Abstract
Despite evidence of the link between STI and HIV transmission, STI rates remain alarmingly high, particularly among racial/ethnic minorities. This study examined the relationship between earlier STI diagnoses (gonorrhea and chlamydia) and future STI acquisition and its implications for HIV prevention among a sample of urban Black men who have sex with men (Black MSM). Data from a cohort of 600 Black MSM (15–29 years of age) residing in a medium-size Southern city enrolled in a HIV prevention intervention were analyzed. We used multivariate logistic regression to assess the association between STI diagnosis (baseline: Time 1) and subsequent STI diagnosis (90-day post-diagnosis: Time 2). Repeated measures analyzed at Time 1 and Time 2 included condomless sex, insertive and receptive sex, concurrent sexual partnerships, multiple partners, and age of partner. Independent of socio-demographic factors, we found having a prior GC/CT increased the likelihood of a future GC/CT by a factor of 15 (OR = 15.2, p = 0.01). Participants were statistically more likely to have been diagnosed with an extragenital STI (OR = 2.3, p = 0.05). Present findings suggest that time of initial STI diagnosis is a critical period in which to intervene to reduce future STI/HIV acquisition. Screening guidelines should be expanded to include testing for extragenital infection. STI screening and treatment and counseling programs should be culturally appropriate to account for the unique needs and the social and environmental context of the population. Additional research is needed to design STI prevention interventions that address social and environmental factors to reduce sexual risk behaviors that increase HIV vulnerability for Black MSM.
Original language | English |
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Pages (from-to) | 642-652 |
Number of pages | 11 |
Journal | Journal of Urban Health |
Volume | 97 |
Issue number | 5 |
DOIs | |
State | Published - Oct 1 2020 |
Bibliographical note
Publisher Copyright:© 2020, The New York Academy of Medicine.
Funding
We wish to thank the participants of the Better Sex with Latex Initiative. The study was supported by the National Institute of Mental Health [5RO1MH092226]. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Funders | Funder number |
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National Institute of Mental Health | R01MH092226 |
National Institute of Mental Health |
Keywords
- AIDS
- Acquired immunodeficiency syndrome
- Black MSM
- Chlamydia
- Extragenital
- Gonorrhea
- HIV
- HIV/AIDS
- Human immunodeficiency virus
- MSM
- Men who have sex with men
- Sexually transmitted diseases
- Sexually transmitted infections
ASJC Scopus subject areas
- Health(social science)
- Urban Studies
- Public Health, Environmental and Occupational Health