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

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