Community Planning, HIV Prevention, and a Needs Assessment for Men Who Have Sex With Men: The South Beach Health Survey

Webster, Rob; Darrow, William W.; Paul, Jay P.; Roark, Randall A.; Taylor, Richard A.; Stempel, Robert R.

doi:10.1097/01.olq.0000159211.40719.2b

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…The coastal Zone III has had the second highest number of cumulative HIV cases and the fifth highest number of cumulative AIDS cases. The area includes South Beach, which is a popular tourist Mecca and has increasingly attracted the gay population since the 1990s (Holcomb and Luongo, 1996); MSM has been a major risk factor for HIV/AIDS in South Beach (Webster et al, 2005). Zone V is in North Central Dade, which has the second highest concentration of AIDS cases and the third highest concentration of HIV cases.…”

Section: Resultsmentioning

confidence: 99%

Spatial Disparity of HIV/AIDS Service Providers: The Case of Miami-Dade County

Ganapati

Rosa

et al. 2010

Journal of HIV/AIDS & Social Services

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This paper examines the spatial disparity between the HIV/AIDS service providers and the HIV/ AIDS patients. The empirical focus is on Miami-Dade, a large metropolitan county in the United States with a Latino population majority and a high AIDS incidence rate. This exploratory study contributes to the existing literature on geographical access to health providers. Geographic Information System (GIS) is used to examine the spatial disparity between the service providers and the patients. The study reveals that aggregate-level analysis masks the reality of the spatial disparity. Miami Dade County's Health Department focuses on aggregate zones for prioritizing its resources. At this level, there is little spatial disparity. However, evidence of spatial disparity emerges at the ZIP-code-level analysis. The major lesson from the study is that health policies need to be based on a finer-grained analysis to address spatial disparity.

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Section: Resultsmentioning

confidence: 99%

Spatial Disparity of HIV/AIDS Service Providers: The Case of Miami-Dade County

Ganapati

Rosa

et al. 2010

Journal of HIV/AIDS & Social Services

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“…An independent study conducted in 1996 as part of a comprehensive needs assessment in Miami, Florida, detected an even higher prevalence of HIV disease (31%) among MSM living in an area known as South Beach. 2 The incidence of HIV infection among South Beach residents in 1996 was estimated to be 10% (95% CI = 5-18%). In the South Beach Health Survey, engaging in anal sex while under the influence of alcohol and/or drugs and having difficulty keeping an erection while using a condom were significant predictors of unprotected anal intercourse (UAI) with nonprimary partners.…”

Section: Introductionmentioning

confidence: 99%

Risky Sexual Behaviors Associated with Recreational Drug Use Among Men who have Sex with Men in an International Resort Area: Challenges and Opportunities

Darrow¹,

Biersteker²,

Geiss³

et al. 2005

Journal of Urban Health: Bulletin of the New York Academy of Me

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South Florida is home to a highly transient population of approximately 145,000 men who have sex with men (MSM) and annually hosts over 1.8 million gay and bisexual visitors. To develop more effective interventions for HIV/sexually transmitted infections (STI) prevention in this setting, we conducted a cross-sectional study of recreational drug use and risky sexual behaviors among MSM. A standardized, self-administered questionnaire, reviewed and approved by a university Institutional Review Board, was offered to men 18 years of age and older who reported ever having sex with a man. Men were approached on weekends in five diverse locations in Miami-Dade County and five in Broward County in winter 2004. An honorarium of $10 was offered to those who completed and returned a questionnaire. Of 407 participants, 115 men (28%) lived in Miami-Dade, 147 (36%) lived in Broward, 46 (11%) lived in another county in south Florida, and 99 (24%) lived elsewhere. Overall, 32% reported using one or more "club drugs" in the past year. Club drug use was highly associated with unprotected anal intercourse (UAI) (P < .001). MSM residing outside of south Florida were more likely than local residents to report using cocaine and ketamine and engaging in unprotected receptive anal intercourse (URAI) in the past month (P = .03). Tourists may be even more likely than residents to engage in risky sexual behaviors and use certain recreational drugs. Interventions must be developed, implemented, and evaluated that take into account the unique characteristics of international resort areas.

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“…MSM remain at high risk for acquiring HIV infection even when they are older. A cross-sectional survey of MSM residing in Florida found that almost 50% reported unprotected anal intercourse and that a significant predictor for this high-risk activity was associating the use of condoms with erectile problems [19]. The higher prevalence of erectile dysfunction among older men coupled with experiencing or perceiving that condoms will exacerbate erectile difficulties may contribute further to "condom fatigue" and heighten the risk for acquiring and transmitting HIV.…”

Section: Hiv Acquisition and Transmission Among Older Personsmentioning

confidence: 99%

HIV and aging

Shah

Mildvan²

2006

Curr Infect Dis Rep

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Approximately one in five individuals living with HIV infection in the United States is 50 years of age or older. This proportion continues to increase as HIV incidence remains stable and potent antiretroviral therapy has reduced the morbidity and mortality associated with HIV infection. Newly identified HIV-seropositive older individuals are proportionately more likely than younger persons to have AIDS at the time of diagnosis. Clinicians have to think about the possibility of HIV infection in older persons to avoid delays in diagnosis and treatment. Immunologic recovery in older individuals initiated on combination antiretroviral therapy is less robust in some studies compared with younger individuals. However, virologic suppression on treatment in young versus old antiretroviral naïve patients is comparable. Co-morbid conditions and their treatment pose a special challenge to health care providers with regard to drug metabolism and interactions with HIV medications. HIV prevention should be discussed with all at risk individuals. The HIV epidemic will only worsen if medical practitioners neglect to discuss sexual risk behavior with their older patients.

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Community Planning, HIV Prevention, and a Needs Assessment for Men Who Have Sex With Men: The South Beach Health Survey

Abstract: Population-based HIV antibody testing revealed a remarkably high annual incidence of HIV infection. A community-based organization was transformed to implement a social marketing campaign and provide other disease prevention services for MSM.

Cited by 5 publications

References 11 publications

Spatial Disparity of HIV/AIDS Service Providers: The Case of Miami-Dade County

Spatial Disparity of HIV/AIDS Service Providers: The Case of Miami-Dade County

Risky Sexual Behaviors Associated with Recreational Drug Use Among Men who have Sex with Men in an International Resort Area: Challenges and Opportunities

HIV and aging

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