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The aim of this study was to assess demographic and other factors that might be associated with an incident sexually transmitted infection (<jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The cohort follow\u2010up was from March 2010 to March 2013, and included patients screened at least once for an <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>. We used survival methods to determine time to first new and confirmed incident <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> infection (chlamydia, gonorrhoea, syphilis or genital warts). Factors evaluated included sex, age, mode of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> exposure, year of <jats:styled-content style=\"fixed-case\">AHOD<\/jats:styled-content> enrolment, hepatitis B or C coinfection, time\u2010updated CD4 cell count, time\u2010updated <jats:styled-content style=\"fixed-case\">HIV RNA<\/jats:styled-content> viral load, and prior <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 110 first incident <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> diagnoses observed over 1015 person\u2010years of follow\u2010up, a crude rate of 10.8 [95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 9.0\u201313.0] per 100 person\u2010years. Factors independently associated with increased risk of incident <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> included younger age [\u2265 50 <jats:italic>vs<\/jats:italic>. 30\u201339 years old, adjusted hazards ratio (<jats:styled-content style=\"fixed-case\">aHR<\/jats:styled-content>) 0.4; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.2\u20130.8; <jats:italic>P<\/jats:italic> &lt; 0.0001]; prior <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> infection (<jats:styled-content style=\"fixed-case\">aHR<\/jats:styled-content> 2.5; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.6\u20133.8; <jats:italic>P<\/jats:italic> &lt; 0.001), and heterosexual <jats:italic>vs<\/jats:italic>. men who have sex with men (<jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content>) as the likely route of exposure (<jats:styled-content style=\"fixed-case\">aHR<\/jats:styled-content> 0.2; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.1\u20130.6; <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this cohort of individualsbeing treated with antiretroviral drugs, those who were <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content>, who were 30\u201339 years old, and who had a prior history of <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>, were at highest risk of a further <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12371","type":"journal-article","created":{"date-parts":[[2016,3,28]],"date-time":"2016-03-28T15:26:43Z","timestamp":1459178803000},"page":"623-630","source":"Crossref","is-referenced-by-count":5,"title":["Risk factors associated with incident sexually transmitted infections in <scp>HIV<\/scp>\u2010positive patients in the Australian <scp>HIV<\/scp> Observational Database: a prospective cohort study"],"prefix":"10.1111","volume":"17","author":[{"given":"BP","family":"Mulhall","sequence":"first","affiliation":[{"name":"The Kirby Institute University of New South Wales Sydney NSW Australia"},{"name":"University of Sydney Camperdown NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ST","family":"Wright","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"De La Mata","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Allen","sequence":"additional","affiliation":[{"name":"Holden Street Sexual Health Clinic Gosford NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Brown","sequence":"additional","affiliation":[{"name":"University of Sydney Camperdown NSW Australia"},{"name":"Illawarra Sexual Health Services Warrawong NSW Australia"},{"name":"University of Wollongong Wollongong NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Dickson","sequence":"additional","affiliation":[{"name":"Caradata Arundel DC Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Grotowski","sequence":"additional","affiliation":[{"name":"Tamworth Sexual Health Clinic 468 HNEAHS NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Jackson","sequence":"additional","affiliation":[{"name":"Nepean\/Blue Mountains Sexual Health Nepean Hospital Kingswood NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Petoumenos","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Foster","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales Sydney NSW Australia"},{"name":"Sydney Sexual Health Centre Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Read","sequence":"additional","affiliation":[{"name":"Melbourne Sexual Health Centre Alfred Hospital Prahran Vic. 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