New sexually transmitted diseases in HIV-infected patients: Markers for ongoing HIV transmission behavior

Emily J. Erbelding, Shang En Chung, Mary L. Kamb, Kathleen L. Irwin, Anne M. Rompalo

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


Objective: The objective of this study was to describe the rate of new sexually transmitted diseases (STDs) among HIV-infected patients and to define the behavioral and clinical characteristics of HIV-infected patients who return with a new STD in follow-up. Design: The study design was a record-based clinical cohort study focusing on patients testing HIV-seropositive in the STD clinics of Baltimore, Maryland from 1993 to 1998. Methods: The authors identified those HIV-infected patients later diagnosed with an STD in follow-up and compared their demographic, behavioral, and clinical characteristics with those who were not diagnosed with an STD in follow-up. Results: Of 796 men and 354 women with HIV infection, 13.9% of men and 11.9% of women were diagnosed with an STD after their initial HIV diagnosis. HIV-infected men returned with a new STD at a rate of 7 cases per 100 person-years; HIV-infected women returned at a rate of 5.6 cases per 100 person-years. In men, multiple sex partners and sex worker contact were associated with a subsequent STD diagnosis (OR = 1.67, p = .037; OR = 1.82, p = .015, respectively). In women, age younger than 30 years was associated with the diagnosis of an STD after the diagnosis of HIV infection (OR = 2.94, p = .0009). Conclusions: Patients diagnosed with HIV in an STD clinic setting commonly return with new STDs in follow-up, suggesting continued exposure of HIV to others. More intensive screening and counseling interventions focused on STD prevention in those with HIV infection is a necessary HIV prevention strategy.

Original languageEnglish (US)
Pages (from-to)247-252
Number of pages6
JournalJournal of Acquired Immune Deficiency Syndromes
Issue number2
StatePublished - Jun 1 2003


  • HIV transmission
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)


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