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UNC Chapel Hill SPNS Project
Chapel Hill, NC

Outline

Nonwhite men age 13= -24 years

HIV Outbreak on Col= lege Campuses

Newly-Diagnosed Cas= es of HIV Among College Males

Increasing Percenta= ge of College Cases by Year of Diagnosis

Multivariable Analy= sis

Slide 8

Slide 9

Slide 10

New HIV Infection R= ates Among Black Men, age 18-30, at 3 North Carolina Colleges/Universities, 2000-2003

 Are We Reaching the High Risk Population= ?

Conclusions=

UNC-Chapel Hill=

Care Continuum<= /b>

Slide 16

Slide 17

Description of Local Evaluation

Expected Challenges=



Questions ????

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UNC Chapel Hill SPNS Project
Chapel Hill, NC
YMSM of Color SPNS = Initiative
Grantee Meeting
Washington, DC
January, 2005

Outline
Epidemiology of the= NC Problem
HIV infection in NC= college students
SPNS Intervention
Overview and commun= ity partners
SPNS Local Evaluati= on
Challenges

Nonwhite men age 13= -24 years

HIV Outbreak on Col= lege Campuses

Newly-Diagnosed Cas= es of HIV Among College Males

Increasing Percenta= ge of College Cases by Year of Diagnosis

Multivariable Analy= sis
College students mo= re likely:
Younger
African-American
Bisexual
Have sex partners w= ho are also college students
Meet sex partners at bars/clubs, Internet, College
College students le= ss likely:
Incarcerated=
Have sex partner wi= th HIV/AIDS

Slide 8

Slide 9

Slide 10

New HIV Infection R= ates Among Black Men, age 18-30, at 3 North Carolina Colleges/Universities, 2000-2003

 Are We Reaching the High Risk Population= ?
A chart review of a= ll students HIV tested in Student Health at one NC University
 264 men who were tested for HIV=
49 were African-Ame= rican
28 reported having = sex with men (MSM)
2 MSM were African = American both students were HIV positive
Majority of those t= ested requested STD screening following a single heterosexual encounter<= /td>
Only 8 students req= uested testing following unprotected MSM behaviors.

Conclusions=
In NC, detected a p= reviously unrecognized epidemic centered on college campuses and principally involv= ing black MSM
Cases among college= students have been increasing in number since the last half of 2001
Evidence for ongoin= g active transmission
College students re= present a large, accessible, at risk population that deserves further study<= /td>

UNC-Chapel Hill=
Co-Investigators
Lisa Hightow, MD, M= PH
Peter Leone, MD
Project Coordinator=
T.B.A.
Research Assistant<= /font>
T.B.A.

Care Continuum<= /b>
Community Partners:=
North Carolina Cent= ral University
Outreach
Small media campaig= n
Alliance of AIDS Se= rvices
Outreach
Linkage to care
Clinical Partners:<= /font>
UNC-Chapel Hill Inf= ectious Diseases Clinic
Wake County Health = Department

Slide 16

Slide 17

Description of Local Evaluation
Pre and post interv= ention surveys
Message penetration= in intervention and control communities
Epidemiologic data<= /font>
Testing patterns, n= umber of positives
Review of student h= ealth data
Retention in care
Web-based screening= /education: UNC-ID Clinic
Database of CD4, VL= , etc…
Follow-up surveys f= or all infected students in intervention and control communities

Expected Challenges=
Identification of S= tudents at Testing
Change the C&T = form
Sexual identificati= on vs. behaviors
How to handle femal= e partners of MSM
Follow-up (Evaluati= on)
Transient populatio= n
Follow-up of studen= ts in control community



Questions ????

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UNC Chapel Hill SPNS Project
Chapel Hill, NC
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Outline
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Epidemiology of the NC Problem
–<= /font> HIV= infection in NC college students
SPNS Intervention
–<= /font> Ove= rview and community partners
SPNS Local Evaluation
Challenges
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Nonwhite men age 13-24 years
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= =
HIV Outbreak on College
Campuses
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<= /td> =
Newly-Diagnosed Cases of HIV
Among College Males
2000
2001
2002
2003
2004
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<= /td> =
Increasing Percentage of College
Cases by Year of Diagnosis
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Multivariable Analysis
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> =
College students more likely:
– Younger
– African-American
– Bisexual
– Have sex partners who are also college students
– Meet sex partners at bars/clubs, Internet, College
College students less likely:
– Incarcerated
– Have sex partner with HIV/AIDS
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M= SM
<= /td>
= 4 Separate Networks
12 schools
4= 0 students
M= SM/W
M= SW
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M= SM
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<= /td> =
New HIV Infection Rates Among Black Men, = age 18-30,
at 3 North Carolina Colleges/Universities, 2000-2003
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= =
 Are We Reaching= the High Risk
Population?
<= /td> <= /td> <= /td> = <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
A chart review of all students HIV tested in
Stu= dent Health at one NC University
 264 men who were tested for HIV
–<= /font> 49 = were African-American
–<= /font> 28 = reported having sex with men (MSM)
–<= /font> 2 = MSM were African American both students were
HIV = positive
–<= /font> Ma= jority of those tested requested STD screening
fol= lowing a single heterosexual encounter
–<= /font> Onl= y 8 students requested testing following
unp= rotected MSM behaviors.
------=_NextPart_01C554BC.41D9E130 Content-Location: file:///C:/B133DE03/UNC_files/v3_slide0070.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
Conclusions
<= /td> <= /td> = <= /td> <= /td> <= /td> <= /td>
In NC, detected a previously unrecognized
epidemic centered on college campuses and
principally involving black MSM
Cases among college students have been
– Evidence for ongoing active transmission<= /i>
College students represent a large, accessible,<= br>
at risk population that deserves further study
------=_NextPart_01C554BC.41D9E130 Content-Location: file:///C:/B133DE03/UNC_files/v3_slide0160.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
UNC-Chapel Hill
<= /td> <= /td> <= /td> <= /td> <= /td>
Co-Investigators
–<= /font> = Lisa Hightow, MD, MPH
–<= /font> = Peter Leone, MD
Project Coordinator
–<= /font> T= .B.A.
Research Assistant
–<= /font> T= .B.A.
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Care Continuum
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Community
Partners:
–<= /font> North Carolina
Central University
Outreach
Small media
c= ampaign
–<= /font> Alliance of AIDS
S= ervices
Outreach
Linkage to care
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Clinical Partners:
–<= /font> = UNC-Chapel Hill
= Infectious Diseases
C= linic
–<= /font> = Wake County Health
D= epartment
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RxcD4FNRUc101FNV1VTKVmFVdNVZU5XV0FdtjRXTXHnd1ddJAwIAOw== ------=_NextPart_01C554BC.41D9E130 Content-Location: file:///C:/B133DE03/UNC_files/v3_slide0157.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
Description of Local Evaluation
<= /td> <= /td> = <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Pre and post intervention surveys
–<= /font> Message penetration in intervention and control
= communities
Epidemiologic data
–<= /font> = Testing patterns, number of positives
–<= /font> = Review of student health data
Retention in care
–<= /font> Web-based screening/education: UNC-ID Clinic
–<= /font> = Database of CD4, VL, etc…
–<= /font> Follow-up surveys for all infected students in
= intervention and control communities
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