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Alcohol and drug use, partner PrEP use and STI prevalence among people with HIV

Sexually Transmitted Infections Aug 29, 2019

Hojilla JC, Marcus J, Volk JE, et al. - Researchers examined a cohort of people with HIV (PWH) with a history of unhealthy alcohol use for the prevalence of sexually transmitted infection (STI) in correlation to alcohol and drug use and partner pre-exposure prophylaxis (PrEP) use. From a primary care-based alcohol intervention study at Kaiser Permanente Northern California, they retrieved data of the analytic sample (n = 465); the median age was 52 years (IQR 45–59); 67% were white; 95% were men who have sex with men. An STI was reported in eight percent of participants. STI prevalence was higher among participants who reported the use of alcohol, drugs or both prior to sex. Observations revealed a higher prevalence of STIs among PWH with unhealthy alcohol use who have partners on PrEP. This emphasizes that for targeted outreach, STI screening and sexual health counseling, this subgroup may be a high-yield focus.
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