Spotlight Center on HIV Prevention Today

Medical News

Ongoing Sexually Transmitted Disease Acquisition and Risk-Taking Behavior Among U.S. HIV-Infected Patients in Primary Care: Implications for Prevention Interventions

January 11, 2012

To gain a better understanding of factors associated with HIV- and STD-transmitting behavior among persons living with HIV, the team estimated STD prevalence and incidence, as well as associated risk factors, among a diverse sample of HIV-positive patients in primary care.

The researchers analyzed data from 557 participants in the SUN Study, a prospective observational cohort of HIV-infected adults in primary care in four US cities. At enrollment and six months later, participants completed an audio computer-assisted self-interview about their sexual behavior; in addition, they were screened for genitourinary, rectal and pharyngeal Neisseria gonorrhoeae and Chlamydia trachomatis infections by nucleic acid amplification testing, and for serologic evidence of syphilis. Women provided cervicovaginal samples, and men provided urine to screen for Trichomonas vaginalis by polymerase chain reaction.

At enrollment, 13 percent of participants had a prevalent STD; six months later, 7 percent had an incident STD. The most commonly diagnosed infections were rectal chlamydia, oropharyngeal gonorrhea, and chlamydial urethritis among the men, and trichomoniasis among the women. Excluding trichomoniasis, 94 percent of the incident STDs were diagnosed among men who have sex with men (MSM). Polysubstance abuse, other than marijuana, and having four or more sex partners in the six months prior to testing were associated with the diagnosis of an incident STD.

"STDs were commonly diagnosed among contemporary HIV-infected patients receiving routine outpatient care, particularly among sexually active [MSM] who used recreational drugs," the authors concluded. "These findings underscore the need for frequent STD screening, prevention counseling, and substance abuse treatment for HIV-infected persons in care."

Back to other news for January 2012

Adapted from:
Sexually Transmitted Diseases
01.2012; Vol. 39; No. 1: P. 1-7; Kenneth H. Mayer and others

This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.

No comments have been made.

Add Your Comment:
(Please note: Your name and comment will be public, and may even show up in
Internet search results. Be careful when providing personal information! Before
adding your comment, please read's Comment Policy.)

Your Name:

Your Location:

(ex: San Francisco, CA)

Your Comment:

Characters remaining:


The content on this page is free of advertiser influence and was produced by our editorial team. See our content and advertising policies.