H HIV IVING WIT L ON ARE N IN HOUST GAY ME HIV Pre ve ntion in - - PDF document

GAY ME N IN HOUST ON ARE L IVING WIT H HIV

HIV Pre ve ntion in the Ga y Community

So c ia l Ma rke ting Ca mpa ig n Co mmunity Me e ting

GL BT Co mmunity Ce nte r 3400 Mo ntro se Blvd., Suite 207 Ho usto n, T X 77006 T hursda y, Ma rc h 1, 2007 6:30 PM to 8:30 PM

We lc ome and Intr

• duc tions

Bac kgr

• und
• HDHHS Bure a u o f HI

V/ ST D Pre ve ntio n

– Administra tive Ag e nc y

• Distrib ute a ppro xima te ly $3 millio n
• F

unding fro m City, Sta te , a nd F e de ra l so urc e s

– F e w Dire c t Se rvic e s inc luding DI S – F und CBOs to pro vide

• Co unse ling , T

e sting , a nd Re fe rra l Se rvic e s

• He a lth E

duc a tio n/ Risk Re duc tio n

• So c ia l Ma rke ting
• Co mpre he nsive Risk Co unse ling Se rvic e s

Bac kgr

• und
• Curre nt “HI

V…I t’ s Re a l” Ca mpa ig n

– L a unc he d Wo rld AI DS Da y 2004 – Pro duc t o f the AA Sta te o f E me rg e nc y T a sk F

• rc e

– F unde d b y City o f Ho usto n – Me dia inc lude s:

• Po ste rs
• Billb o a rds
• T

ra nsit

• Ra dio Spo ts
• We b site (www.itsre a lho usto n.o rg )
• I

nte ra c tive T e xt Me ssa g ing

Me e ting Obje c tive s

• I

de ntify vo lunte e rs to se rve o n a Co mmunity Adviso ry Gro up (CAG) fo r the e xpa nsio n o f the “HI V…I t’ s Re a l” c a mpa ig n

• I

de ntify vo lunte e rs to se rve a s c a mpa ig n re pre se nta tive s (mo de ls)

• Ra ise c o mmunity a wa re ne ss

Cur r e nt HIV/ ST D T r e nds

Unite d Sta te s1

(Re porte d throug h 12/ 05)

Alive 425,910 (44.5% ) De a d 530,756 (55.5% ) T

• tal

956,666 (100% )

1U.S. tota ls inc lude da ta from the Unite d Sta te s (50 sta te s a nd the Distric t of Columbia ).

T

• ta l E

stima te d AIDS Case s

All na tiona l informa tion c ome s fr

• m the HIV/ AIDS Surve illa nc e

Re port, Ce nte rs for Dise a se Control a nd Pre ve ntion, De c e mbe r

• 2005. T
• a c c e ss this re port on the inte rne t, g o to

http:/ / www.c dc .g ov/ hiv/ sta ts/ ha srlink.htm

T

• ta l Re por

te d HIV/ AIDS Case s

T e xa s

(Re por te d thr

• ug h 12/ 05)

Ha rris County

(Re porte d throug h 12/ 05)

Alive 56,012 (61.1% ) Alive 17,049 (56.6% ) De a d 35,699 (38.9% ) De a d 13,083 (43.4% ) T

• ta l

91,711 (100% ) T

• tal

30,132 (100% )

NOT

E : Har r is County ac c ounts for appr

• ximate ly 33% of the HIV/ AIDS

c ase s in the e ntir e state of T e xas.

ST AT E CUMUL AT IVE AIDS CASE S

• Ne w Yo rk

172,377

(Ra nk 1)

• Ca lifo rnia

139,019

(Ra nk 2)

• F

lo rida 100,809

(Ra nk 3)

• T

e xas 67,227

(Rank 4)

• Ne w Je rse y

48,431

(Ra nk 5)

How Do We Compar e ?

As of De c e mbe r 2005 Ce nte rs for Dise a se Control a nd Pre ve ntion

CIT Y CUMUL AT IVE AIDS CASE S

• Ne w Yo rk City

158,052

(Ra nk 1)

• L
• s Ang e le s

49,913

(Ra nk 2)

• Sa n F

ra nc isc o 30,277

(Ra nk 3)

• Mia mi

29,092

(Ra nk 4)

• Chic a g o

27,544

(Ra nk 5)

• Wa shing to n, D.C.

27,475

(Ra nk 6)

• Ho usto n

24,915

(Rank 7)

• Atla nta

21,059

(Ra nk 8)

• Phila de lphia

21,015

(Ra nk 9)

How Do We Compar e ?

As of De c e mbe r 2005 Ce nte rs for Dise a se Control a nd Pre ve ntion

AIDS Rate s pe r 100,000 Population

Re porte d Ja nua ry 2005 throug h De c e mbe r 2005 Ce nte rs for Dise a se Control a nd Pre ve ntion

12+

20.9 128.4

3.9 8.5 VI 15.6 PR 26.4

<5 5 - 11.9 Rate per 100,000

DE MA RI CT NJ MD DC NH 14.7 19.0 28.5 10.8 8.3 2.6

11.4 10.8 8.7 7.7 27.9 25.7 1.7 15.1 3.2 3.9 6.2 21.2 1.6 8.1 4.4 13.2 6.7 2.1 3.0 12.3 7.1 32.7 10.9 1.6 6.8 6.5 7.9 6.0 12.1 15.7 2.4 14.1 13.6 2.6 8.5 7.7 4.1 2.2 11.3 1.2 VT 1.0

AIDS Case s Diagnose d1, PL WHA2 a nd De a ths

Houston/ Har r is County, T e xas

1981 – 2004

As of F e brua ry 1, 2006

1Reported AIDS Cases are graphically represented

by diagnosis year NOT report year.

2PLWHA=Persons living with HIV/AIDS

200 400 600 800 1,000 1,200 1,400 1,600 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Calendar Year Number of Diagnosed 1 AIDS Cases and Deaths 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 Number of Reported PLWHA 2

Diagnosed1 AIDS Cases Reported Persons Living with HIV (non-AIDS) Reported Persons Living with AIDS Deaths

Clinical Milestones in the History of the HIV/AIDS Epidemic 1987: AZT 1988: PCP prophylaxis 1992: Combination therapy 1994: ACTG 076: AZT reduces perinatal transmission 1996: HAART

First cases of PCP, KS reported from NYC, LA AIDS enters the nomenclature AIDS case reporting mandated by Texas HIV identified as causative agent CDC AIDS case definition (23 OIs). Texas began reporting of HIV infection using anonymous, aggregate reporting system. First commercial EIA, screening of US blood supply begins AIDS case definition expanded (CD4 <200, 26 OIs) TDH again proposes HIV reporting by name. Texas begins reporting adult HIV by name. Texas begins reporting adult HIV by UI and pediatric HIV by name. TDH proposes HIV reporting by name.

1,416 1,404 1,314 1,410 1,139 1,135 1,144 1,065

200 400 600 800 1000 1200 1400 1600 Number of Reported HIV Diagnoses (Regardless of AIDS Status)

Female 417 432 379 379 326 294 298 282 Male (Non-MSM) 418 440 460 441 395 367 353 378 Male (MSM) 581 532 475 590 418 474 493 405 1999 2000 2001 2002 2003 2004 2005 2006

NOT E : MSM inc lude s MSM who a lso inje c t drug s.

T

• ta l HIV Ca se s Dia g nose d (Re g a rdle ss of AIDS Sta tus)

By Ye a r

• f Dia g nosis a nd Se x MSM BRG

Houston/ Ha rris County a s of F e brua ry 28, 2007

405 493 474 418 590 475 532 581

100 200 300 400 500 600 700 Number of Reported HIV Diagnoses (Regardless of AIDS Status)

MSM Diagnoses 581 532 475 590 418 474 493 405 MSM 13-24 72 65 74 86 69 97 88 106 MSM White 242 203 185 224 150 141 161 146 MSM Black 213 193 171 185 140 150 157 152 MSM Hispanic 122 134 116 170 122 176 165 102 1999 2000 2001 2002 2003 2004 2005 2006

HIV Ca se s Dia g nose d (Re g a rdle ss of AIDS Sta tus)

By Ye a r of Dia g nosis a nd Subpopula tions – MSM BRG Only

Houston/ Ha rris County a s of F e brua ry 28, 2007 NOT E : MSM inc lude s MSM who a lso inje c t drug s.

HIV Ca se s Diagnose d (Re g a rdle ss of AIDS Sta tus) in 2005

MSM Only (All Rac e s/ E thnic itie s) by Zip Code

Houston, T e xa s a s of Aug ust 10, 2006

Primary and Secondary (P&S) Syphilis Cases, Houston/Harris Co., 2000-2005

75 98 115 195 215 256 50 100 150 200 250 300 2000 2001 2002 2003 2004 2005 Year of Diagnosis Reported Cases

Prima ry & Se c onda ry Syphilis/ HIV Co- infe c tion

Houston/ Har r is County

2000- 2005

Prima ry a nd Se c ondar y Syphilis Count* Syphilis/ HIV Co- infe c tion % of P&S Case s Co-infe c te d 2000 71 6 8.5% 2001 95 16 16.8% 2002 115 42 36.5% 2003 195 67 34.4% 2004 206 71 34.5% 2005 261 83 31.8%

*E xc lude s Co ng e nita l a nd Ne uro syphilis Sta g e s

Syphilis Cases (All Stages) Among YMSM (13-24 Yrs. of Age), by Race/Ethnicity, Houston/Harris Co., 1999-2005

5 10 15 20 25 30 Year of Diagnosis Reported Cases African American White Hispanic Asian African American 7 13 17 27 28 White 8 14 8 Hispanic 5 6 9 12 17 15 Asian 1999 2000 2001 2002 2003 2004 2005

*Zeros in the table represent cells less than 5 (0-4 cases)

F

• r

mative Re se ar c h

• Pre se nta tio n b y Ste ve n Wa lke r fro m

SUMA Pa rtne rs

Que stions and Answe r s

Cur r e nt Campaign Goals

• I

nc re a se c o mmunity a wa re ne ss o f the fo llo wing :

– HI V/ ST D te sting lo c a tio ns in the c o mmunity – HI V/ ST D tra nsmissio n issue s a nd me tho ds – Va rio us pre ve ntio n stra te g ie s, i.e . ho w to pro te c t yo urse lf a nd yo ur pa rtne r

Possible Campaign Goals

• T
• a ddre ss unde rlying issue s in the g a y

c o mmunity tha t a ffe c t HI V tra nsmissio n. So me e xa mple s ide ntifie d a t a re c e nt, lo c a l HI V/ ST D c o nfe re nc e (SCAL E ) inc lude :

– Se lf E ste e m – I nc a rc e ra tio n/ Re c e ntly Re le a se d – Me nta l He a lth (e .g . g uilt, sha me , e tc .) – Se lf De nia l – F a mily a nd Culture – Re lig io n – L a c k o f Co mmunity

• I

nc re a se HI V/ ST D te sting in the g a y c o mmunity

Volunte e r Role s and Re sponsibilitie s

• Co mmunity Adviso ry Gro up (CAG) Me mb e rs

– Atte nd HDHHS F unda me nta ls o f HI V/ ST D Co urse – Atte nd mo nthly me e ting s until c a mpa ig n ha s la unc he d – Pro vide input into a ll a spe c ts o f the c a mpa ig n inc luding :

• Me dia de ve lo pme nt
• Me ssa g e de ve lo pme nt
• Me dia pla c e me nt
• Co mmunity inte llig e nc e
• Site distrib utio n

– Re spo nd to fre q ue nt e ma il tra ffic – Assist with me dia distrib utio n – Spre a d the me ssa g e

Volunte e r Role s and Re sponsibilitie s

• Ca mpa ig n Re pre se nta tive s

– Atte nd HDHHS F unda me nta ls o f HI V/ ST D Co urse – Alwa ys re pre se nt the c a mpa ig n me ssa g e – Re me mb e r tha t yo u a re “a lwa ys o n sta g e ” – K no w c o mmunity re so urc e s to pro vide re fe rra ls – Assist with me dia distrib utio n – Be pre pa re d fo r fre q ue nt c o mmunic a tio n fro m the pub lic , inc luding flirting

• E

xa mple s: Ste ve Wa lke r a nd Ne w F a c e s Ca mpa ig n

– Po ssib le re pre se nta tio n in the me dia , e .g . inte rvie ws. T

he se must a lwa ys be c oordina te d by the Houston De pa rtme nt of He a lth a nd Huma n Se rvic e s (HDHHS).

Que stions and Answe r s

Data Sour c e s

Na tiona l Da ta

T he Ce nte rs for Dise a se Control a nd Pre ve ntion HIV/ AIDS Surve illa nc e Re port De c e mbe r 2003 http:/ / www.c dc .g ov/ hiv/ sta ts/ ha srlink.htm

T e xa s Da ta

T e xa s De pa rtme nt of He a lth Bur e au of HIV and ST D Pr e ve ntion HIV/ AIDS Surve illa nc e Prog ra m 512.490.2560 http:/ / www.tdh.sta te .tx.us/ hivstd/ de fa ult.htm

Houston Data

Houston De pa rtme nt of He a lth a nd Huma n Se rvic e s Bure a u of E pide miolog y HIV/ AIDS Surve illa nc e Prog ra m 713.794.9441 http:/ / www.c i.houston.tx.us/ de pa rtme / he a lth/ ST D- ma inpa g e .htm

Contac t Infor mation

Be a u J. Mitts, MPH

Houston De pa rtme nt of He a lth a nd Huma n Se rvic e s Bure a u of HIV/ ST D Pre ve ntion 8000 N. Sta dium Drive , 5th F loor Houston, T X 77054 713.794.9079 phone 713.798.0830 fa x be au.mitts@c ityofhouston.ne t

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