Occurrence of New Sexually Transmitted Diseases in Males After HIV Diagnosis

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, B1 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.

Sexual Health Knowledge in a Sample of Perinatally HIV-Infected and Perinatally Exposed Uninfected Youth

“…The results indicate the need for sexual health education in both groups, particularly for PHIV+ youth who are more susceptible to contracting STDs (Cohen, 2004; Whiteside et al, 2013), for whom STDs increase the risk for secondary transmission of HIV to their partners (CDC, 2007), and for whom few evidence-based prevention programs exist. Our data also suggest that prevention interventions, which provide information about sexual health beyond just HIV infection, and which foster caregiver-child risk communication for PHIV+ and PHIV− adolescents, may be most effective.…”

“…Teens in general make up more than 1 in 4 diagnosed STD cases in NYC (NYSDOHMH, 2010), thus increasing the potential for transmission via sexual partners. Also, drawing from adult studies, findings reveal that people living with HIV are at higher risk for acquiring other STDs (Cohen, 2004; Scheer, Chu, Klausner, Katz, & Schwarcz, 2001; Whiteside, Merchant, Hussey, Adams, & Duffus, 2013)…”

“…Creating evidence-based prevention programs geared toward HIV+ individuals and those who live in areas where HIV is highly concentrated is part of the national HIV/AIDS strategy (White House Office of National AIDS Policy, 2010). To date, there are few if any evidence-based HIV prevention programs for PHIV+ youth.…”