Sexually transmitted disease/HIV transmission risk behaviors and sexually transmitted disease prevalence among HIV-positive men receiving continuing care

Sex Transm Dis. 2005 Jan;32(1):20-6. doi: 10.1097/01.olq.0000148293.81774.e4.


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.

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

Study: 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).

Conclusion: HIV primary care clinics provide access to patients in need of HIV prevention intervention and are appropriate sites for these activities.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Alabama / epidemiology
  • Cross-Sectional Studies
  • Delivery of Health Care
  • Disease Transmission, Infectious*
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / etiology
  • HIV Infections / prevention & control
  • HIV Infections / transmission
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Primary Health Care
  • Risk-Taking*
  • Sexually Transmitted Diseases / epidemiology*
  • Sexually Transmitted Diseases / etiology
  • Sexually Transmitted Diseases / prevention & control
  • Sexually Transmitted Diseases / transmission*
  • Surveys and Questionnaires