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. 1996;111(Suppl 1):138–144.

The Young Men's Survey: methods for estimating HIV seroprevalence and risk factors among young men who have sex with men.

D MacKellar 1, L Valleroy 1, J Karon 1, G Lemp 1, R Janssen 1
PMCID: PMC1382056  PMID: 8862170

Abstract

Traditional sampling methods are unsuitable for determining the levels of human immunodeficiency virus type I infection and related behavioral risk factors among young men who have sex with men. Most surveys of this hard-to-reach population have used nonprobability samples of young men in clinical or public settings. While these studies have revealed high rates of HIV infection and risk behaviors, their findings are not generalizable to broader populations of young men who have sex with men. To better understand the epidemiology of HIV within this population, the Centers for Disease Control and Prevention, in collaboration with state and local health departments, has developed a venue-based probability survey of young men who have sex with men. Conducted in seven metropolitan areas in the United States, the Young Men's Survey combines outreach techniques with standard methods of sample surveys to enumerate, sample, and estimate prevalence outcomes of a population of young men who frequent public venues and who have sex with other men. Venues where young men who have sex with men are sampled include dance clubs, bars, and street locations. At sampled venues, young men are enumerated, consecutively approached, and offered enrollment if they are determined eligible. Young men who agree to participate in the Young Men's Survey are interviewed, counseled, and tested for human immunodeficiency virus, hepatitis B, and syphilis in vans parked near sampled venues. The Young Men's Survey provides data on the locations and times at which demographic and behavioral subgroups of young men who have sex with men may be targeted for prevention activities. Behaviors and psychosocial factors associated with human immunodeficiency virus infection can be used to design culturally relevant and age-specific prevention activities for young men who have sex with men.

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Selected References

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  1. Becker M. H., Joseph J. G. AIDS and behavioral change to reduce risk: a review. Am J Public Health. 1988 Apr;78(4):394–410. doi: 10.2105/ajph.78.4.394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Dean L., Meyer I. HIV prevalence and sexual behavior in a cohort of New York City gay men (aged 18-24). J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Feb 1;8(2):208–211. [PubMed] [Google Scholar]
  3. Detels R., English P., Visscher B. R., Jacobson L., Kingsley L. A., Chmiel J. S., Dudley J. P., Eldred L. J., Ginzburg H. M. Seroconversion, sexual activity, and condom use among 2915 HIV seronegative men followed for up to 2 years. J Acquir Immune Defic Syndr. 1989;2(1):77–83. [PubMed] [Google Scholar]
  4. Ekstrand M. L., Coates T. J. Maintenance of safer sexual behaviors and predictors of risky sex: the San Francisco Men's Health Study. Am J Public Health. 1990 Aug;80(8):973–977. doi: 10.2105/ajph.80.8.973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hays R. B., Kegeles S. M., Coates T. J. High HIV risk-taking among young gay men. AIDS. 1990 Sep;4(9):901–907. doi: 10.1097/00002030-199009000-00011. [DOI] [PubMed] [Google Scholar]
  6. Hessol N. A., Lifson A. R., O'Malley P. M., Doll L. S., Jaffe H. W., Rutherford G. W. Prevalence, incidence, and progression of human immunodeficiency virus infection in homosexual and bisexual men in hepatitis B vaccine trials, 1978-1988. Am J Epidemiol. 1989 Dec;130(6):1167–1175. doi: 10.1093/oxfordjournals.aje.a115445. [DOI] [PubMed] [Google Scholar]
  7. Kaslow R. A., Ostrow D. G., Detels R., Phair J. P., Polk B. F., Rinaldo C. R., Jr The Multicenter AIDS Cohort Study: rationale, organization, and selected characteristics of the participants. Am J Epidemiol. 1987 Aug;126(2):310–318. doi: 10.1093/aje/126.2.310. [DOI] [PubMed] [Google Scholar]
  8. Kelly J. A., St Lawrence J. S., Brasfield T. L., Lemke A., Amidei T., Roffman R. E., Hood H. V., Smith J. E., Kilgore H., McNeill C., Jr Psychological factors that predict AIDS high-risk versus AIDS precautionary behavior. J Consult Clin Psychol. 1990 Feb;58(1):117–120. doi: 10.1037//0022-006x.58.1.117. [DOI] [PubMed] [Google Scholar]
  9. Kelly J. A., St Lawrence J. S., Brasfield T. L. Predictors of vulnerability to AIDS risk behavior relapse. J Consult Clin Psychol. 1991 Feb;59(1):163–166. doi: 10.1037//0022-006x.59.1.163. [DOI] [PubMed] [Google Scholar]
  10. Kingsley L. A., Zhou S. Y., Bacellar H., Rinaldo C. R., Jr, Chmiel J., Detels R., Saah A., VanRaden M., Ho M., Muñoz A. Temporal trends in human immunodeficiency virus type 1 seroconversion 1984-1989. A report from the Multicenter AIDS Cohort Study (MACS). Am J Epidemiol. 1991 Aug 15;134(4):331–339. doi: 10.1093/oxfordjournals.aje.a116094. [DOI] [PubMed] [Google Scholar]
  11. Martin J. L. The impact of AIDS on gay male sexual behavior patterns in New York City. Am J Public Health. 1987 May;77(5):578–581. doi: 10.2105/ajph.77.5.578. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. McCusker J., Stoddard A. M., Mayer K. H., Cowan D. N., Groopman J. E. Behavioral risk factors for HIV infection among homosexual men at a Boston community health center. Am J Public Health. 1988 Jan;78(1):68–71. doi: 10.2105/ajph.78.1.68. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. McCusker J., Stoddard A. M., Mayer K. H., Zapka J., Morrison C., Saltzman S. P. Effects of HIV antibody test knowledge on subsequent sexual behaviors in a cohort of homosexually active men. Am J Public Health. 1988 Apr;78(4):462–467. doi: 10.2105/ajph.78.4.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. McKusick L., Coates T. J., Morin S. F., Pollack L., Hoff C. Longitudinal predictors of reductions in unprotected anal intercourse among gay men in San Francisco: the AIDS Behavioral Research Project. Am J Public Health. 1990 Aug;80(8):978–983. doi: 10.2105/ajph.80.8.978. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Osmond D. H., Page K., Wiley J., Garrett K., Sheppard H. W., Moss A. R., Schrager L., Winkelstein W. HIV infection in homosexual and bisexual men 18 to 29 years of age: the San Francisco Young Men's Health Study. Am J Public Health. 1994 Dec;84(12):1933–1937. doi: 10.2105/ajph.84.12.1933. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Silvestre A. J., Kingsley L. A., Wehman P., Dappen R., Ho M., Rinaldo C. R. Changes in HIV rates and sexual behavior among homosexual men, 1984 to 1988/92. Am J Public Health. 1993 Apr;83(4):578–580. doi: 10.2105/ajph.83.4.578. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Stall R., Barrett D., Bye L., Catania J., Frutchey C., Henne J., Lemp G., Paul J. A comparison of younger and older gay men's HIV risk-taking behaviors: the Communication Technologies 1989 Cross-Sectional Survey. J Acquir Immune Defic Syndr. 1992;5(7):682–687. [PubMed] [Google Scholar]
  18. Valdiserri R. O., Lyter D., Leviton L. C., Callahan C. M., Kingsley L. A., Rinaldo C. R. Variables influencing condom use in a cohort of gay and bisexual men. Am J Public Health. 1988 Jul;78(7):801–805. doi: 10.2105/ajph.78.7.801. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Winkelstein W., Jr, Lyman D. M., Padian N., Grant R., Samuel M., Wiley J. A., Anderson R. E., Lang W., Riggs J., Levy J. A. Sexual practices and risk of infection by the human immunodeficiency virus. The San Francisco Men's Health Study. JAMA. 1987 Jan 16;257(3):321–325. [PubMed] [Google Scholar]
  20. Winkelstein W., Jr, Wiley J. A., Padian N. S., Samuel M., Shiboski S., Ascher M. S., Levy J. A. The San Francisco Men's Health Study: continued decline in HIV seroconversion rates among homosexual/bisexual men. Am J Public Health. 1988 Nov;78(11):1472–1474. doi: 10.2105/ajph.78.11.1472. [DOI] [PMC free article] [PubMed] [Google Scholar]

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