Mississippi State Department of Health, Jackson, MS, USA.
AIDS Behav. 2020 Apr;24(4):1064-1068. doi: 10.1007/s10461-019-02562-0.
Syphilis and HIV are important public health issues in the United States, especially in the southeastern region. This study aimed to determine and describe the co-infection pattern in Mississippi by using a case-controlled design to analyze cases diagnosed with syphilis or HIV from 2007 to 2016. Direct matching was employed to identify cases that were co-infected during the same calendar year, and binary logistic regression analysis was used to determine predictors of co-infection. Results showed that 1736 (34.0%) of syphilis and HIV cases were co-infected during the same calendar year. Binary logistic regression results demonstrated that race, gender, age group, and exposure category were independently associated with co-infection status. These analyses highlighted the progressive increase of co-infection rates in Mississippi. Collaboration between STI/HIV surveillance teams may identify high-risk individuals and reduce transmission of both diseases.
梅毒和艾滋病是美国重要的公共卫生问题,尤其是在东南部地区。本研究旨在采用病例对照设计,分析 2007 年至 2016 年间诊断出梅毒或艾滋病的病例,以确定和描述密西西比州的合并感染模式。直接匹配用于确定同年合并感染的病例,二元逻辑回归分析用于确定合并感染的预测因素。结果显示,1736 例(34.0%)梅毒和艾滋病病例在同年合并感染。二元逻辑回归结果表明,种族、性别、年龄组和暴露类别与合并感染状况独立相关。这些分析强调了密西西比州合并感染率的逐步上升。性传播感染/艾滋病监测小组之间的合作可以识别高危人群,减少两种疾病的传播。