Behavioral and biologic evidence of persistent high-risk behavior in an HIV primary care population

Emily J. Erbelding, David Stanton, Thomas C. Quinn, Anne Rompalo

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Pages (from-to)297-301
Number of pages5
Issue number3
StatePublished - Mar 16 2000


  • Chlamydia
  • Gonorrhea
  • HIV
  • High-risk behavior
  • STD
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Infectious Diseases

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