Use of a public sexually transmitted disease clinic by known HIV-positive adults: Decreased self-reported risk behavior and increased disease incidence

Toye Helena Brewer, Lisa R. Metsch, Jonathon M. Zenilman

Research output: Contribution to journalArticle

Abstract

High-risk sexual behavior by HIV-positive individuals is an important factor contributing to the spread of the HIV epidemic. We conducted a retrospective chart review to compare self-reported sexually transmitted disease (STD) risk behavior and clinic diagnoses of known HIV-positive clients attending Miami-Dade County STD clinics with those of uninfected controls. One hundred ninety-one HIV-positive clients and 191 HIV-negative controls, 130 (68.1%) men and 61 (31.9%) women, were included in the analysis. HIV-positive clients were more likely than controls to report no sexual activity in the last 2 months (odds ratio [OR] = 2.6, 95% confidence interval [CI]: 1.5-4.5) or, if active, to report condom use at last sexual intercourse (OR = 3.1, CI: 1.9-5.3). However, HIV-positive clients were more likely to be diagnosed with infectious syphilis (OR = 13.0, CI: 1.6-99.4) and/or gonorrhea (OR = 2.1, CI: 1.1-4.2) than controls. This may be a result of overreporting of condom use or sexual activity in high-risk sexual networks with inefficient use of condoms. Ongoing sexual risk behavior and access to HIV primary care are important issues in this population.

Original languageEnglish (US)
Pages (from-to)289-294
Number of pages6
JournalJournal of Acquired Immune Deficiency Syndromes
Volume29
Issue number3
DOIs
StatePublished - Mar 1 2002
Externally publishedYes

Keywords

  • HIV
  • STDs
  • Sexual risk behavior

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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