Sexually transmitted diseases in a population of intravenous drug users: Association with seropositivity to the human immunodeficiency virus (hiv)

Academic Article


  • The association between human immunodeficiency virus (HIV) seropositivity and a history of sexually transmitted diseases (STDs), evidence of STDs on physical examination, and sexual and drug use practices was studied in a population of 2921 intravenous drug users (IVDUs) in Baltimore during 1988 and 1989. Overall, 24.1% were HIV-seropositive at baseline, and 60% reported a history of an STD. A significant association was found between HIV seropositivity and a history of syphilis (P =.04); both were more frequent among homosexual/bisexual men than among heterosexual IVDUs. In multivariate analysis, a history of syphilis was independently associated with HIV seroprevalence in homosexual/bisexual male IVDUs, of whom 90% reported a history of sexual intercourse with women. Cocaine injection was independently associated with HIV seropositivity but not a history of syphilis on multivariate analysis. STDs, indicative of unsafe sex practices, are common in this population; efforts are needed to prevent sexual transmission of HIV infection among IVDUs and their sex partners. © 1981 by The University of Chicago.
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    Digital Object Identifier (doi)

    Author List

  • Vlahov D; Cohn S; Mercy Odunmbaku MO; Lindsay A; Anthony JC; Hook EW
  • Start Page

  • 457
  • End Page

  • 463
  • Volume

  • 164
  • Issue

  • 3