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Syphilis and HIV Co-infection in Mississippi: Implications for Control and Prevention

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Abstract

Syphilis and HIV are important public health issues in the United States, especially in the southeastern region. This study aimed to determine and describe the co-infection pattern in Mississippi by using a case-controlled design to analyze cases diagnosed with syphilis or HIV from 2007 to 2016. Direct matching was employed to identify cases that were co-infected during the same calendar year, and binary logistic regression analysis was used to determine predictors of co-infection. Results showed that 1736 (34.0%) of syphilis and HIV cases were co-infected during the same calendar year. Binary logistic regression results demonstrated that race, gender, age group, and exposure category were independently associated with co-infection status. These analyses highlighted the progressive increase of co-infection rates in Mississippi. Collaboration between STI/HIV surveillance teams may identify high-risk individuals and reduce transmission of both diseases.

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Acknowledgement

We acknowledge that all authors adhere to the code of ethics, and we have no existing conflicts of interest to disclose and no source of support that requires acknowledgment.

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  1. Mississippi State Department of Health, Jackson, MS, USA

    Lee T. Riley, Kendra L. Johnson, James Stewart & Paul Byers

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  1. Lee T. Riley
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  2. Kendra L. Johnson
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  3. James Stewart
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  4. Paul Byers
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Correspondence to Lee T. Riley.

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Riley, L.T., Johnson, K.L., Stewart, J. et al. Syphilis and HIV Co-infection in Mississippi: Implications for Control and Prevention. AIDS Behav 24, 1064–1068 (2020). https://doi.org/10.1007/s10461-019-02562-0

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  • DOI: https://doi.org/10.1007/s10461-019-02562-0

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