title: Sexually transmitted disease/HIV transmission risk behaviors and sexually transmitted disease prevalence among HIV-positive men receiving continuing care.
abstract: 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.
authors.affiliation: Department of Medicine, The University of Alabama at Birmingham, Department of Medicine, Birmingham, Alabama, USA. lbachmann@idmail.dom.uab.edu
authors.forename: Laura H
authors.initials: LH
authors.lastname: Bachmann
authors.forename: Diane M
authors.initials: DM
authors.lastname: Grimley
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Waithaka
authors.forename: Renee
authors.initials: R
authors.lastname: Desmond
authors.forename: Michael S
authors.initials: MS
authors.lastname: Saag
authors.forename: Edward W
authors.initials: EW
authors.lastname: Hook
mesh_terms: 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