Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Jun;88(4):266-71.
doi: 10.1136/sextrans-2011-050173. Epub 2012 Jan 4.

Gonorrhoea or chlamydia in a U.S. military HIV-positive cohort

Alicen B Spaulding  1 , Alan R Lifson, Erik R Iverson, Anuradha Ganesan, Michael L Landrum, Amy C Weintrob, Brian K Agan, Mary F Bavaro, Robert J O'Connell, Grace E Macalino; Infectious Disease Clinical Research Program HIV Working Group
Collaborators, Affiliations

Gonorrhoea or chlamydia in a U.S. military HIV-positive cohort

Alicen B Spaulding et al. Sex Transm Infect. 2012 Jun.

Abstract

Objectives: To investigate the epidemiology and risk factors of gonorrhoea (GC) or chlamydia (CT) coinfection in an HIV-positive US military cohort, focusing on the time after participants' knowledge of HIV diagnosis.

Methods: The authors analysed data from 4461 participants enrolled in the U.S. Military Natural History Study cohort for GC or CT infection ≥6 months after their HIV-positive test.

Results: During a mean follow-up of 7.08 years, 482 (11%) participants acquired a GC or CT infection. Of these, 283 (6%) acquired a GC infection, 278 (6%) acquired a CT infection and 123 (3%) had multiple GC or CT infections during follow-up. Risk of GC or CT infection was significantly greater in those younger, male, African-American and with a history of GC or CT infection.

Conclusions: Frequent GC and CT diagnoses observed among members of this HIV-positive cohort indicate substantial ongoing risk behaviours that raise concerns for HIV transmission and underscore the need for continued screening to help identify and treat these sexually transmitted infections in this population.

PubMed Disclaimer

Conflict of interest statement

The authors have no commercial or other association that might pose a conflict of interest.

Figures

Figure 1.
Figure 1.
Flowchart of eligible participants.
Figure 2.
Figure 2.
Graph of rates of GC, CT, and GC or CT infection by calendar year
Figure 3.
Figure 3.
Histogram of time between HIV documented positive and positive GC or CT test
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Bautista CT, Sateren WB, Sanchez JL, Rathore Z, Singer DE, Birx DL, et al. HIV Incidence Trends among White and African-American Active Duty United States Army personnel (1986–2003). J Acquir Immune Defic Syndr. 2006;43(3):351–5. - PubMed
    1. Armed Forces Health Surveillance Center. Sexually transmitted infections, U.S. Armed Forces, 2004–2009. Medical Surveillance Monthly Report 2010;17(8):2–10.
    1. Centers for Disease Control. Recommendations for incorporating human immunodeficiency virus (HIV) prevention into the medical care of persons living with HIV. Clin Infect Dis. 2004;38(1):104–21. - PubMed
    1. Centers for Disease Control. 2009. Sexually Transmitted Disease Surveilliance: Chlamydia 2009 [cited 2010 December 14]; Available from: http://www.cdc.gov/std/stats09/chlamydia.htm
    1. Centers for Disease Control. 2009. Sexually Transmitted Disease Surveillance: Gonorrhea. 2009 [cited 2010 December 14]; Available from: http://www.cdc.gov/std/stats09/gonorrhea.htm

Publication types

LinkOut - more resources