STD Coinfection and Reinfection Following HIV Diagnosis: Evidence of Continued Sexual Risk Behavior

摘要

In 2004, 424 incident cases of HIV were reported to Baltimore City Health Department. Of them, 53 (12.5%) cases were diagnosed with a sexually transmitted disease following HTV diagnosis. The factors that were statistically significantly associated with coinfection were being a man who has sex with men, commercial sex work, and age under 25 years. HIV counseling procedures, which are delivered during HIV testing, provide information about HIV risk behaviors. The information provided during HIV counseling has been found to reduce risk behaviors in many recipients. However, evidence suggests that certain risk groups will continue risk behaviors after HIV diagnosis, despite the messages delivered during HIV counseling. Previous studies have noted that sexually transmitted disease (STD) infection following an HIV diagnosis, or "STD coinfection," can serve as a surrogate indicator of continued sexual risk behaviors.