title: Current issues and considerations regarding trichomoniasis and human immunodeficiency virus in African-Americans.
abstract: Trichomonas vaginalis has long been recognized as one of the most prevalent sexually transmitted infections. However, it is only in recent years that it has been appreciated that Trichomonas may play a critical role in amplifying human immunodeficiency virus (HIV) transmission. Given the evidence that T. vaginalis likely promotes HIV infection, the apparent high level of Trichomonas infection in the African-American community is cause for concern. Even if T. vaginalis increases the risk of HIV transmission by a small or modest amount, it translates into a sizable population effect since Trichomonas is so common in this community. Therefore, control of trichomoniasis may represent an important avenue of control for the prevention of HIV transmission, particularly among African-Americans.
authors.affiliation: Department of Epidemiology, Center for Health Sciences, UCLA School of Public Health, Los Angeles, CA 90024, USA. sshafir@ucla.edu
authors.forename: Shira C
authors.initials: SC
authors.lastname: Shafir
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Sorvillo
authors.forename: Lisa
authors.initials: L
authors.lastname: Smith
mesh_terms: D001741:Black or African American; D000818:Animals; D015658:HIV Infections / Q000453:epidemiology* / Q000635:transmission*; D006801:Humans; D014245:Trichomonas Infections / Q000150:complications* / Q000453:epidemiology* / Q000469:parasitology; D014246:Trichomonas vaginalis / Q000302:isolation & purification