Predictors of chlamydia or gonorrhea among people with HIV in Miami-Dade County Ryan White Program in 2017

The purpose of this study was to assess the prevalence of chlamydia or gonorrhea and factors associated with the diagnoses among people with HIV (PHIV) in the Ryan White Program Part A (RWP) in Miami-Dade County, Florida. We used 2017 calendar year data to identify factors associated with a chlamydi...

Full description

Saved in:
Bibliographic Details
Published in:AIDS care 2022-05, Vol.34 (5), p.615-620
Main Authors: Gebrezgi, Merhawi T., Fennie, Kristopher P., Sheehan, Diana M., Ibrahimou, Boubakari, Jones, Sandra G., Brock, Petra, Ladner, Robert A., Trepka, Mary Jo
Format: Article
Language:English
Subjects:
Adolescent
Adult
Chlamydia
Chlamydia trachomatis
Confidence intervals
Epidemiology
Florida - epidemiology
Gonorrhea
Gonorrhea - diagnosis
Gonorrhea - epidemiology
Gonorrhea - prevention & control
HIV
HIV Infections - diagnosis
HIV Infections - epidemiology
HIV-infected
Human immunodeficiency virus
Humans
Medical screening
predictors
Prevalence
Risk behavior
Risk management
Risk reduction
Risk taking
screening
Sexual behavior
Sexual Partners
Sexually transmitted diseases
Statistical analysis
STD
Young Adult
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The purpose of this study was to assess the prevalence of chlamydia or gonorrhea and factors associated with the diagnoses among people with HIV (PHIV) in the Ryan White Program Part A (RWP) in Miami-Dade County, Florida. We used 2017 calendar year data to identify factors associated with a chlamydia or gonorrhea diagnoses using logistic regression. About 50% of the 7110 PHIV who were ≥18 years old in active Ryan White care in 2017 reported being screened for chlamydia or gonorrhea. Of those screened, 2.3% reported diagnoses of chlamydia, gonorrhea or both. In the adjusted model, compared to PHIV ≥40 years-old, PHIV aged 18-24 and 25-39 years reported higher odds of diagnoses (adjusted odds ratio [aOR] 4.29; 95% confidence interval [CI]: 1.73-10.63 and aOR 4.58; 95% CI; 2.62-7.99 respectively). Those with multiple sexual partners in the last 12 months reported higher odds of diagnoses (aOR 1.67; (95% CI; 1.04-2.69)). Screening rates for chlamydia or gonorrhea are low, relative to CDC guidelines. Interventions are needed to increase rates of screening and targeted behavioral risk reduction techniques are highly recommended among those 18-39 years of age and those who have multiple sexual partners.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2021.1883510