TY - JOUR
T1 - Behavioral and biologic evidence of persistent high-risk behavior in an HIV primary care population
AU - Erbelding, Emily J.
AU - Stanton, David
AU - Quinn, Thomas C.
AU - Rompalo, Anne
PY - 2000
Y1 - 2000
N2 - Objective: To define the prevalence of gonorrhea, chlamydial infection, and high-risk sexual behavior in an HIV primary care clinic. Design: Subjects enrolling in this cross-sectional study answered a brief interviewer-administered questionnaire and provided a urine sample for gonorrhea and chlamydia testing. Setting: A large urban HIV primary care clinic. Participants: HIV-infected patients presenting for a scheduled medical visit from June 1997 to April 1998. Main outcome measures: Prevalence of self-reported high-risk sexual behavior and gonorrhea and chlamydial infection. Results: Of 691 patients consenting to the study over a 10-month period, 58% reported sexual activity in the past 90 days, 7.4% reported multiple sexual partners in the past month, and 34.6% did not use a condom at last sexual encounter. Overall, 4.6% reported a history of either gonorrhea or a chlamydial infection in the past year. Of 637 giving a urine sample for testing, the prevalence of chlamydial infection was 2.4%; the prevalence of gonorrhea was 1.6%. Overall, 7.5% of those screened had either current or recent (within 1 year) gonorrhea or chlamydial infection. Current or recent gonorrhea or chlamydial infection was not associated with age, gender, HIV transmission risk, CD4 cell count, HIV viral load, symptoms, or self-reported risk behavior. Conclusion: High-risk sexual behavior and unrecognized sexually transmitted diseases (STD) are common among HIV-infected persons followed in primary medical care. Enhanced detection of treatable STD among this population coupled with improved risk-reduction counselling may be important clinical practice measures that can curb the spread of HIV. (C) 2000 Lippincott Williams and Wilkins.
AB - Objective: To define the prevalence of gonorrhea, chlamydial infection, and high-risk sexual behavior in an HIV primary care clinic. Design: Subjects enrolling in this cross-sectional study answered a brief interviewer-administered questionnaire and provided a urine sample for gonorrhea and chlamydia testing. Setting: A large urban HIV primary care clinic. Participants: HIV-infected patients presenting for a scheduled medical visit from June 1997 to April 1998. Main outcome measures: Prevalence of self-reported high-risk sexual behavior and gonorrhea and chlamydial infection. Results: Of 691 patients consenting to the study over a 10-month period, 58% reported sexual activity in the past 90 days, 7.4% reported multiple sexual partners in the past month, and 34.6% did not use a condom at last sexual encounter. Overall, 4.6% reported a history of either gonorrhea or a chlamydial infection in the past year. Of 637 giving a urine sample for testing, the prevalence of chlamydial infection was 2.4%; the prevalence of gonorrhea was 1.6%. Overall, 7.5% of those screened had either current or recent (within 1 year) gonorrhea or chlamydial infection. Current or recent gonorrhea or chlamydial infection was not associated with age, gender, HIV transmission risk, CD4 cell count, HIV viral load, symptoms, or self-reported risk behavior. Conclusion: High-risk sexual behavior and unrecognized sexually transmitted diseases (STD) are common among HIV-infected persons followed in primary medical care. Enhanced detection of treatable STD among this population coupled with improved risk-reduction counselling may be important clinical practice measures that can curb the spread of HIV. (C) 2000 Lippincott Williams and Wilkins.
KW - Chlamydia
KW - Gonorrhea
KW - HIV
KW - High-risk behavior
KW - STD
KW - Sexually transmitted diseases
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U2 - 10.1097/00002030-200002180-00012
DO - 10.1097/00002030-200002180-00012
M3 - Article
C2 - 10716506
AN - SCOPUS:0034052108
SN - 0269-9370
VL - 14
SP - 297
EP - 301
JO - AIDS
JF - AIDS
IS - 3
ER -