Incidence of three sexually transmitted diseases during a safer sex promotion program for HIV-infected women
Cite this article as: Kissinger, P., Clark, R., Dumestre, J. et al. J Gen Intern Med (1996) 11: 750. doi:10.1007/BF02598989 Abstract
Promotion of safer sex practices typically includes education, skills building, and condom distribution. To evaluate the impact of such promotions and describe risk factors for sexually transmitted disease (STD), a retrospective review of 741 sexually active HIV-infected women was conducted. The cohort was African-American (82%), at least 22 years of age (81%), acquired HIV through sex (36%), had a CD
4 count above 200/ mm 3 (76%), and had a history of substance (alcohol or drug) use (38%). Those with incident STD (14.7%) were more likely to be under 22 years of age, to have a history of substance use, and to have an STD at entry. Traditional methods of promoting safer sex practices should be enhanced by other options such as regular screening, partner treatment, and the use of microbicides and other female-controlled methods. Key words HTV sexually transmitted disease safer sex practices women
Received from the Department of Medicine, Louisiana State University, New Orleans.
Laga M, Alary M, Nzila N, et al. Condom promotion, sexually transmitted disease treatment, and declining incidence of HIV-1 infection in female Zairian sex workers. Lancet. 1994;344:246–8.
Wynendaele B, Bomba W, M’Manga W, Bhart S, Fransen L. Impact of counseling on safer sex and STD occurrence among STD patients in Malawi. Int J STD AIDS. 1995;6:105–9.
Wenger NS, Kusseling FS, Shapiro MF. Misunderstanding of “safer sex” by heterosexually active adults. Public Health Rep. 1995;110:618–21.
Wenger NS, Kusseling FS, Beck K, Shapiro M. Sexual behavior of individuals Infected with the human immunodeficiency virus. The need for intervention. Arch Intern Med. 1994;154:1849–51.
Kennedy C, Skurnick J, Quattrone G, et al. Psychological distress, drug and alcohol use as correlates of condom use in HlV-serodiscordant heterosexual couples. AIDS. 1993;7:1493–9.
De Vincenzi I. A longitudinal study of human immunodeficiency virus transmission by heterosexual partners. N Engl J Med. 1994;331:341–6.
Centers for Disease Control and Prevention. 1993 Sexually transmitted diseases treatment guidelines. MMWR. 1993;42:RR-14.
Weller SC. A meta-analysis of condom effectiveness in reducing sexually transmitted HIV. Soc Sci Med. 1993;36:1635–44.
Chan-Chee C, De Vincenzi I, Sole-Pla MA, Ancelle-Park R, Brunet JB. Use and misuse of condoms. Genitourin Med. 1991;67:173.
Kline A, VanLandinghan M. HIV-infected women and sexual risk reduction: the relevance of existing models of behavior change. AIDS Educ Prev. 1994;6:390–402.
Clark RA, Kissinger P, Bedimo AL, Dunn P, Albertin H. Determination of factors associated with condom use among women infected with human immunodeficiency virus. Int J STD AIDS. 1996. In press.
Ehrhardt AA, Exner TM, Hoffman S, Loeb I. Women’s protection from HIV/STD infection beyond the male condom. Presented at the XIth International Conference on AIDS, Vancouver, Canada, July 7–12, 1996. Abstract 4505.
Jones BM, Hicks DA, Patel R, Wordsworth JM. Comparison of the influence of spermicidal and non-spermicidal contraception on bacterial vaginosis, candidal infection and inflammation of the vagina—a preliminary study. Int J STD AIDS. 1994;5:362–4.
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