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swann-bathhouse - 1 The Role of Bathhouses and Sex Clubs in...

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Unformatted text preview: 1 The Role of Bathhouses and Sex Clubs in HIV and STD Transmission: Findings from a Mathematical Model Daniel Faissol 1 , Julie Swann 1 , Paul Griffin 1 , Thomas Gift 2 1 Georgia Institute of Technology, School of Industrial and Systems Engineering, Atlanta, GA 2 Centers for Disease Control and Prevention, Atlanta, GA The findings and conclusions in this presentation have not been formally disseminated by the CDC and should not be construed to represent any agency determination or policy. Background • HIV and STD rates in MSM – HIV incidence in MSM increasing – Syphilis and gonorrhea in MSM up, as well – Studies show lower condom usage rates now vs. 1980s/1990s • Bathhouses and sex clubs – Implicated in original HIV epidemic – May be facilitating HIV/STD transmission now – Some have called for them to be closed – Others suggest closure would have no effect 2 Research Question • How would closing bathhouses affect HIV transmission in urban areas? Methodology • Bernoulli Process Model developed by Pinkerton and Abramson, 1998 • Each sex act is treated as an independent Bernoulli trial • Probability calculations depend on number of acts, HIV prevalence, condom usage, etc. 3 Data • Survey Data from the 1997 Urban Men’s Health Study • Conducted by the Center for AIDS Prevention Studies (CAPS) at the University of California at San Francisco • MSM in New York, San Francisco, Los Angeles, and Chicago • 2881 male responses • 855 variables Sample and Subpopulations • Entire sample 4 Sample and Subpopulations • Entire sample • Those who go to bathhouses &...
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swann-bathhouse - 1 The Role of Bathhouses and Sex Clubs in...

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