Abstract
Objective To investigate the situation of sexual transmitted diseases (STD) prevalence among human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS)patients and to analyze its impact on HIV transmission between couples. Methods Under voluntary counseling and testing, 1 871 clinically confirmed HIV/AIDS patients underwent common STD testing, with synchronous test of HIV infection on their couples. Continuous variables were compared using t-test, and categorical variables were compared using variance analysis. Chi-square test was used for comparison between groups. Results Among 1 871 HIV/AIDS patients, 571 patients (30.5%) were co-infected with STD. The HIV transmission rates between couples in STD co-infection group and non-STD co-infection group were 49.2% (281/571) and 23.6% (307/1 300), respectively, which was statistically different (χ2=120.6, P<0.01). Among the 571 HIV/STD co-infection patients, HIV transmission rates between couples with genital herpes, condyloma acuminatum, gonorrhoea or nongonococcal urethritis and syphilis were 84.2% (80/95), 72.2% (78/108), 45.0% (27/60) and 31.2% (96/308), respectively. There was statistically significant among multiple groups comparisons (χ2=110.0, P<0.01). Among the comparison between two groups, there were statistically significant differences between genital herpes group and condyloma acuminatum group (χ2=4.210, P=0.040), between pointed condyloma group and gonorrhoea or nongonococcal urethritis group (χ2=12.196, P<0.01), between gonorrhoea or nongonococcal urethritis group and syphilis group (χ2=4.317, P=0.038). Conclusions STD co-infection rate is high among HIV/AIDS patients. STD can facilitate the HIV transmission between couples, and different STD has different impact on the transmission. Key words: Acquired immunodeficiency syndrome; Herpes genitalis; Condylomata acuminata; Syphilis; Human papillomavirus; Gonorrhea; Nongonococcal urethritis
Published Version
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