Abstract
OBJECTIVE--To determine whether those who are aware of being infected with HIV continue to adopt behaviours that place others at risk of HIV infection. DESIGN--Ongoing survey of current diagnosis of sexually transmitted disease and awareness of HIV infection among patients attending genitourinary medicine clinics. SETTING--Six genitourinary medicine clinics in England and Wales (two in London and four outside) participating in unlinked anonymous HIV serosurveillance during 1990-3. SUBJECTS--All attenders having blood drawn for syphilis serology for the first time during the calendar quarter of attendance. MAIN OUTCOME MEASURES--The proportion of syphilis serology specimens with antibody to HIV-1 detected by unlinked anonymous testing of the residue. The proportion of attenders infected with HIV-1 who remained clinically undetected, and the proportion who had another recently acquired sexually transmitted disease. RESULTS--Of 85441 specimens tested, 2328 (2.7%) were positive for antibodies to HIV-1. About 30% of these specimens were from attenders whose HIV-1 infection remained clinically undetected. HIV-1 infection was found to coexist with another recently acquired sexually transmitted disease in 651 attenders, of whom 522 were homosexual or bisexual men. Of these, 245 (47%) already knew themselves to be infected with HIV-1. This proportion increased between 1990 and 1993. CONCLUSIONS--A considerable proportion of patients infected with HIV-1 are not identified by voluntary confidential HIV testing in genitourinary medicine clinics. Substantial numbers of homosexual or bisexual men attending genitourinary medicine clinics continue to practise unsafe sex despite being aware of their infection with HIV-1.
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- Evans B. G., Catchpole M. A., Heptonstall J., Mortimer J. Y., McCarrigle C. A., Nicoll A. G., Waight P., Gill O. N., Swan A. V. Sexually transmitted diseases and HIV-1 infection among homosexual men in England and Wales. BMJ. 1993 Feb 13;306(6875):426–428. doi: 10.1136/bmj.306.6875.426. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gill O. N., Adler M. W., Day N. E. Monitoring the prevalence of HIV. BMJ. 1989 Nov 25;299(6711):1295–1298. doi: 10.1136/bmj.299.6711.1295. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Groseclose S. L., Erickson B., Quinn T. C., Glasser D., Campbell C. H., Hook E. W., 3rd Characterization of patients accepting and refusing routine, voluntary HIV antibody testing in public sexually transmitted disease clinics. Sex Transm Dis. 1994 Jan-Feb;21(1):31–35. doi: 10.1097/00007435-199401000-00007. [DOI] [PubMed] [Google Scholar]
- Higgins D. L., Galavotti C., O'Reilly K. R., Schnell D. J., Moore M., Rugg D. L., Johnson R. Evidence for the effects of HIV antibody counseling and testing on risk behaviors. JAMA. 1991 Nov 6;266(17):2419–2429. [PubMed] [Google Scholar]
- Jones J. L., Hutto P., Meyer P., Dowda H., Gamble W. B., Jr, Gunn R. A. HIV seroprevalence and reasons for refusing and accepting HIV testing. Sex Transm Dis. 1993 Nov-Dec;20(6):334–337. [PubMed] [Google Scholar]
- Miller E., Waight P. A., Tedder R. S., Sutherland S., Mortimer P. P., Shafi M. S. Incidence of HIV infection in homosexual men in London, 1988-94. BMJ. 1995 Aug 26;311(7004):545–545. doi: 10.1136/bmj.311.7004.545. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stall R. How to lose the fight against AIDS among gay men. BMJ. 1994 Sep 17;309(6956):685–686. doi: 10.1136/bmj.309.6956.685. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tomlinson D. R., French P. D., Harris J. R., Mercey D. E. Does rectal gonorrhoea reflect unsafe sex? Lancet. 1991 Feb 23;337(8739):501–502. doi: 10.1016/0140-6736(91)93447-h. [DOI] [PubMed] [Google Scholar]