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Adolescent sexually transmitted infections and risk for subsequent HIV

Author

Listed:
  • Newbern, E.C.
  • Anschuetz, G.L.
  • Eberhart, M.G.
  • Salmon, M.E.
  • Brady, K.A.
  • De Los Reyes, A.
  • Baker, J.M.
  • Asbel, L.E.
  • Johnson, C.C.
  • Schwarz, D.F.

Abstract

Objectives. We estimated the risk of HIV associated with sexually transmitted infection (STI) history during adolescence. Methods. We retrospectively studied a cohort of adolescents (n = 75 273, born in 1985-1993) who participated in the Philadelphia High School STD Screening Program between 2003 and 2010. We matched the cohort to STI and HIV surveillance data sets and death certificates and performed Poisson regression to estimate the association between adolescent STI exposures and subsequent HIV diagnosis. Results. Compared with individuals reporting no STIs during adolescence, adolescents with STIs had an increased risk for subsequent HIV infection (incidence rate ratio [IRR] for adolescent girls = 2.6; 95% confidence interval [CI] = 1.5, 4.7; IRR for adolescent boys = 2.3; 95% CI = 1.7, 3.1). Risk increased with number of STIs. The risk of subsequent HIV infection was more than 3 times as high among those with multiple gonococcal infections during adolescence as among those with none. Conclusions. Effective interventions that reduce adolescent STIs are needed to avert future STI and HIV acquisition. Focusing on adolescents with gonococcal infections or multiple STIs might have the greatest impact on future HIV risk.

Suggested Citation

  • Newbern, E.C. & Anschuetz, G.L. & Eberhart, M.G. & Salmon, M.E. & Brady, K.A. & De Los Reyes, A. & Baker, J.M. & Asbel, L.E. & Johnson, C.C. & Schwarz, D.F., 2013. "Adolescent sexually transmitted infections and risk for subsequent HIV," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 1874-1881.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301463_5
    DOI: 10.2105/AJPH.2013.301463
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    Cited by:

    1. Antonella Zizza & Marcello Guido & Virginia Recchia & Pierfrancesco Grima & Federico Banchelli & Andrea Tinelli, 2021. "Knowledge, Information Needs and Risk Perception about HIV and Sexually Transmitted Diseases after an Education Intervention on Italian High School and University Students," IJERPH, MDPI, vol. 18(4), pages 1-14, February.

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