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Coinfection of Sexually Transmitted Infections among HIV-Positive Individuals: Cross-Sectional Results of a Community-Based Positive Living with HIV (POLH) Study in Nepal.

Abstract
In Asian concentrated HIV epidemics, data on coinfection of sexually transmitted infections (STIs) among HIV-positive individuals are limited. The authors measured the prevalence of Chlamydia trachomatis (CT), Neisseria gonorrhea (NG), and syphilis, and their correlates among 319 HIV-positive individuals in Kathmandu, Nepal. The authors tested blood samples for syphilis and urine samples for CT and NG. Overall, 17 (5.3%) participants had at least 1 STI (CT: 1.3%, NG: 2.8%, and syphilis: 1.2%). Of 226 participants who had sex in past 6 months, 51.3% did not always use condoms. Older (aged 35-60 years) participants were more likely (adjusted odds ratio [AOR] = 3.83; 95% confidence interval [CI] = 1.19-12.33; P = .024) and those who were currently married (AOR = 0.30; 95% CI = 0.09-0.97; P = .046) or on antiretroviral therapy (AOR = 0.21; 95% CI = 0.06-0.71; P = .012) were less likely to have at least 1 STI. Our results suggest the need to strengthen the efforts to screen and treat STIs and to promote safer sexual practices among Nepalese HIV-positive individuals.
AuthorsKrishna C Poudel, Kalpana Poudel-Tandukar, Paula H Palmer, Tetsuya Mizoue, Masamine Jimba, Jun Kobayashi, Bishnu Acharya, Basu Dev Pandey, Shinichi Oka
JournalJournal of the International Association of Providers of AIDS Care (J Int Assoc Provid AIDS Care) 2017 Jul/Aug Vol. 16 Issue 4 Pg. 338-346 ISSN: 2325-9582 [Electronic] United States
PMID26527219 (Publication Type: Journal Article)
Chemical References
  • Anti-HIV Agents
Topics
  • Adult
  • Age Factors
  • Alcohol Drinking (epidemiology)
  • Anti-HIV Agents (therapeutic use)
  • Chlamydia Infections (epidemiology)
  • Chlamydia trachomatis
  • Coinfection (epidemiology)
  • Condoms (statistics & numerical data)
  • Cross-Sectional Studies
  • Female
  • Gonorrhea (epidemiology)
  • HIV Seropositivity (drug therapy, epidemiology)
  • Humans
  • Male
  • Marital Status
  • Middle Aged
  • Nepal (epidemiology)
  • Prevalence
  • Substance Abuse, Intravenous (epidemiology)
  • Syphilis (epidemiology)
  • Unsafe Sex (statistics & numerical data)
  • Young Adult

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