Incidence of sexually transmitted infections in HIV-infected and HIV-uninfected adolescents in the USA

Mullins, T. L. K.; Rudy, B. J.; Wilson, C. M.; Sucharew, H.; Kahn, J. A.
February 2013
International Journal of STD & AIDS;Feb2013, Vol. 24 Issue 2, p123
Academic Journal
Little is known about the incidence of bacterial sexually transmitted infections (STIs) among HIV-infected versus HIV-uninfected adolescents. This secondary analysis of a national, multisite study included adolescents aged 12-18 years who were behaviourally HIV-infected (n = 346) or HIV-uninfected but at-risk (n = 182). Incidence rates of bacterial STIs (gonorrhoea, chlamydia [CT] and trichomonas [TV; women]) were calculated using Poisson modelling. Factors associated with incident STIs were explored using Cox proportional hazards modelling. HIV-infected versus HIV-uninfected women had higher TV incidence (1.3 versus 0.6/100 person-months; P = 0.002). HIV-uninfected versus HIV-infected women had higher CT incidence (1.6 versus 1.1/100 person-months; P = 0.04). Among women, demographic, behavioural and HIV-related factors were associated with incident STIs. Among men, there were no differences in incident STls. In this first analysis comparing STI incidence between HIV-infected and HIV-uninfected adolescents, bacterial STI incidence among women significantly differed by HIV status, and factors associated with incident STIs varied by STI and HIV status.


Related Articles

  • Testing and Treatment After Non-Occupational Exposures To STDs and HIV. Hardy, Erica J. // Medicine & Health Rhode Island;Aug2012, Vol. 95 Issue 8, p258 

    The article discusses the new recommendations for the prophylaxis, testing, and treatment of adult patients after non-occupational exposures to sexually transmitted disease (STD) and human immunodeficiency virus (HIV). It states that enough time may not have elapsed for a STD test to be positive...

  • Sexual network position and risk of sexually transmitted infections. Fichtenberg, C. M.; Muth, S. Q.; Brown, B.; Padian, N. S.; Glass, T. A.; Ellen, J. M. // Sexually Transmitted Infections;Dec2009, Vol. 85 Issue 7, p493 

    Objectives: A population-based sexual network study was used to identify sexual network structures associated with sexually transmitted infection (STI) risk, and to evaluate the degree to which the use of network-level data furthers the understanding of STI risk. Methods: Participants (n?=?655)...

  • Impact on practice of a British Association for Sexual Health and HIV Sexually Transmitted Infections Foundation (STIF) course: an audit of the first four years in Ireland. Calamai, A.; Howard, R.; Kelly, R.; Lambert, J. // International Journal of STD & AIDS;Feb2013, Vol. 24 Issue 2, p144 

    In order to investigate the overall impact of the British Association for Sexual Health and HIV (BASHH) Sexually Transmitted Infections Foundation (STIF) course taught in Ireland since 2007, attendees were sent two questionnaires to investigate the overall impact of the course, its effect on...

  • Modest rise in chlamydia and gonorrhoea testing did not increase case detection in a clinical HIV cohort in Ontario, Canada. Burchell, Ann N.; Grewal, Ramandip; Allen, Vanessa G.; Gardner, Sandra L.; Moravan, Veronika; Bayoumi, Ahmed M.; Kaul, Rupert; McGee, Frank; Millson, Margaret (Peggy) E.; Remis, Robert S.; Raboud, Janet; Mazzulli, Tony; Rourke, Sean B. // Sexually Transmitted Infections;Dec2014, Vol. 90 Issue 8, p608 

    Objectives We described patterns of testing for chlamydia and gonorrhoea infection among persons in specialty HIV care in Ontario, Canada, from 2008 to 2011. Methods We analysed data from 3165 participants in the OHTN Cohort Study attending one of seven specialty HIV care clinics. We obtained...

  • Is Trichomonas vaginalis still a marker for other sexually transmitted infections in women? Reynolds, M.; Wilson, J. // International Journal of STD & AIDS;Apr1996, Vol. 7 Issue 2, p131 

    Trichomonas vaginalis (TV) has, in the past, been regarded as a useful marker for other asymptomatic sexually transmitted infections such as gonorrhoea and chlamydia in women. The aim of this study was to determ ine whether TV is still such a m arker. All wom en attending the Department of...

  • A plea for more research on access to sexual health services. Fairley, Christopher K.; Williams, Hennie; Lee, David M.; Cummings, Rosey // International Journal of STD & AIDS;Feb2007, Vol. 18 Issue 2, p75 

    Access to sexual health services, by those at highest risk of sexually transmitted infections (STI) is critical to effective STI control. Access to services is determined by the systems that clinics use to prioritize clients. However, despite there being thousands of sexual health services world...

  • Gonorrhoea or chlamydia in a US military HIV-positive cohort. Spaulding, Alicen B.; Lifson, Alan R.; Iverson, Erik R.; Ganesan, Anuradha; Landrum, Michael L.; Weintrob, Amy C.; Agan, Brian K.; Bavaro, Mary F.; O'Connell, Robert J.; Macalino, Grace E. // Sexually Transmitted Infections;Jun2012, Vol. 88 Issue 4, p266 

    Objectives To investigate the epidemiology and risk factors of gonorrhoea (GC) or chlamydia (CT) coinfection in an HIV-positive US military cohort, focusing on the time after participants' knowledge of HIV diagnosis. Methods The authors analysed data from 4461 participants enrolled in the US...

  • High rates of sexually transmissible infections in HIV-positive patients in the Australian HIV Observational Database: a prospective cohort study. Mulhall, Brian P.; Wright, Stephen; Allen, Debbie; Brown, Katherine; Dickson, Bridget; Grotowski, Miriam; Jackson, Eva; Petoumenos, Kathy; Read, Phillip; Read, Timothy; Russell, Darren; Smith, David J.; Templeton, David J.; Fairley, Christopher K.; Law, Matthew G. // Sexual Health (14485028);2014, Vol. 11 Issue 4, p291 

    Background: In HIV-positive people, sexually transmissible infections (STIs) probably increase the infectiousness of HIV. Methods: In 2010, we established a cohort of individuals (n = 554) from clinics in the Australian HIV Observational Database (AHOD).We calculated retrospective rates for four...

  • Dysuria and discharge. McOwan, Alan // GP: General Practitioner;12/12/2008, p27 

    The article offers information on various sexually transmitted infections including chlamydia infection, gonorrhoea, trichomonas, bacterial vaginosis and candida infection. Chlamydia is said to be the main prevent able cause of infertility and is responsible for 50 percent of pelvic inflammatory...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics