title: Prevalence, incidence, and persistence or recurrence of trichomoniasis among human immunodeficiency virus (HIV)-positive women and among HIV-negative women at high risk for HIV infection.
abstract: Trichomoniasis has been implicated in the acquisition and transmission of human immunodeficiency virus (HIV) infection. The prevalence, incidence, and persistence or recurrence of trichomoniasis were assessed among HIV-positive women and among HIV-negative women at high risk for HIV infection. A total of 871 HIV-seropositive women and 439 HIV-seronegative women enrolled in the HIV Epidemiology Study (HERS) were seen biannually. The prevalence of trichomoniasis was 9.4%-29.5% among HIV-seropositive women and 8.2%-23.4% among HIV-seronegative women. Prevalence decreased over time, did not vary according to HIV status or CD4 cell count, and was higher among women who reported crack use (P=.02) or cigarette use (P=.02), women who had bacterial vaginosis (P=.02), and those who were black (compared with white women, P<.001). There were no differences, according to HIV status or CD4 cell count, in the adjusted incidence, unadjusted incidence, or persistence or recurrence of trichomoniasis. HIV infection does not make a woman more likely to have prevalent, incident, or persistent or recurrent trichomoniasis.
authors: Brown University, Providence, RI, USA. scu-uvin@lifespan.org
authors: Susan
authors: S
authors: Cu-Uvin
authors: Hyejin
authors: H
authors: Ko
authors: Denise J
authors: DJ
authors: Jamieson
authors: Joseph W
authors: JW
authors: Hogan
authors: Paula
authors: P
authors: Schuman
authors: Jean
authors: J
authors: Anderson
authors: Robert S
authors: RS
authors: Klein
mesh_terms: D005260:Female; D015658:HIV Infections / Q000150:complications / Q000276:immunology*; D018023:HIV Seronegativity / Q000276:immunology*; D006679:HIV Seropositivity / Q000276:immunology*; D015497:HIV-1 / Q000276:immunology*; D006801:Humans; D015994:Incidence; D015999:Multivariate Analysis; D016017:Odds Ratio; D015995:Prevalence; D012008:Recurrence; D012307:Risk Factors; D014245:Trichomonas Infections / Q000453:epidemiology* / Q000276:immunology