Sexually transmitted diseases in a population of intravenous drug users: Association with seropositivity to the human immunodeficiency virus (hiv)

David Vlahov, Sylvia Cohn, M. O. Mercy Odunmbaku, Arlette Lindsay, James C. Anthony, Edward W. Hook

    Research output: Contribution to journalArticlepeer-review

    Abstract

    The association between human immunodeficiency virus (HIV) seropositivity and a history of sexually transmitted diseases (STDs), evidence of STDs on physical examination, and sexual and drug use practices was studied in a population of 2921 intravenous drug users (IVDUs) in Baltimore during 1988 and 1989. Overall, 24.1% were HIV-seropositive at baseline, and 60% reported a history of an STD. A significant association was found between HIV seropositivity and a history of syphilis (P =.04); both were more frequent among homosexual/bisexual men than among heterosexual IVDUs. In multivariate analysis, a history of syphilis was independently associated with HIV seroprevalence in homosexual/bisexual male IVDUs, of whom 90% reported a history of sexual intercourse with women. Cocaine injection was independently associated with HIV seropositivity but not a history of syphilis on multivariate analysis. STDs, indicative of unsafe sex practices, are common in this population; efforts are needed to prevent sexual transmission of HIV infection among IVDUs and their sex partners.

    Original languageEnglish (US)
    Pages (from-to)457-463
    Number of pages7
    JournalJournal of Infectious Diseases
    Volume164
    Issue number3
    DOIs
    StatePublished - Jan 1 1991

    ASJC Scopus subject areas

    • Immunology and Allergy
    • Infectious Diseases

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