Routine Brief Risk-Reduction Counseling With Biannual STD Testing Reduces STD Incidence Among HIV-Infected Men Who Have Sex With Men in Care
July 5, 2012
The researchers evaluated whether routine, twice-yearly STD testing, together with brief risk-reduction counseling, reduces STD incidence and high-risk behaviors.
The SUN study is a prospective, observational HIV cohort study carried out in four US cities. At enrollment, then at six-month intervals, participants completed a behavioral survey and underwent STD testing. If diagnosed, they were treated. All participants received brief risk-reduction counseling from medical providers.
Among men who have sex with men (MSM), the researchers examined STD incidence trends and rates of self-reported risk behaviors before and after exposure to the risk-reduction counseling. The pre-intervention visit was the study visit that took place at least six months after enrollment STD screening and treatment, and at which the participant was first exposed to the intervention; the post-intervention visit occurred 12 months later.
"STD incidence declined significantly among HIV-infected MSM after implementing frequent, routine STD testing coupled with risk-reduction counseling," the authors concluded. "These findings support adoption of routine STD screening and risk-reduction counseling for HIV-infected MSM."
Sexually Transmitted Diseases
06.2012; Vol. 39; No. 6: P. 470-474; Pragna Patel and others
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