HIV prevalence in patients with syphilis, United States.

Abstract:

BACKGROUND:Among persons with a sexually transmitted disease (STD), the proportion who are also infected with HIV is a major factor influencing the public health impact of that STD on HIV transmission. GOAL:To assess HIV infection in persons with syphilis in the United States. STUDY DESIGN:A systematic literature review was conducted of U.S. studies with HIV seroprevalence data in patients with syphilis. RESULTS:Thirty studies were identified and analyzed. The median HIV seroprevalence in men and women infected with syphilis was 15.7% (interquartile range [IQR]: 13.6-21.8%), among men was 27.5% (23.1-29.6%), and among women was 12.4% (8.3-20.5%). Median odds ratios for men and women, men only, and women only were 4.5, 8.5, and 3.3, respectively. Seroprevalences among men who have sex with men (MSM) and injecting drug users (IDU) ranged from 64.3-90.0% and 22.5-70.6%, respectively. CONCLUSIONS:Despite substantial variability, HIV seroprevalence is high among patients with syphilis in the United States, identifying them as a critical target group for HIV prevention efforts.

journal_name

Sex Transm Dis

authors

Blocker ME,Levine WC,St Louis ME

doi

10.1097/00007435-200001000-00011

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

53-9

issue

1

eissn

0148-5717

issn

1537-4521

journal_volume

27

pub_type

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