Tackling STI epidemics through the HIV clinic: is sex high enough on the agenda?

Ferrand, RA; de Silva, S; Cartledge, JD; (2008) Tackling STI epidemics through the HIV clinic: is sex high enough on the agenda? International journal of STD & AIDS, 19 (10). pp. 711-2. ISSN 0956-4624 DOI: https://doi.org/10.1258/ijsa.2008.008048

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: Sexually transmitted infection (STI) rates among men having sex with men continue to increase. HIV services may operate independently to genitourinary medicine clinics and the sexual health of HIV-positive patients may be of low priority in the context of medical problems related to HIV. A prospective study of HIV-positive gay men was conducted in a London outpatient clinic over a three-month period. Data were available for 90 men. Forty-five percent had STI screens in the preceding six months. These revealed a high rate of infections; 26 infections diagnosed in 14 men in the study period. Fifty-seven percent of the 90 men in the study had more than one partner in the past three months and approximately one-third had unprotected sexual activity. A significant proportion of men were unaware of recent outbreaks of hepatitis C and lymphogranuloma venereum and of HIV postexposure prophylaxis. We therefore recommend that sexual history-taking, STI screens and health promotion should become a routine feature of HIV outpatient consultations in this group.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 18824626
Web of Science ID: 260580000013
URI: http://researchonline.lshtm.ac.uk/id/eprint/288710


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