{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T04:01:57Z","timestamp":1779940917929,"version":"3.53.1"},"reference-count":16,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["5UM1AI069503."],"award-info":[{"award-number":["5UM1AI069503."]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Center for AIDS Research, Washington DC","award":["AI117970"],"award-info":[{"award-number":["AI117970"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2019,11,25]]},"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>A rise in incidence of STIs has been noted in the USA and in the District of Columbia (DC). We aim to describe changes in incident STIs among persons in care for HIV in Washington, DC as well as trends in HIV viral load among those with incident STIs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective DC Cohort analysis (n=7810) measuring STI incidence (syphilis, gonorrhoea and chlamydia) as well as incare viral load (ICVL) and percentage with all viral loads less than the limit of detection (%&lt;LLOD) by year (2012\u20132016) among those with incident STIs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2012 to 2016, the incidence of STIs increased: chlamydia from 2.1 to 3.4 cases\/100 person-years (p=0.0006), gonorrhoea from 2.1 to 4.0 (p&lt;0.0001), syphilis from 1.7 to 2.6 (p=0.0042) and any STI episode from 5.3 to 8.8 (p&lt;0.0001). STI incidence rates increased for those aged 18\u201334 (from 13.2 to 23.2 cases\/100 person-years, p&lt;0.0001), cisgender men (from 6.5 to 11.5, p&lt;0.0001), non-Hispanic whites (from 8.6 to 16.1, p=0.0003) and men who have sex with men (from 9.3 to 15.7, p&lt;0.0001). During 2012\u20132016, the ICVL among those with incident STIs improved from 108 to 19 copies\/mL and %&lt;LLOD from 23.6% to 55.1%. However, even in 2016, younger participants, cisgender and transgender women, non-Hispanic blacks and Hispanics had higher ICVLs and lower %&lt;LLOD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Rates of incident STIs rose among persons in care for HIV in Washington, DC, with improved but not optimal measures of HIV viral suppression. These findings inform focused interventions towards preventing STI transmission and ending the HIV epidemic.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2019-054216","type":"journal-article","created":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T22:15:45Z","timestamp":1578348945000},"page":"89-95","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":22,"title":["Sexually transmitted infections in persons living with HIV infection and estimated HIV transmission risk: trends over time from the DC Cohort"],"prefix":"10.1136","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9497-0785","authenticated-orcid":false,"given":"Alessandra Anna","family":"Secco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana","family":"Akselrod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Czeresnia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Levy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan","family":"Byrne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3201-3845","authenticated-orcid":false,"given":"Anne","family":"Monroe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Lucar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Horberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda Derryck","family":"Castel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupali","family":"Doshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Rivasplata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Squires","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Parenti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Benator","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,1,6]]},"reference":[{"key":"2024092304051240000_96.2.89.1","unstructured":"Centers for Diseases Control and Prevention . Std diagnosis among key us populations: 5-year trends. CDC, 2018."},{"key":"2024092304051240000_96.2.89.2","doi-asserted-by":"crossref","DOI":"10.1002\/jia2.25164","article-title":"Mayer KH and de Vries H. HIV and sexually transmitted infections: responding to the newest normal","volume":"21","year":"2018","journal-title":"J Int AIDS Soc"},{"key":"2024092304051240000_96.2.89.3","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199219020-00001"},{"key":"2024092304051240000_96.2.89.4","unstructured":"District of Columbia Department of Health HIV\/AIDS, Hepatitis, STD, and TB Administration . Annual Epidemiology & Surveillance Report \u2013 Data Through, 2017."},{"key":"2024092304051240000_96.2.89.5","doi-asserted-by":"crossref","DOI":"10.1093\/ofid\/ofy017","article-title":"Sexually transmitted infections among HIV-infected individuals in the district of Columbia and estimated HIV transmission risk: data from the DC cohort","volume":"5","author":"Lucar","year":"2018","journal-title":"Open Forum Infect Dis"},{"key":"2024092304051240000_96.2.89.6","unstructured":"GW Public Health . D.C. cohort longitudinal HIV study, 2019. Available: http:\/\/go.gwu.edu\/dccohort [Accessed 19 Feb 2019]."},{"key":"2024092304051240000_96.2.89.7","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocv176"},{"key":"2024092304051240000_96.2.89.8","doi-asserted-by":"crossref","first-page":"e183","DOI":"10.1016\/S2352-3018(16)00019-9","article-title":"Community viral load, antiretroviral therapy coverage, and HIV incidence in India: a cross-sectional, comparative study","volume":"3","author":"Solomon","year":"2016","journal-title":"The Lancet HIV"},{"key":"2024092304051240000_96.2.89.9","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002481","article-title":"Sexually transmitted infections\u2014Research priorities for new challenges","volume":"14","author":"Low","year":"2017","journal-title":"PLoS Med"},{"key":"2024092304051240000_96.2.89.10","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/S1473-3099(17)30725-9","article-title":"Post-Exposure prophylaxis with doxycycline to prevent sexually transmitted infections in men who have sex with men: an open-label randomised substudy of the ANRS IPERGAY trial","volume":"18","author":"Molina","year":"2018","journal-title":"Lancet Infect Dis"},{"key":"2024092304051240000_96.2.89.11","unstructured":"Centers for Diseases Control and Prevention . 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Lancet 2019."},{"key":"2024092304051240000_96.2.89.16","doi-asserted-by":"crossref","first-page":"e438","DOI":"10.1016\/S2352-3018(18)30132-2","article-title":"Viral suppression and HIV transmission in serodiscordant male couples: an international, prospective, observational, cohort study","volume":"5","author":"Bavinton","year":"2018","journal-title":"The Lancet HIV"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2019-054216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T11:07:01Z","timestamp":1727089621000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2019-054216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,6]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,2,17]]},"published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1136\/sextrans-2019-054216"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2019-054216","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,6]]}}}