Sexually transmitted disease/HIV transmission risk behaviors and sexually transmitted disease prevalence among HIV-positive men receiving continuing care.
OBJECTIVE
HIV primary care clinics offer an environment in which to deliver prevention messages and to conduct sexually transmitted disease (STD) screening. Determination of the prevalence and factors associated with risk-taking behaviors among HIV clinic attendees is needed.


OBJECTIVE
The goal of this study was to describe risk behaviors and STD prevalence in males receiving HIV primary care.


METHODS
Participants underwent an interviewer-administered survey and STD testing during this cross-sectional study.


RESULTS
Over two thirds of study participants reported sexual activity within the prior 6 months of which 6% were infected with gonorrhea or chlamydia. Men performing insertive rectal sex were 5 times less likely to use condoms when the partner was HIV-positive (odds ratio [OR], 5.14; 95% confidence interval [CI], 1.90-13.91), whereas patients with higher CD4 counts were more likely to engage in unprotected receptive rectal sex (OR, 1.20; 95% CI, 1.02-1.42).


CONCLUSIONS
HIV primary care clinics provide access to patients in need of HIV prevention intervention and are appropriate sites for these activities.
Bachmann
Laura H
LH
Department of Medicine, The University of Alabama at Birmingham, Department of Medicine, Birmingham, Alabama, USA. lbachmann@idmail.dom.uab.edu
Grimley
Diane M
DM
Waithaka
Yvonne
Y
Desmond
Renee
R
Saag
Michael S
MS
Hook
Edward W
EW
D000328:Adult; D000368:Aged; D000407:Alabama / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D018562:Disease Transmission, Infectious; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control / Q000635:transmission; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care; D012309:Risk-Taking; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control / Q000635:transmission*; D011795:Surveys and Questionnaires