Community-Based HIV Prevention in Presumably Underserved Populations\p=m-\July-September 1995

58%; p<0.01), and to report ever having injected drugs (14% versus 30%; p<0.05). Overall, 114 (51%) participants were classified as having high-risk behavior for HIV infection (defined as having ever injected drugs, engaged in receptive anal intercourse, or having had more than two sex partners during the preceding 6 months). A total of 53 (24%) reported a history of injecting-drug use; 37 (17%), receptive anal sex; and 55 (25%), multiple sex partners. Receptive anal intercourse was reported more commonly by women (25 (33%)) than by men (12 (8%)) (p<0.01). Of the 53 participants who reported injecting-druguse, areview ofEPCDHE records indicated that nine (17%) had ever been patients at the EPCDHE sub¬ stance-abuse clinic (the only such facil¬ ity in the region), including two who were in treatment at the time of the survey. Of 219 persons who responded to questions regarding sexual activity during the 6 months preceding the study, 64 (29%) reported no sex partners; of 117 who reported using illegal drugs, 51 (44%) reported doing so alone. Approxi¬ mately one fourth (58 (26%)) reported condom use at last sexual intercourse. Ofthe 224 participants, 212 (95%) con¬ sented to and completed HIV counsel¬ ing and testing; two (1%) were newly tested and identified as seropositive, and one requested and received confirma¬ tion of a previously positive HIV test. Of the 212 persons tested, 147 (69%) reported having been tested for HIV since 1985 (63% as either plasma or blood donors), and 61 (29%) reported the cur¬ rent test as their first (data were miss¬ ing for four). The likelihood of reporting previous testing was higher for partici¬ pants reporting high-risk behavior (77%) than for those reporting low-risk be¬ haviors (63%; p<0.05).