Syphilis in Atlanta During an Era of Declining Incidence

Fleming, Douglas T.; Levine, William C.; Trees, David L.; Tambe, Pradnya; Toomey, Kathleen; Louis, Michael E. St.

doi:10.1097/00007435-200002000-00003

Cited by 10 publications

(9 citation statements)

References 17 publications

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“…While it was not commonly reported, those who were incarcerated were 2-7 times more likely to acquire STIs. The timing of the episode of incarceration in relation to STI acquisition cannot be determined in this study, however incarceration has been associated with STIs in other studies, including HIV, 27-29 HSV-2, 30 and syphilis, 31 and it is an environment conducive to the spread of HIV and STI among drug users, as needles are frequently shared when injecting drugs and condom availability is limited. 32-34 MA use is criminalized in Thailand and accounts for almost three-quarters of drug-related offenses.…”

Section: Discussionmentioning

confidence: 83%

Incidence of HIV and Sexually Transmitted Infections and Risk Factors for Acquisition Among Young Methamphetamine Users in Northern Thailand

Sutcliffe¹,

Aramrattana²,

Sherman³

et al. 2009

Sexually Transmitted Diseases

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Background Southeast Asia is experiencing an epidemic of methamphetamine use, a drug associated with risky sexual behaviors, putting a large segment of the population at increased risk for STI and HIV and in need of prevention efforts. Incidence estimates of sexually transmitted infections (STIs) are rare in Southeast Asia, especially among newer risk groups. Study Design We enrolled methamphetamine users aged 18 to 25 years in a 12-month randomized behavioral intervention trial in Chiang Mai, Thailand in 2005. Behavioral questionnaires were administered at visits every three months and biological specimens were collected at baseline and 12 months to test for common STIs (chlamydia, gonorrhea, HSV-2, and HIV). Poisson regression with robust variance was used to determine risk factors for incident STIs. Results Overall, 12.7% of 519 participants acquired at least one STI. Chlamydia was the most common (10.6%), followed by HSV-2 (4.0%), gonorrhea (2.9%), and HIV (0.6%). Risk factors for both men and women included self-reported incarceration and having a casual sex partner during follow-up, and having a prevalent STI at baseline. Additionally, among women, having 2 or more heterosexual partners, and among men, having a greater frequency of drunkenness were risk factors for STI acquisition. Conclusions While HIV incidence is low in this population, incidence of other STIs is high compared to previous studies of young Thai adults. Risk factors for acquisition emphasize the need for new prevention strategies targeted towards current populations at risk.

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Section: Discussionmentioning

confidence: 83%

Incidence of HIV and Sexually Transmitted Infections and Risk Factors for Acquisition Among Young Methamphetamine Users in Northern Thailand

Sutcliffe¹,

Aramrattana²,

Sherman³

et al. 2009

Sexually Transmitted Diseases

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“…One of the most commonly used diagnostic tests is PCR detection of T. pallidum in primary syphilis, in patients with GUD. Numerous studies of PCR detection of T. pallidum in GUD in various parts of the world have been published; for example Malawi [32], USA [28,33,34], Lesotho [35,36], India [37], Madagascar [38], Kenya [39], the Netherlands [40], South Africa [41], Tanzania [42], UK [43], the Czech Republic [30,44] and China [45]. The percentage of PCR-positive samples in seropositive patients varies widely from 17.5 to 93% [43,[46][47][48].…”

Section: Detection Of T Pallidum In Various Stages Of Syphilis and Imentioning

confidence: 99%

Diagnosis of syphilis by polymerase chain reaction and molecular typing of Treponema pallidum

Šmajs¹,

Matějková²,

Woznicová³

et al. 2006

Reviews in Medical Microbiology

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“…[1][2][3][4][5] Similarly, there has been a recent resurgence of syphilis among people with HIV in many cities across the United States. [6][7][8] These data emphasize the importance of alternative strategies to prevent the continued spread of HIV/AIDS in the United States. National strategies have recognized the importance of incorporating HIV prevention into the medical care setting.…”

Section: Delivery Of Hiv Prevention Counseling By Physicians At Hiv Mmentioning

confidence: 99%

Delivery of HIV Prevention Counseling by Physicians at HIV Medical Care Settings in 4 US Cities

et al. 2004

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Syphilis in Atlanta During an Era of Declining Incidence

Abstract: To prevent syphilis and associated HIV, more extensive STD education is needed in jails and drug-treatment centers.

Cited by 10 publications

References 17 publications

Incidence of HIV and Sexually Transmitted Infections and Risk Factors for Acquisition Among Young Methamphetamine Users in Northern Thailand

Incidence of HIV and Sexually Transmitted Infections and Risk Factors for Acquisition Among Young Methamphetamine Users in Northern Thailand

Diagnosis of syphilis by polymerase chain reaction and molecular typing of Treponema pallidum

Delivery of HIV Prevention Counseling by Physicians at HIV Medical Care Settings in 4 US Cities

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