HIV Co-infection among Persons Diagnosed with Sexually Transmitted Diseases, San Francisco, 2007-2014

Sexually Transmitted Diseases
Miao-Jung ChenSandy Schwarcz

Abstract

Early syphilis, gonorrhea, and chlamydia but not HIV infections have increased in San Francisco, primarily among men. We linked records of persons reported with early syphilis, gonorrhea, and chlamydia to records of persons reported with HIV to measure the proportion and characteristics of San Francisco residents with HIV-STD co-infection between 2007 and 2014. We measured trends in HIV co-infection separately for men and women for each STD. From 2007 through 2014, 5,745 early syphilis, 18,037 gonorrhea, and 37,224 chlamydia diagnoses were reported, 66%, 28%, and 15%, respectively, were among persons co-infected with HIV. Men accounted for the majority of persons with early syphilis, gonorrhea, and chlamydia HIV co-infection. For early syphilis and HIV co-infection, among MSM, Latinos were more likely and Asian/Pacific Islanders were less likely to have HIV co-infection compared to Whites. Older age at diagnosis and prior history of a STD were both also significantly associated with early syphilis and HIV co-infection. Transgender persons, older ages, Latino MSM compared to White MSM and those with a prior history of STD were more likely to have HIV co-infection whereas Asian/Pacific Islander MSM were less likely to have HIV co...Continue Reading

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Citations

May 19, 2020·Israel Journal of Health Policy Research·Dor AtiasZohar Mor

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