr. of schooling. Forty-five percent self-identified as gay/homosexual, 28% as bisexual, 17% as heterosexual and 11% as transvestite. Mean age of first sexual intercourse was 13.6 yr., and 67% reported first intercourse with a man. During the last 6 months, the median number of penetrative and receptive anal intercourse partners was 1.0 (range 0-60) and 2 (0-87) respectively. One-third reported having male commercial sex partners in the last 6 months. Median of occasional male partners was 2 (0-60) in the last 6 months. Consistent condom use in the last month ranged between 60-77% depending on type of partner. Only 35% and 55% used condom during last penetrative and receptive anal sex with a stable partner respectively. The median number of female partners in the last 6 months was 1 (0-60), and only 34% used condom consistently. Only 67% of men with reported STD symptoms sought care in a clinic or hospital. Fifty-seven percent had ever had an HIV test and 95% knew its results. One-fifth said they were at high risk for acquiring HIV.

Conclusions: The HIV prevalence was high, with low condom use rates, high numbers of sexual partners, low risk perception, and a high percentage of behavioral bisexuality. A multivariate analysis of behavioral risk factors related to prevalent STD/HIV is in process.





The XIV International AIDS Conference
Abstract no. WePeC6132


Suggested Citation
" A E Ghee , , et al. Prevalence of HIV/STD and behavior in Honduran men who have sex with men -- The Central American multicenter study of HIV/STD and behavior . Poster Exhibition: The XIV International AIDS Conference: Abstract no. WePeC6132"