Mike Janson, Research & Evaluation Pamela Ogata, Research & Evaluation

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2003 Countywide Risk Assessment Survey Findings From a Large-scale Multi-site Survey in Los Angeles County: South (SPA 6). Mike Janson, Research & Evaluation Pamela Ogata, Research & Evaluation Office of AIDS Programs and Policy February 18, 2004. Los Angeles. Lynwood. Compton.
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2003 Countywide Risk Assessment SurveyFindings From a Large-scale Multi-site Survey in Los Angeles County:South (SPA 6) Mike Janson, Research & Evaluation Pamela Ogata, Research & Evaluation Office of AIDS Programs and Policy February 18, 2004 Los Angeles Lynwood Compton Service Planning Area (SPA) 6 South
  • 87 Square Miles
  • 1 Million Residents
  • Proportion of County Population: 10.6%
  • Proportion of LivingAIDS Cases: 9.7%
  • Living with AIDS: 1,736
  • Population:Latino/a 59.2%White 2.6%Asian/PI 1.6%African-American 35.2%Native American 0.2% Mixed 1.2%
  • Source: United Way of Greater Los Angeles, 2003; HIV Epidemiology Program, 2002; U.S. Census Bureau, 2000 Background
  • Centers for Disease Control and Prevention (CDC) requirements
  • Community Planning Process
  • Prevention Plan
  • Allocation of HIV Prevention Resources
  • Evaluation
  • Data Utilization An integral data source for
  • Priority Setting
  • Evaluation of the linkage between:
  • HIV Prevention Plan
  • Resource Allocation
  • CDC application
  • Local needs assessment
  • Eligibility
  • Inclusion
  • Persons receiving HIV prevention services from OAPP-funded contractors
  • Surveys conducted in Los Angeles County
  • Exclusion
  • Less than 12 years old
  • Previously surveyed in 2003
  • Instrument
  • Part A: Assesses Demographic Information
  • Race/ethnicity
  • Age
  • Gender
  • Sexual orientation
  • Part B: Examines Drug and Alcohol Usage
  • Injection drug use, needle sharing
  • Part C: Assesses Sexual Risk Behavior
  • Barrier use
  • Unsafe sex with HIV positive partners
  • Number of partners
  • Part D: Measures Service Utilization
  • Provider Trainings
  • 22 trainings (May 2003)
  • 238 staff from 50 agencies attended
  • Training covered
  • Sampling Methodology
  • Overview of Survey Instruments
  • Survey Procedures
  • IRB and HIPAA protocols
  • California Mandated Child and Elder Abuse Reporting
  • 2003 Participation Surveys
  • Total Expected: 2,520
  • Total Received: 2,107
  • Survey Return Rate: 83.6%
  • Total Complete: 1,847
  • Proportion of Surveys Completed: 73.3% Agencies
  • 47 out of 50 participated (94.0%) Programs
  • 164 out of 175 participated (93.4%)
  • Data Collection and Analysis
  • Surveys were administered between May 5, and July 30, 2003 by agency staff in one-on-one interviews.
  • Clients were randomly selected using systematic sampling and received an item valued at $10 for compensation.
  • OAPP staff entered the data into a password-protected database.
  • Data entry error rate was <2%, no critical variables involved.
  • Weighting
  • Surveys were weighted to provide a representation of the average number of clients who received prevention services from OAPP-funded contractors monthly.
  • All analyses are weighted and based on an estimated client count of 5,147.
  • Estimated client count for SPA 6 is 374.
  • Clients Surveyed by SPA N=5147 SPAs Source: 2003 CRAS Data (weighted) Clients Surveyed by Gender n=374 N=5147 SPA 6 All SPAs Source: 2003 CRAS Data (weighted) Clients Surveyed by Age Percent Source: 2003 CRAS Data (weighted) Clients Surveyed by Race/Ethnicity Percent Source: 2003 CRAS Data (weighted) Clients Surveyed by Living Situation Source: 2003 CRAS Data (weighted) Immigration (SPA 6)
  • 6% (n=27) were born in another country
  • 67% were born in Mexico
  • 7% were born in Guatemala
  • 26% were born in other countries
  • Source: 2003 CRAS Data (weighted) Substance Use Source: 2003 CRAS Data (weighted) Substance Use (Cont.) Source: 2003 CRAS Data (weighted) Needle Use Source: 2003 CRAS Data (weighted) Sexual Behaviors Source: 2003 CRAS Data (weighted) Drug Use and Sex Trading Source: 2003 CRAS Data (weighted) Sexual Orientation vs. Behavior
  • Self-reported sexual orientation
  • Does not correspond to self-reported behavior
  • Source: 2003 CRAS Data (weighted) Behavioral Risk Groups (BRG) n=315 n=3684 SPA 6 All SPAs Source: 2003 CRAS Data (weighted) Condom/Barrier Use Source: 2003 CRAS Data (weighted) HIV Counseling & Testing (HE/RR, HCT clients) Numbers may not add up to 100% due to rounding, missing answers, or refused to answer Source: 2003 CRAS Data (weighted) Services Utilized Source: 2003 CRAS Data (weighted) Limitations Time period 6 months May not capture all drug users May contribute to the unknown BRG category Conclusions
  • CRAS
  • Provides demographic information and risk behaviors of individuals receiving services.
  • Reflects strong outreach efforts.
  • Demonstrates response to HIV/AIDS epidemic in communities of color.
  • Acknowledgements AMASSI Center of South Central Los Angeles Asian American Drug Abuse Program Bienestar Human Services, Inc. California Drug Consultants, Inc. Caring for Children & Families with AIDS FAME Health Corporation JWCH Institute, Inc. Los Angeles Shanti Minority AIDS Project Prototypes Reach LA T.H.E. Clinic, Inc. Thank you for your participation
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