TY - JOUR
T1 - Gonorrhoea or chlamydia in a US military HIV-positive cohort
AU - Spaulding, Alicen B.
AU - Lifson, Alan R.
AU - Iverson, Erik R.
AU - Ganesan, Anuradha
AU - Landrum, Michael L.
AU - Weintrob, Amy C.
AU - Agan, Brian K.
AU - Bavaro, Mary F.
AU - O'Connell, Robert J.
AU - Macalino, Grace E.
AU - Polis, M.
AU - Powers, J.
AU - Tramont, E.
AU - Lalani, T.
AU - Banks, S.
AU - Crum-Cianflone, N.
AU - Chun, H.
AU - Linfesty, M.
AU - Decker, C.
AU - Fraser, S.
AU - Hartzell, J.
AU - Rossner, R.
AU - Waterman, P.
AU - Wortmann, G.
AU - Warkentien, T.
AU - Whitman, T.
AU - Zapor, M.
AU - Okulicz, J.
AU - Merritt, S.
AU - Hsue, G.
AU - Johnson, A.
AU - Eberly, L.
AU - Kortepeter, M.
AU - Peel, S.
AU - Eggleston, C.
PY - 2012/6
Y1 - 2012/6
N2 - 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 Military Natural History Study cohort for GC or CT infection ≥6 months after their HIV-positive test. Results: During a mean follow-up of 7.08 years, 482 (11%) participants acquired a GC or CT infection. Of these, 283 (6%) acquired a GC infection, 278 (6%) acquired a CT infection and 123 (3%) had multiple GC or CT infections during follow-up. Risk of GC or CT infection was significantly greater in those younger, male, African-American and with a history of GC or CT infection. Conclusions: Frequent GC and CT diagnoses observed among members of this HIV-positive cohort indicate substantial ongoing risk behaviours that raise concerns for HIV transmission and underscore the need for continued screening to help identify and treat these sexually transmitted infections in this population.
AB - 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 Military Natural History Study cohort for GC or CT infection ≥6 months after their HIV-positive test. Results: During a mean follow-up of 7.08 years, 482 (11%) participants acquired a GC or CT infection. Of these, 283 (6%) acquired a GC infection, 278 (6%) acquired a CT infection and 123 (3%) had multiple GC or CT infections during follow-up. Risk of GC or CT infection was significantly greater in those younger, male, African-American and with a history of GC or CT infection. Conclusions: Frequent GC and CT diagnoses observed among members of this HIV-positive cohort indicate substantial ongoing risk behaviours that raise concerns for HIV transmission and underscore the need for continued screening to help identify and treat these sexually transmitted infections in this population.
UR - http://www.scopus.com/inward/record.url?scp=84861683669&partnerID=8YFLogxK
U2 - 10.1136/sextrans-2011-050173
DO - 10.1136/sextrans-2011-050173
M3 - Article
C2 - 22223813
AN - SCOPUS:84861683669
SN - 1368-4973
VL - 88
SP - 266
EP - 271
JO - Sexually Transmitted Infections
JF - Sexually Transmitted Infections
IS - 4
ER -