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Occurrence of New Sexually Transmitted Diseases in Males After HIV Diagnosis

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Abstract

Risk reduction following an HIV diagnosis is important for controlling the epidemic. The objective of this retrospective cohort study of 6,965 HIV-positive males was to evaluate the joint risk of new reportable STDs in males after HIV diagnosis by race/ethnicity and risk behavior. This investigation linked HIV case reports with STD surveillance, clinical care and laboratory datasets to determine new STD acquisition in HIV positive individuals. Compared to White MSM with high care engagement, Black MSM had a significantly higher rate of new reportable STDs for the full time period after HIV diagnosis, ≤1 year after diagnosis, and >1 year after diagnosis. High HIV care engagement was not as protective against new STD acquisition for Black MSM as it was for White MSM and reasons for this health disparity should be explored.

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References

  1. Centers for Disease Control and Prevention. Sexually Transmitted Diseases Guidelines. MMWR. 2010;59(No. RR-12):1–116.

  2. Aberg JA, Kaplan JE, Libman H, Emmanuel P, Anderson JR, Stone VE, et al. Primary care guidelines for the management of persons infected with Human Immunodeficiency Virus: 2009 update by the HIV Medicine Association of the Infectious Diseases Society of America. Clin Infect Dis. 2009;49:651–81.

    Article  PubMed  Google Scholar 

  3. Metsch LR, Pereyra M, Messinger S, del Rio C, Strathdee SA, Anderson-Mahoney P. HIV transmission risk behaviors among HIV-infected persons who are successfully linked to care. Clin Infect Dis. 2008;47:577–84.

    Article  PubMed  Google Scholar 

  4. Bachman LH, Grimley DM, Waithaka Y, Desmond R, Saag MS, Hook EW. Sexually tranmitted disease/HIV transmission risk behaviors and sexually transmitted disease prevalence among HIV-positive men receiving continuing care. Sex Transm Dis. 2005;32:20–6.

    Article  Google Scholar 

  5. Kalichman KC, Rompa D, Cage M. Sexually transmitted infections among HIV seropositive men and women. Sex Transm Infect. 2000;76:350–4.

    Article  PubMed  CAS  Google Scholar 

  6. Onen NF, Shacham E, Stamm KE, Overton ET. Comparisons of sexual behaviors and STD prevalence among older and younger individuals with HIV infection. AIDS Care. 2010;22:711–7.

    Article  PubMed  Google Scholar 

  7. Lee HS, Ko NY, Lee NY, Chang CM, Liu SY, Ko WC. Trends in sexually transmitted diseases and risky behaviors among HIV-infected patients at an outpatient clinic in Southern Taiwan. Sex Transm Dis. 2010;37:86–92.

    Article  PubMed  Google Scholar 

  8. Wald A, Corey L, Handsfield HH, Holmes KK. Influence of HIV infection of manifestations and natural history of other sexually transmitted diseases. Annu Rev Public Health. 1993;14:19–42.

    Article  PubMed  CAS  Google Scholar 

  9. Erbelding EJ, Shang-En C, Kamb ML, Irwin KL, Rompalo AM. New sexually transmitted diseases in HIV-infected patients: markers for ongoing HIV transmission behavior. J Acquir Immune Defic Syndr. 2003;33:247–52.

    Article  PubMed  Google Scholar 

  10. Wasserheit JN. Epidemiologic synergy: interrelationships between Human Immunodeficiency Virus infection and other sexually transmitted diseases. Sex Transm Dis. 1992;9:61–77.

    Google Scholar 

  11. Machekano RN, Bassett MT, Zhou PS, Mbizvo MT, Latif AS, Katzenstein DA. Report of sexually transmitted diseases by HIV infected men during follow up: time to target the HIV infected? Sex Transm Infect. 2000;76:188–92.

    Article  PubMed  CAS  Google Scholar 

  12. Osewe PL, Peterman TA, Ransom RL, Zaidi AA, Wroten JE. Trends in the acquisition of sexually transmitted diseases among HIV-positive patients at STD clinics, Miami 1988–1992. Sex Transm Dis. 1996;23:230–3.

    Article  PubMed  CAS  Google Scholar 

  13. Hecht FM, Grant RM, Petropoulos CJ, Dillon B, Chesney MA, Tian H. Sexual transmission of an HIV-1 variant resistant to multiple reverse-transcriptase and protease inhibitors. N Engl J Med. 1998;339:341–3.

    Article  Google Scholar 

  14. Ramos A, Hu DJ, Nguyen L, Phan KO, Vanichseni S, Promadej N, et al. Intersubtype Human Immunodeficiency Virus type 1 superinfection following seroconversion to primary infection in two injection drug users. J Virol. 2002;76:7444–52.

    Article  PubMed  CAS  Google Scholar 

  15. Jost S, Bernard MC, Kaiser L, Yerly S, Hirschel B, Samri A, et al. A patient with HIV-1 superinfection. N Engl J Med. 2002;347:731–6.

    Article  PubMed  Google Scholar 

  16. Otten MW, Zaidi AA, Wroten JE, Witte JJ, Peterman TA. Changes in sexually transmitted disease rates after HIV testing and posttest counseling, Miami 1988 to 1989. Am J Public Health. 1993;83:529–32.

    Article  PubMed  Google Scholar 

  17. McNeil J, Sheffield JVL, Bartlett JG. Core elements of HIV primary care. In: Bartlett JG, Cheever LW, Johnson MP, Paauw DS, editors. A guide to the primary care of people with HIV/AIDS. Rockville, Maryland: U. S. Department of Health and Human Services Health Resources and Service Administration; 2004. p. 17.

  18. Allison PD. Convergence failures in logistic regression. Presented at San Antonio, TX, Paper 360–2008, SAS Global Forum, 16–19 March 2008.

  19. Centers for Disease Control and Prevention. Estimates of New HIV Infections in the United States, 2006–2009. http://www.cdc.gov/nchhstp/newsroom/docs/HIV-Infections-2006-2009.pdf. Published August 2011. Accessed 08 Aug 2011.

  20. Kent KK, Chaw JK, Wong W, Liska S, Gibson S, Hubbard G, et al. Prevalence of rectal, urethral, and pharyngeal Chlamydia and Gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003. Clin Infect Dis. 2005;41:67–74.

    Article  PubMed  Google Scholar 

  21. Rieg G, Lewis RJ, Miller LG, Witt MD, Guerrero M, Daar ES. Asymptomatic Sexually Transmitted Infections in HIV-infected men who have sex with men: prevalence, incidence, predictors and screening stages. AIDS Patient Care ST. 2008;22:947–54.

    Article  Google Scholar 

  22. Gorbach PM, Weiss RE, Jeffries R, Javanbakht M, Drumright LN, Daar ES, et al. Behaviors of recently HIV-infected men who have sex with men in the year postdiagnosis: effects of drug use and partner type. J Acquir Immune Defic Syndr. 2011;56:176–82.

    Article  PubMed  Google Scholar 

  23. Magnus M, Kuo I, Phillips G., Shelley K, Rawls A, Peterson J et al. Elevated HIV prevalence despite lower rates of sexual risk behaviors among black men in the District of Columbia who have sex with men. AIDS Patient Care ST. 2010;24:615–22.

    Google Scholar 

  24. HIV Prevention Trials Network. 2011. Initiation of antiretroviral treatment protects uninfected sexual partners from HIV Infection (HPTN Study 052) [Press release]. www.hptn.org/…/HPTN052PressReleaseFINAL5_12_118am.pdf. Accessed 06 June 2011.

  25. Hallfors DD, Iritani BJ, Miller WC, Bauer DJ. Sexual and drug behavior patterns and HIV and STD racial disparities: the need for new directions. Am J Public Health. 2007;97:125–32.

    Article  PubMed  Google Scholar 

  26. Rountree MA, Chen L, Brown A, Pomeroy EC. HIV testing rates and testing locations, by race and ethnicity. Health Soc Work. 2009;34:247–55.

    Article  PubMed  Google Scholar 

  27. Ebrahim SH, Anderson JE, Weidle P. Race/ethnic disparities in HIV testing and knowledge about treatment for HIV/AIDS: United States. AIDS Patient Care STDs. 2004;18:27–33.

    Article  PubMed  Google Scholar 

  28. Inunga JN. Potential barriers to seeking human immunodeficiency virus testing among adults in the United States: data from the 1998 National Health Interview Survey. AIDS Patient Care STDs. 2002;16:293–9.

    Article  Google Scholar 

  29. Newman LM, Berman SM. Epidemiology of STD disparities in African American communities. Sex Transm Dis. 2008;35(12 Suppl):S4–12.

    PubMed  Google Scholar 

  30. Crosby R, Holtgrave DR, Stall R, Peterson JL, Shouse L. Differences in HIV risk behaviors among Black and White men who have sex with men. Sex Transm Dis. 2007;34:744–9.

    PubMed  Google Scholar 

  31. The White House Office of National AIDS Policy. National HIV/AIDS Strategy for the United States. Washington, DC: White House; 2010.

    Google Scholar 

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Authors and Affiliations

  1. Department of Epidemiology and Biostatistics, Arnold School of Public Health, The University of South Carolina, 800 Sumter Street, Columbia, SC, 29208, USA

    Y. Omar Whiteside, Anwar T. Merchant, James Hussey & Swann Arp Adams

  2. Georgia Department of Public Health, HIV/AIDS Epidemiology, 2 Peachtree Street NW Suite 14-464, Atlanta, GA, 30303, USA

    Y. Omar Whiteside

  3. The University of South Carolina College of Nursing, 1601 Greene Street, Columbia, SC, 29208, USA

    Swann Arp Adams

  4. Cancer Prevention and Control Program, The University of South Carolina, 915 Green Street, Columbia, SC, 29208, USA

    Swann Arp Adams

  5. Division of Infectious Diseases, Department of Medicine, University of South Carolina School of Medicine, Two Medical Park, Columbia, SC, 29203, USA

    Wayne A. Duffus

  6. HIV/STD Division, Department of Health and Environmental Control, 1751 Calhoun Street, Columbia, SC, 29201, USA

    Wayne A. Duffus

Authors
  1. Y. Omar Whiteside
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  2. Anwar T. Merchant
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  3. James Hussey
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  4. Swann Arp Adams
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  5. Wayne A. Duffus
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Correspondence to Y. Omar Whiteside.

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Whiteside, Y.O., Merchant, A.T., Hussey, J. et al. Occurrence of New Sexually Transmitted Diseases in Males After HIV Diagnosis. AIDS Behav 17, 1176–1184 (2013). https://doi.org/10.1007/s10461-012-0142-0

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  • DOI: https://doi.org/10.1007/s10461-012-0142-0

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