Sexually Transmitted Disease/HIV Transmission Risk Behaviors and Sexually Transmitted Disease Prevalence Among HIV-Positive Men Receiving Continuing Care

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Abstract

Objective:

HIV primary care clinics offer an environment in which to deliver prevention messages and to conduct sexually transmitted disease (STD) screening. Determination of the prevalence and factors associated with risk-taking behaviors among HIV clinic attendees is needed.

Goal:

The goal of this study was to describe risk behaviors and STD prevalence in males receiving HIV primary care.

Study:

Participants underwent an interviewer-administered survey and STD testing during this cross-sectional study.

Results:

Over two thirds of study participants reported sexual activity within the prior 6 months of which 6% were infected with gonorrhea or chlamydia. Men performing insertive rectal sex were 5 times less likely to use condoms when the partner was HIV-positive (odds ratio [OR], 5.14; 95% confidence interval [CI], 1.90–13.91), whereas patients with higher CD4 counts were more likely to engage in unprotected receptive rectal sex (OR, 1.20; 95% CI, 1.02–1.42).

Conclusion:

HIV primary care clinics provide access to patients in need of HIV prevention intervention and are appropriate sites for these activities.

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