2009) Preventing human immunodeficiency virus (HIV) and other sexually transmitted infections and reducing HIV-stigmatizing attitudes in high-risk youth: Evaluation of a comprehensive community-based and peer-facilitated curriculum, Vulnerable Children and Youth Comprehensive prevention programs for youth are needed to reduce transmission of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs) and address HIV-stigmatizing attitudes effectively. We evaluated a behavioral riskreduction curriculum with high-risk youth in the United States. Participants in the fivesession course were recruited through a community-based agency in San Diego, California. Participants completed a demographic survey and pre-/post-test. Descriptive statistics and paired t-tests are provided for the 286 youth with complete pre-/posttests. Participants were 37% Latino, 21% non-Latino white, 17% African American, 25% > one ethnicity/other and mean age 16 years. Pre-/post-self-reports indicated significantly (p≤0.05) increased HIV/STI knowledge; ability to refuse sex without a condom; intention to use a condom with new partner; and decreased stigmatization of HIV-positive people. Significant improvements in knowledge and intention to practice safer sex were noted and HIV-related stigma was significantly decreased, indicating the curriculum's potential with ethnically diverse youth in other regions and global contexts.

the clerk were extracted and matched to patients given the discharge note. A patient was judged to have called if the clerk accessed that patient's test results. Continuous variables were compared using student t tests and proportions compared using c 2 analysis. Because Hispanic patients used a different call mechanism, their data were excluded.Results From 1 January 2010 to 30 April 2010, 503 patients were given the STD referral note. Of these, 447 were >14 years old, not Hispanic and had complete medical record information. Of the 447 patients with analysable data, 146 (32.7%) called for test results. Age, race, sex, Chlamydia results or treatment and high risk zip codes were unrelated to whether or not a patient called for results. Of 65 patients infected with CT 33 (52.3%) were not treated in the ED of which 10 called. Of 45 patients with GC, 6 (13.3%) were not treated for it in the ED, of which 2 called. Patients infected with GC, were less likely to call for their results than those not infected (p¼0.019), particularly those who were adequately treated in the ED (p¼0.039). Background Western Australian (WA) rates of Chlamydia are consistently higher than the national average and continue to rise. Chlamydia screening programs often miss hard-to-reach populations, including young men, indigenous peoples, and the homeless. The objective of this pilot study was to determine if screening patients for genital Chlamydia in the Emergency Department (ED) of a large metropolitan hospital is: feasible, able to access the hardto-reach populations, and follow-up for treatment is possible Methodology Urinary screening for Chlamydia was offered to asymptomatic people aged 18e25 years who attended the Royal Perth Hospital (RPH) including visitors. Recruitment via a nurse-led strategy was compared to a patient self-initiated strategy. A resource package (including brochure and DVD) was designed to facilitate recruitment and screening, as well as to provide information on Chlamydia to those choosing not to participate. Options for notifying patients of their results have been evaluated (including text messaging and e-mail). Statistical analysis was performed using SAS. Results 823 people (male 532, female 291, aboriginal 58) were recruited. Of these 10% were homeless and 35% had moved residences in the last 3 months. The indigenous population of 7.1% was greater than that of the State (1.9% 2006 Census). The recruited asymptomatic population had a Chlamydia prevalence of 5.4%. When the nurse-led vs patient self-initiated strategies were compared there was a 23.8 to 1 ratio of recruitment. Conclusions This study was able to access the hard-to-reach population. The nurse-led recruitment was the most successful strategy to gain access to this group. This cohort engaged in many risk taking behaviours including higher than expected rates of current smoking (45.7%), binge drinking (72.1% male and 42.8% female), never using condoms (26.3%) and recreational drug use (62.4% ever). Most people preferred to get their results by mobil...

BackgroundSex work is quasi-legal in Tijuana, with a zone of tolerance (Zona Roja, or Red Light district), and a registration card system whereby female sex workers (FSW) pay an annual cost to cover HIV and STI testing. As healthcare efforts are concentrated in the Zona Roja, we set out to assess the frequency of Pap testing among FSW working outside this zone.MethodsProyecto Amantes de la Salud (Lovers of Health Project) conducted baseline surveys among 403 FSW working in bars outside of Tijuana's Zona Roja using time-location sampling. Surveys included demographics, sexual and substance use behaviour, sex work characteristics and sexual healthcare practices. Average number of annual Pap tests over the past 5 years was calculated using left censoring for the denominator based on: (1) years sexually active and (2) years in sex trade. Descriptive statistics and logistic regression were used to assess factors associated with Pap testing in the past year.ResultsParticipants ranged in age from 18 to 55 (Median: 28; IQR: 23–32); all were born in Mexico and 98% reported being registered as an FSW. Sex partners included regular, non-client (25%), regular clients (79%) and non-regular clients (99%). Overall, 85% of women reported a pap test in the past year; however, only 35% of sexually active women and 52% of FSW had an average of at least one Pap test per year over the past 5 years see Abstract P5-S6.31 table 1. A small proportion (4%) indicated they had never had a Pap test. In multivariate models, having a Pap test in the past year was negatively associated with income >3500 pesos/month, more years in the sex trade and having regular clients. Marginal positive associations remained with older age, reporting condom use less than half the time with non-regular clients and having any children.Abstract P5-S6.31 Table 1Factors associated with reporting a Pap test in the past year among FSW in Tijuana, MexicoPap test past year, N=344 (85%)No Pap past year, N=59 (15%)AOR (95% CI)Age <2599(29%)25(42%)0.44 (0.18 to 1.10)Work colonia Region A162 (47%)22 (37%)– Region B182 (53%)37 (63%)–Lived in TJ whole life107 (31%)20 (34%)–Education ≥6 yrs178 (52%)28 (48%)–Any child235(68%)30(51%)2.08 (0.94 to 4.58)Income >3500 pesos/mos231(67%)54(92%)0.32 (0.11 to 0.97)Years of SW6 (3, 9)6 (3, 10)0.89(0.83 to 0.97)Regular partner87 (25%)13 (22%)–Casual partner(any)134 (39%)19 (32%)–Regular clients(any)263(76%)55(93%)0.29(0.10 to 0.84)10+ non-regular clients239 (69%)47 (80%)–Condom use <1/2 time*(regular clients)92(35%)9(16%)–Condom use <1/2 time(non-regular clients)77(22%)3(5%)3.56 (0.90 to 14.09)US clients133 (39%)17 (29%)–Alcohol daily117(34%)11(19%)–Any drug use42 (12%)7 (12%)–Drug use w/ clients35 (10%)5 (8%)–STI past(6 mos)8 (2.3)0 (0%)–Symptoms past(6 mos)45 (13%)9 (15%)–Used Antibiotics for STI w/out prescription(ever)43 (13%)3 (5%)–Bold-typeindicates p Value<0.05.*Among those reporting a regular partner.DiscussionPrevalence of pap tests in the past year was higher than expected and may be attributed to recent efforts by the Tijuana Municipal Health Services to increase outreach to FSWs in these areas. However, since initiating sex work, only half reported the recommended yearly Pap testing which is concerning given the increased risk for HPV infection and cervical cancer among FSW. Sexual health education, including where access services, is needed to encourage regular cancer screening among this high risk population, especially among younger women and women who have been working in the sex trade for longer durations.