Details:

Alternative Title:
Sex Transm Dis
Personal Author:
Flagg, Elaine W. ; Weinstock, Hillard S. ; Frazier, Emma L. ; Valverde, Eduardo E. ; Heffelfinger, James D. ; ... More +
Flagg, Elaine W. ; Weinstock, Hillard S. ; Frazier, Emma L. ; Valverde, Eduardo E. ; Heffelfinger, James D. ; Skarbinski, Jacek Less -
Description:
Background:

Bacterial sexually transmitted infections may facilitate HIV transmission. Bacterial sexually transmitted infection testing is recommended for sexually active HIV-infected patients annually and more frequently for those at elevated sexual risk. We estimated percentages of HIV-infected patients in the United States receiving at least one syphilis, gonorrhea, or chlamydia test, and repeat (≥2 tests, ≥3 months apart) tests for any of these sexually transmitted infections from mid-2008 through mid-2010.

Design:

The Medical Monitoring Project collects behavioral and clinical characteristics of HIV-infected adults receiving medical care in the United States using nationally representative sampling.

Methods:

Sexual activity included self-reported oral, vaginal, or anal sex in the past 12 months. Participants reporting more than 1 sexual partner or illicit drug use before/during sex in the past year were classified as having elevated sexual risk. Among participants with only 1 sex partner and no drug use before/during sex, those reporting consistent condom use were classified as low risk; those reporting sex without a condom (or for whom this was unknown) were classified as at elevated sexual risk only if they considered their sex partner to be a casual partner, or if their partner was HIV-negative or partner HIV status was unknown. Bacterial sexually transmitted infection testing was ascertained through medical record abstraction.

Results:

Among sexually active patients, 55% were tested at least once in 12 months for syphilis, whereas 23% and 24% received at least one gonorrhea and chlamydia test, respectively. Syphilis testing did not vary by sex/sexual orientation. Receipt of at least 3 CD4+ T-lymphocyte cell counts and/or HIV viral load tests in 12 months was associated with syphilis testing in men who have sex with men (MSM), men who have sex with women only, and women. Chlamydia testing was significantly higher in sexually active women (30%) compared with men who have sex with women only (19%), but not compared with MSM (22%). Forty-six percent of MSM were at elevated sexual risk; 26% of these MSM received repeat syphilis testing, whereas repeat testing for gonorrhea and chlamydia was only 7% for each infection.

Conclusions:

Bacterial sexually transmitted infection testing among sexually active HIV-infected patients was low, particularly for those at elevated sexual risk. Patient encounters in which CD4+ T-lymphocyte cell counts and/or HIV viral load testing occurs present opportunities for increased bacterial sexually transmitted infection testing.


Subjects:
[+]
Adult Behavioral Risk Factor Surveillance System CD4 Lymphocyte Count Female HIV Infections Humans Male Mass Screening Qualitative Research Reminder Systems Risk-Taking Sexual Behavior Sexually Transmitted Diseases, Bacterial United States Viral Load
Source:
Sex Transm Dis. 42(4):171-179
Pubmed ID:
25763669
Pubmed Central ID:
PMC6921480
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:16f5409da2301cee294407b09f9bf89a48f7b5e8a576cb845865917ad0ae5ca5
Download URL:
https://stacks.cdc.gov/view/cdc/83671/cdc_83671_DS1.pdf
File Type:

Supporting Files

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  	nihms-1062820-f0001.jpg	jpeg
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  	NIHMS1062820-supplement-Erratum.pdf	pdf

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