HIV transmission risk behavior and its relation to antiretroviral treatment adherence.

Abstract:

BACKGROUND:Rising rates of antiretroviral drug resistance among recently infected persons are evidence of high-risk behavior among persons in HIV care. GOAL:The goal was to determine HIV transmission risk behavior among persons in HIV care and evaluate its association with treatment adherence. STUDY DESIGN:The study involved a structured interview of a random sample of patients in HIV care in an urban public clinic. Participants were categorized by transmission risk: high risk = unprotected anal/vaginal sex and/or needle sharing; low risk = protected anal/vaginal sex, unprotected and/or protected oral sex, no needle sharing; no risk = no sex or needle sharing. RESULTS:Of the 95 participants, 21 (22%) reported high-risk behavior, 36 (38%) reported low-risk behavior, and 38 (40%) reported no transmission risk in the past 3 months. Younger, more educated persons and those with an active substance abuse diagnosis were more likely to have high transmission risk (P < or = 0.05). Patients who engaged in high-risk behavior had equivalent use of antiretroviral therapy (P = 0.80) but lower adherence (P < or = 0.01) and higher median plasma viral loads (P = 0.05). CONCLUSIONS:There was a wide spectrum of transmission risk behavior among persons in HIV care. Persons reporting high-risk behavior were less adherent to antiretroviral therapy, providing a behavioral basis for transmission of drug-resistant HIV.

journal_name

Sex Transm Dis

authors

Flaks RC,Burman WJ,Gourley PJ,Rietmeijer CA,Cohn DL

doi

10.1097/00007435-200305000-00005

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

399-404

issue

5

eissn

0148-5717

issn

1537-4521

journal_volume

30

pub_type

杂志文章
  • Randomized controlled trial on the effectiveness of counseling messages for avoiding unprotected sexual intercourse during sexually transmitted infection and reproductive tract infection treatment among female sexually transmitted infection clinic patient

    abstract:BACKGROUND:The effectiveness of counseling messages to avoid unprotected sex during short-term treatment for curable sexually transmitted infections is unknown. METHODS:We randomized 300 female STI clinic patients 18 years or older with cervicitis and/or vaginal discharge in Kingston, Jamaica, in 2010 to 2011, to 1 of...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/OLQ.0b013e31827938a1

    authors: Anderson C,Gallo MF,Hylton-Kong T,Steiner MJ,Hobbs MM,Macaluso M,Figueroa JP,Jamieson DJ,Legardy-Williams J,Wiener J,Warner L

    更新日期:2013-02-01 00:00:00

  • Poor provider adherence to the Centers for Disease Control and Prevention treatment guidelines in US emergency department visits with a diagnosis of pelvic inflammatory disease.

    abstract:BACKGROUND:Pelvic inflammatory disease (PID) is commonly diagnosed in US emergency departments (EDs). We aimed to estimate national rates of provider adherence to the Centers for Disease Control and Prevention (CDC) treatment guidelines for PID among patient visits, with a diagnosis of acute PID in US ED settings. MET...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31820b8bb4

    authors: Shih TY,Gaydos CA,Rothman RE,Hsieh YH

    更新日期:2011-04-01 00:00:00

  • Plasmid patterns and in-vitro susceptibility of penicillinase-producing Neisseria gonorrhoeae with emphasis on thiamphenicol: results of surveillance in The Netherlands.

    abstract::Susceptibility to thiamphenicol was tested, and plasmids were characterized for 1925 strains of penicillinase-producing Neisseria gonorrhoeae (PPNG) isolated in The Netherlands in 1981 and 1982. Of the 1925 isolates, 771 harbored the so-called "Asia" (4.5-megadalton) resistance plasmid and 1154 had the so called "Afri...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198410001-00011

    authors: van Klingeren B,van Wijngaarden LJ,Dessens-Kroon M

    更新日期:1984-10-01 00:00:00

  • Prevalence and risk factors for herpes simplex virus type 2 antibodies among low- and high-risk populations in Indonesia.

    abstract:OBJECTIVES/GOAL:Data on prevalence of herpes simplex virus type 2 (HSV-2) infections are limited in Asia. This study investigated the seroprevalence of, and risk factors for, antibodies to HSV-2 among low- and high-risk, predominantly asymptomatic populations in Indonesia. STUDY DESIGN:We screened women attending mate...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000230427.01727.80

    authors: Davies SC,Taylor JA,Sedyaningsih-Mamahit ER,Gunawan S,Cunningham AL,Mindel A

    更新日期:2007-03-01 00:00:00

  • Sexual transmission of hepatitis C virus from a patient with chronic disease to his sex partner after removal of an intrauterine device.

    abstract:BACKGROUND:Approximately 40% of patients infected with hepatitis C virus (HCV) have no history of blood transfusion or other high-risk practice. Other causes should be considered. GOAL:The goal was to describe sexual transmission of HCV from a chronic carrier to his female partner during unprotected vaginal intercours...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-200305000-00015

    authors: Quer J,Murillo P,Esteban JI,Martell M,Esteban R,Guardia J

    更新日期:2003-05-01 00:00:00

  • Prevalence and risk behaviors of Hong Kong males who seek cross-border same-sex partners in mainland China.

    abstract:BACKGROUND:Little is known about cross-border sex-networking behaviors among men who have sex with men (MSM) GOAL: The goal of this study was to determine the prevalence of cross-border sex-networking in mainland China among MSM in Hong Kong and the associated risk behaviors STUDY:A telephone survey was conducted. A t...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000137905.94154.0a

    authors: Lau JT,Kim JH,Lau M,Tsui HY

    更新日期:2004-09-01 00:00:00

  • Hepatitis due to herpes simplex virus in a nonpregnant patient: treatment with acyclovir.

    abstract::A previously healthy 19-year-old nonpregnant woman had disseminated infection with herpes simplex virus. The disseminated disease was accompanied by hepatitis. The patient was treated with parenteral acyclovir (5 mg/kg) given every 8 hr. The patient's symptoms resolved after three days of therapy. A review of five sim...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198607000-00014

    authors: Baxter RP,Phillips LE,Faro S,Hoffman L

    更新日期:1986-07-01 00:00:00

  • Identifying likely syphilis transmitters: implications for control and evaluation.

    abstract:BACKGROUND/OBJECTIVES:Persistence of syphilis in communities may be maintained by relatively small groups of high-risk persons centrally placed among a larger group with low to moderately risky behavior. We sought to determine which control strategies identified particularly high-risk, early-stage syphilis cases consid...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000216063.75575.f8

    authors: Kahn RH,Peterman TA,Arno J,Coursey EJ,Berman SM

    更新日期:2006-10-01 00:00:00

  • Failure of serosorting to protect African American men who have sex with men from HIV infection.

    abstract:BACKGROUND:Serosorting is the practice of choosing sex partners or selectively using condoms based on a sex partner's perceived HIV status. The extent to which serosorting protects African American (AA) and Hispanic men who have sex with men (MSM) is unknown. METHODS:We analyzed data collected from MSM sexually transm...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31825727cb

    authors: Golden MR,Dombrowski JC,Kerani RP,Stekler JD

    更新日期:2012-09-01 00:00:00

  • Wild-Type Gyrase A Genotype of Neisseria gonorrhoeae Predicts In Vitro Susceptibility to Ciprofloxacin: A Systematic Review of the Literature and Meta-Analysis.

    abstract::Multidrug-resistant Neisseria gonorrhoeae infections have been declared 1 of the top 3 urgent threats to public health. Approaches to combat resistance include targeted therapy with antibiotics previously thought to be ineffective, made possible by rapid molecular assays to predict susceptibility. Previous studies hav...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/OLQ.0000000000000591

    authors: Allan-Blitz LT,Wang X,Klausner JD

    更新日期:2017-05-01 00:00:00

  • Telephone-administered motivational interviewing to reduce risky sexual behavior in HIV-infected rural persons: a pilot randomized clinical trial.

    abstract:BACKGROUND:Although several studies have characterized patterns and predictors of continued risky sexual behavior in HIV-infected rural persons, far less research has evaluated interventions to reduce risky sex in this group. This pilot randomized clinical trial compared 2 brief telephone-administered interventions des...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/OLQ.0b013e3181c18975

    authors: Cosio D,Heckman TG,Anderson T,Heckman BD,Garske J,McCarthy J

    更新日期:2010-03-01 00:00:00

  • Factors associated with parental intentions for male human papillomavirus vaccination: results of a national survey.

    abstract:BACKGROUND:In October 2009, a quadrivalent vaccine for human papillomavirus (HPV) was licensed in the United States for males aged 9 to 26 years. The attitudes and beliefs of parents play a critical role in uptake of this vaccine because parental consent is typically required for adolescent HPV vaccination. This study ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/OLQ.0b013e318211c248

    authors: Dempsey AF,Butchart A,Singer D,Clark S,Davis M

    更新日期:2011-08-01 00:00:00

  • Declining prevalence rates of syphilis among police officers in Guinea-Bissau, West Africa, 1990-2010.

    abstract::We analyzed prevalence rates of syphilis (positive Treponema pallidum hemagglutinin antigen/T. pallidum particle antigen and venereal disease research laboratory test) among police officers in Guinea-Bissau from 1990 to 2010 and found a significant decline from 4.5% to 0.4% (P = 0.0065). Our results are in line with o...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000012

    authors: Lindman JL,Månsson F,Biague A,Da Silva ZJ,Andersson S,Norrgren H

    更新日期:2013-10-01 00:00:00

  • Urethritis caused by Neisseria meningitidis group B: a case report.

    abstract::We describe a case of acute urethritis caused by Neisseria meningitidis group B in a heterosexual man. The symptoms started five days after intercourse that included fellatio with a casual female partner. No other urethral pathogens could be isolated. After intramuscular administration of penicillin G, clinical signs ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198807000-00007

    authors: Hartmann AA,Elsner P

    更新日期:1988-07-01 00:00:00

  • Incidence and repeat infection rates of Chlamydia trachomatis among male and female patients in an STD clinic: implications for screening and rescreening.

    abstract:BACKGROUND:Nucleic acid amplification tests permit widespread screening for Chlamydia trachomatis. However, the public health benefit of screening may be reduced by high chlamydia incidence and repeat infection rates. GOAL:To study chlamydia incidence and repeat infection among clients of a sexually transmitted diseas...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-200202000-00001

    authors: Rietmeijer CA,Van Bemmelen R,Judson FN,Douglas JM Jr

    更新日期:2002-02-01 00:00:00

  • A prospective study of risk factors for bacterial vaginosis in HIV-1-seronegative African women.

    abstract:BACKGROUND:Bacterial vaginosis (BV) is common and has been associated with increased HIV-1 susceptibility. The objective of this study was to identify risk factors for BV in African women at high risk for acquiring HIV-1. METHODS:We conducted a prospective study among 151 HIV-1-seronegative Kenyan female sex workers. ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31816907fa

    authors: McClelland RS,Richardson BA,Graham SM,Masese LN,Gitau R,Lavreys L,Mandaliya K,Jaoko W,Baeten JM,Ndinya-Achola JO

    更新日期:2008-06-01 00:00:00

  • Biomarkers of cervicovaginal inflammation for the assessment of microbicide safety.

    abstract::The human cervicovaginal mucosa is the primary target of HIV-1 infection during male to female transmission. This tissue contains the the full spectrum of cell types and immune modulators that comprise both the innate and adaptive arms of the immune system. Mounting evidence indicates that mucosal epithelial cells are...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审

    doi:10.1097/OLQ.0b013e3181994191

    authors: Cummins JE Jr,Doncel GF

    更新日期:2009-03-01 00:00:00

  • Coital bleeding and HIV risks among men and women in Cape Town, South Africa.

    abstract:BACKGROUND:South Africa has one of the world's fastest growing HIV epidemics. Genital bleeding during sexual intercourse may play a role in facilitating HIV transmission in South Africa. PURPOSE:The purpose of this study was to examine the prevalence and sources of coital bleeding among men and women living in a Cape ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000218868.76820.7f

    authors: Kalichman SC,Simbayi LC,Cain D,Cherry C,Jooste S

    更新日期:2006-09-01 00:00:00

  • Can experiential-didactic training improve clinical STD practices?

    abstract:BACKGROUND:High rates of sexually transmitted diseases (STDs) present an ongoing costly public health challenge. One approach to reduce STD transmission is to increase the number of clinicians adopting the Centers for Disease Control and Prevention's STD Treatment Guidelines. This evaluation assesses the effectiveness ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e3182045306

    authors: Dreisbach S,Devine S,Fitch J,Anderson T,Lee T,Rietmeijer C,Corbett KK

    更新日期:2011-06-01 00:00:00

  • The Significant Impact of Different Insurance Enrollment Criteria on the HEDIS Chlamydia Screening Measure for Young Women Enrolled in Medicaid and Commercial Insurance Plans.

    abstract:OBJECTIVE:The impact of length of enrollment in a health plan on eligibility of women under the Healthcare Effectiveness Data and Information Set (HEDIS) chlamydia screening measure is not fully understood. We assessed the representativeness of the measure among the proportion of women aged 15 to 24 years with a gap in...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000338

    authors: Patel CG,Tao G

    更新日期:2015-10-01 00:00:00

  • Predictors of chronic pelvic pain in an urban population of women with symptoms and signs of pelvic inflammatory disease.

    abstract:OBJECTIVE:The objective of this study was to assess the risk profile for chronic pelvic pain (CPP) after pelvic inflammatory disease (PID). STUDY:Multivariate logistic regression was used to assess risk factors for CPP in a longitudinal study of 780 predominately black, urban women with clinically suspected PID: compl...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000162361.69041.a5

    authors: Haggerty CL,Peipert JF,Weitzen S,Hendrix SL,Holley RL,Nelson DB,Randall H,Soper DE,Wiesenfeld HC,Ness RB,PID Evaluation and Clinical Health (PEACH) Study Investigators.

    更新日期:2005-05-01 00:00:00

  • Low prevalence of ciprofloxacin-resistant Neisseria gonorrhoeae in Nuuk, Greenland.

    abstract::During a 35-day period, 32 isolates of Neisseria gonorrhoeae strains were collected by culture from patients with positive nucleic acid amplification test results in Nuuk, Greenland, where ciprofloxacin is the preferred treatment. All isolates were quinolone susceptible, suggesting that resistance is rare. Sampling pa...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.OLQ.0000430780.79488.0f

    authors: Pedersen ML,Clausen-Dichow P,Poulsen P,Nyborg H,Jensen JS

    更新日期:2013-08-01 00:00:00

  • Acceptability of urine-based screening for Chlamydia trachomatis to asymptomatic young men and their providers.

    abstract:OBJECTIVE:The objective of this study was to describe acceptability of urine chlamydia testing among asymptomatic men and providers' attitudes toward testing. STUDY DESIGN:Asymptomatic men (no urethral discharge/dysuria) were offered free testing and characteristics of men who accepted were compared with those who dec...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.olq.0000230438.12636.eb

    authors: Marrazzo JM,Ellen JM,Kent C,Gaydos C,Chapin J,Dunne EF,Rietmeijer CA

    更新日期:2007-03-01 00:00:00

  • Agreement in reported sexual partnership dates and implications for measuring concurrency.

    abstract:OBJECTIVES:To describe the reliability of reported dates of first and last sexual exposure, as elicited from sexually transmitted disease/human immunodeficiency virus cases during routine contact investigation, and determine their adequacy for assessing concurrency. METHODS:We used contact tracing data from 5 studies ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000204746.58160.c1

    authors: Brewer DD,Rothenberg RB,Muth SQ,Roberts JM Jr,Potterat JJ

    更新日期:2006-05-01 00:00:00

  • Barriers to reproductive tract infection (RTI) care among Vietnamese women: implications for RTI control programs.

    abstract:BACKGROUND:Vietnamese women may be especially vulnerable to reproductive tract infections (RTIs) and their biological and social sequelae. Few data are available on the prevalence of and health-seeking behavior for RTIs among women in Vietnam. GOAL:To assess prevalence of RTI symptoms, describe treatment-seeking behav...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-200204000-00003

    authors: Go VF,Quan VM,A C,Zenilman JM,Moulton LH,Celentano DD

    更新日期:2002-04-01 00:00:00

  • Insurance Coverage and Utilization at a Sexually Transmitted Disease Clinic in a Medicaid Expansion State.

    abstract:BACKGROUND:In Rhode Island, the Patient Protection and Affordable Care Act has led to over 95% of the state's population being insured. We evaluated insurance coverage and barriers to insurance use among patients presenting for services at the Rhode Island sexually transmitted disease (STD) clinic. METHODS:We analyzed...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000585

    authors: Montgomery MC,Raifman J,Nunn AS,Bertrand T,Uvin AZ,Marak T,Comella J,Almonte A,Chan PA

    更新日期:2017-05-01 00:00:00

  • A Comparison of Two Mathematical Modeling Frameworks for Evaluating Sexually Transmitted Infection Epidemiology.

    abstract:BACKGROUND:Different models of sexually transmitted infections (STIs) can yield substantially different conclusions about STI epidemiology, and it is important to understand how and why models differ. Frequency-dependent models make the simplifying assumption that STI incidence is proportional to STI prevalence in the ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000412

    authors: Johnson LF,Geffen N

    更新日期:2016-03-01 00:00:00

  • Risk factors for oral human papillomavirus in adults infected and not infected with human immunodeficiency virus.

    abstract:BACKGROUND AND OBJECTIVES:To investigate in a cross-sectional study the determinants of oral human papillomavirus infection in 287 individuals who are sexually active. GOAL:To assess prevalence as well as risk factors for oral human papillomavirus infection. STUDY DESIGN:One hundred seventy-eight human immunodeficien...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-199701000-00006

    authors: Coutlée F,Trottier AM,Ghattas G,Leduc R,Toma E,Sanche G,Rodrigues I,Turmel B,Allaire G,Ghadirian P

    更新日期:1997-01-01 00:00:00

  • Prevalence of human papillomavirus infection in Guangdong Province, China: a population-based survey of 78,355 women.

    abstract:BACKGROUND:The prevalence of human papillomavirus (HPV) infection and the distribution of different HPV genotypes vary greatly within different geographical and ethnic populations, especially in Asia. The HPV infection data based on regional population are extremely important for researchers to develop new efficient HP...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000201

    authors: Jing L,Zhong X,Zhong Z,Huang W,Liu Y,Yang G,Zhang X,Zou J,Jing C,Wei X

    更新日期:2014-12-01 00:00:00

  • Diagnostic considerations in intra-amniotic syphilis.

    abstract::Amniotic fluid is rarely used in the evaluation of syphilis during pregnancy but was available from a woman with positive serologic tests in the 30th week of gestation. Nonmotile intra-amniotic spirochetes were seen by dark-field microscopy 20 hr after treatment with benzathine penicillin G. The identity of the organi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198507000-00010

    authors: Glover DD,Winter CA,Charles D,Larsen B

    更新日期:1985-07-01 00:00:00