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Paired data analysis was used to compare STI testing and behavioral outcomes during the 12-month period before and after EDM prescription.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Our study outcomes were STI testing and infection rates for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (GC) and incident syphilis as well as risk behaviors before and after EDM prescription.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 2924 HIV-infected men engaged in care, 589 (20%) initiated EDM with a new prescription from a clinic provider during the study period. During the year after EDM prescription, all STI testing rates decreased: CT (OR = 0.76; 95% CI: 0.58 - 1.01; P = .06), GC (OR = 0.76; 95% CI: 0.58 - 1.01; P = .06), and syphilis (OR = 0.28; 95% CI: 0.20 - 0.38; P &amp;lt; .001). A total of 43 STIs were detected in this study (10 CT, 8 GC, and 25 syphilis) and 42\/43 occurred among men who have sex with men (MSM). Sexual activity rates were high before and after EDM (87.6% vs 82.9%; P = .08), and consistent condom use was rare (6.6% in both time periods). After EDM prescription, the median number of sexual partners in the past 6 months decreased from 2 to 1 among MSM and was stable at 1 among men who have sex with women.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implication<\/jats:title>\n                  <jats:p>Management of ED in HIV clinic provides an excellent opportunity to discuss risk reduction, safer sex practices, and the importance of routine STI screening to prevent HIV\/STI transmission.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strength &amp; Limitations<\/jats:title>\n                  <jats:p>This study provides insight into a common but understudied clinical scenario-ED in men with HIV-in an urban clinic population that is representative of the Southeastern United States. Adherence for ED medication was not assessed and STI risk behaviors were self-reported.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>EDM prescription did not lead to any detectable change in risk behavior in this setting but bacterial STI was common among MSM who were tested.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.jsxm.2019.02.007","type":"journal-article","created":{"date-parts":[[2019,3,26]],"date-time":"2019-03-26T14:15:58Z","timestamp":1553609758000},"page":"691-700","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Erectile Dysfunction Medication Prescription: STI and Risk Behavior in Men with HIV"],"prefix":"10.1093","volume":"16","author":[{"given":"Jose Pablo","family":"Heudebert","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodie","family":"Dionne-Odom","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham , Birmingham , USA"},{"name":"Research and Informatics Services Center, University of Alabama at Birmingham , Birmingham , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,3,26]]},"reference":[{"key":"2024051609554325400_bib1","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1007\/s11606-009-1164-9","article-title":"Erectile dysfunction drug receipt, risky sexual behavior and sexually transmitted diseases in HIV-infected and HIV-uninfected men","volume":"25","author":"Cook","year":"2010","journal-title":"J Gen Intern Med"},{"key":"2024051609554325400_bib2","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1038\/nrurol.2013.314","article-title":"Male sexual dysfunction 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