 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Maya Tholandi, MPH1, Allison Ellman, BS2, Michael C Samuel, DrPH3, Gail Bolan, MD3, and Juan D. Ruiz, MD, DrPH1. (1) HIV/AIDS Epidemiology Branch, Office of AIDS, California Department of Health Services, 611 North 7th St., Suite A, Sacramento, CA 95814, (916) 445-9333, mtholand@dhs.ca.gov, (2) Infectious Disease, University of California, Berkeley, 1609 Addison Street, Berkeley, CA 94703, (3) STD Control Branch, California Department of Health Services, 1947 Center Street - Suite 201, Berkeley, CA 94704
Background: STDs among persons with HIV/AIDS are of concern for HIV prevention efforts given the potential for STDs to facilitate the transmission and acquisition of HIV. The goal was to identify individuals co-infected with HIV and an acute STD and to describe demographic and risk profiles. Methods: 32,706 gonorrhea cases and 1,039 syphilis cases (diagnosed 1999-2001) were merged with living AIDS cases (N=22,307). Three matching algorithms; loose, mid-level, and strict; were employed. Mid-level algorithm findings are presented. Matching was also performed ecologically at the county level. San Francisco and Los Angeles counties were excluded due to limited information. Findings: Overall, 1.2% (N=262) of AIDS cases living as of 1999-2001 were co-infected with gonorrhea and .2% (N=44) were co-infected with syphilis. Eighty-two percent of gonorrhea (GC) co-infection and 77% of syphilis co-morbidity followed an AIDS diagnosis. The majority of co-morbid cases were male: 97% of GC-AIDS and 95% of syphilis-AIDS. Whites comprised the largest proportion of co-infected cases: 50% of GC-AIDS and 43% of syphilis-AIDS. Among MSM AIDS cases, GC co-morbidity increased from .49% (N=65) in 1999 to .67% (N=88) in 2001 (p=.05) and syphilis increased from .03% (N=4) to .22% (N=29) (p<.001). Exploratory visual analysis of the ecologic data indicates that the ten largest counties with respect to population had annual morbidity rates above the state median for AIDS, syphilis, and gonorrhea and the 10 smallest counties had rates below the state median. Conclusions: AIDS/STD co-morbidity occurred primarily among whites males and increased between 1999-2001, most significantly among syphilis-AIDS cases.
Learning Objectives:
Keywords: HIV/AIDS, STD
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.