RT Journal Article
SR Electronic
T1 Report of sexually transmitted diseases by HIV infected men during follow up: time to target the HIV infected?
JF Sexually Transmitted Infections
JO Sex Transm Infect
FD BMJ Publishing Group Ltd
SP 188
OP 192
DO 10.1136/sti.76.3.188
VO 76
IS 3
A1 R N Machekano
A1 M T Bassett
A1 P S Zhou
A1 M T Mbizvo
A1 A S Latif
A1 D A Katzenstein
YR 2000
UL http://sti.bmj.com/content/76/3/188.abstract
AB Objectives: To compare the rate of self reported sexually transmitted diseases (STDs) among HIV infected men with men who remained HIV negative during follow up of a Harare male factory cohort. Methods: Male factory workers were offered enrolment and behavioural data were collected at entry then every 6 months, along with HIV testing. Self report of STDs was used to calculate incidence per 100 person years. Cox proportional hazards models examined independent risk factors for STDs, with hazard ratios (HRs). Results: At entry 20% of men were HIV infected and 11% reported STDs in the previous year. A total of 2777 (82%) of 3383 men enrolled were followed at least once. Compared with men who remained HIV negative, seroconverters had the highest incidence of STDs (16.8 per 100 person years; IRR= 3.3, 95% CI=2.5–4.3); men enrolled HIV positive also reported higher STD incidence (14.5 per 100 person years, IRR=2.8; 95%CI 2.3–5.5). Among HIV positive men, the only independent risk factor for report of urethral discharge was history of multiple partners (HR=10, 95%CI 1.4–73.2). Conclusion: HIV positive men reported threefold higher incidence of STDs than HIV negative men, many related to high risk sexual behaviour.