       Document 0050
 DOCN  M9610050
 TI    Women at a sexually transmitted disease clinic who reported same-sex
       contact: their HIV seroprevalence and risk behaviors.
 DT    9601
 AU    Bevier PJ; Chiasson MA; Hefferman RT; Castro KG; New York City
       Department of Health, NY 10013, USA.
 SO    Am J Public Health. 1995 Oct;85(10):1366-71. Unique Identifier :
       AIDSLINE MED/96025004
 AB    OBJECTIVES. This study compares characteristics, behaviors, and human
       immunodeficiency virus (HIV) infection in women who reported same-sex
       contact and women who had sex only with men. METHODS. Participants were
       patients attending a New York City sexually transmitted disease clinic.
       Structured questionnaires were administered by interviewers. RESULTS.
       Overall, 9% (135/1518) of women reported same-sex contact; among these,
       93% also reported contact with men. Women reporting same-sex contact
       were more likely than exclusively heterosexual women to be HIV
       seropositive (17% vs 11%; odds ratio [OR] = 1.7, 95% confidence interval
       [CI] = 1.0, 2.6), to exchange sex for money/drugs (48% vs 12%, OR = 6.7,
       95% CI = 4.6, 9.8), to inject drugs (31% vs 7%, OR = 6.3, 95% CI = 4.1,
       9.5), and to use crack cocaine (37% vs 15%, OR = 3.3, 95% CI = 2.2,
       4.8). HIV in women reporting same-sex contact was associated with
       history of syphilis (OR = 8.8), sex for crack (OR = 5.7), and injection
       drug use (OR = 4.5). CONCLUSIONS. In this study, women who reported
       same-sex contact were predominantly bisexual. They had more HIV risk
       behaviors and were more often HIV seropositive than women who had sex
       only with men. Among these bisexual women, heterosexual contact and
       injection drug use were the most likely sources of HIV. There was no
       evidence of female-to-female transmission.
 DE    Adult  Ambulatory Care Facilities  Bisexuality  Comparative Study
       Female  Homosexuality, Female/*STATISTICS & NUMER DATA  Human  *HIV
       Seroprevalence  Logistic Models  Male  New York City/EPIDEMIOLOGY
       Prostitution/STATISTICS & NUMER DATA  Questionnaires  *Risk-Taking  Sex
       Behavior  Sexually Transmitted Diseases/*COMPLICATIONS  Single-Blind
       Method  Substance Abuse/COMPLICATIONS  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).

