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.
|
Authors | Krishna C Poudel, Kalpana Poudel-Tandukar, Paula H Palmer, Tetsuya Mizoue, Masamine Jimba, Jun Kobayashi, Bishnu Acharya, Basu Dev Pandey, Shinichi Oka |
Journal | Journal 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 |
PMID | 26527219
(Publication Type: Journal Article)
|
Chemical References |
|
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
|