Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
Division of Natural Sciences, Sarasota, FL, USA.
AIDS Care. 2022 May;34(5):615-620. doi: 10.1080/09540121.2021.1883510. Epub 2021 Feb 12.
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.
本研究旨在评估佛罗里达州迈阿密戴德县 Ryan White 计划 A（RWP）中艾滋病毒感染者（PHIV）中衣原体或淋病的流行情况及其与诊断相关的因素。我们使用 2017 年的日历年度数据，采用逻辑回归分析确定与衣原体或淋病诊断相关的因素。在 2017 年活跃的 Ryan White 护理中，年龄≥18 岁的 7110 名 PHIV 中约有 50%报告接受了衣原体或淋病筛查。在接受筛查的人群中，有 2.3%报告了衣原体、淋病或两者的诊断。在调整后的模型中，与年龄≥40 岁的 PHIV 相比，年龄 18-24 岁和 25-39 岁的 PHIV 报告诊断的可能性更高（调整后的优势比[aOR]分别为 4.29；95%置信区间[CI]：1.73-10.63 和 aOR 4.58；95%CI；2.62-7.99）。在过去 12 个月中有多个性伴侣的人报告诊断的可能性更高（aOR 1.67；95%CI；1.04-2.69））。衣原体或淋病的筛查率相对较低，低于 CDC 指南。需要采取干预措施提高筛查率，并强烈建议对 18-39 岁的人群和有多个性伴侣的人群实施有针对性的行为风险降低技术。
