{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:43:58Z","timestamp":1777927438836,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study describes HIV infection and associated risk factors among males diagnosed with syphilis in Hawaii.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Hawaii sexually transmitted infection (STI) registry records of males diagnosed with syphilis, 2014\u20132019, were crossmatched with Hawaii HIV surveillance registry records through 2020 using CDC\u2019s Registry Plus Link Plus software. HIV status from the STI registry was validated by matching results. Logistic regression was used to examine demographic and behavioral factors associated with HIV infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 947 male syphilis cases, 257 (27.1%) had both syphilis and HIV infections. Dual infection rates were higher in earlier years (39.5% in 2015), among older patients (41.6% among persons \u226545\u00a0years old), males who have sex with males (MSM, 36.6%), and cases with repeated syphilis events (59.5%). The overall agreement on HIV status between the STI registry and matching results was 95.7%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Over a quarter (27.1%) of male syphilis cases were living with HIV. HIV infection rates were higher among older patients, MSM, and males with repeated syphilis events. Periodic matching between STI and HIV registries provides opportunities for quality control to both registries and opportunities to identify patients not linked to HIV care or who have fallen out of HIV care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624221149460","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T16:59:47Z","timestamp":1673456387000},"page":"273-280","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends, patterns, and factors associated with HIV infection among males diagnosed with syphilis, 2014\u20132019, Hawaii"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4617-6883","authenticated-orcid":false,"given":"Fenfang","family":"Li","sequence":"first","affiliation":[{"name":"Communicable Disease and Public Health Nursing Division, Hawaii State Department of Health, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy J","family":"McCormick","sequence":"additional","affiliation":[{"name":"Harm Reduction Services Branch, Communicable Disease and Public Health Nursing Division, Hawaii State Department of Health, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9030-8222","authenticated-orcid":false,"given":"Alan R","family":"Katz","sequence":"additional","affiliation":[{"name":"Office of Public Health Studies, Myron B. Thompson School of Social Work, University of Hawaii, Honolulu, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan Y","family":"Komeya","sequence":"additional","affiliation":[{"name":"Harm Reduction Services Branch, Communicable Disease and Public Health Nursing Division, Hawaii State Department of Health, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Sung","sequence":"additional","affiliation":[{"name":"Harm Reduction Services Branch, Communicable Disease and Public Health Nursing Division, Hawaii State Department of Health, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald L","family":"Hasty","sequence":"additional","affiliation":[{"name":"Harm Reduction Services Branch, Communicable Disease and Public Health Nursing Division, Hawaii State Department of Health, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn M","family":"Wasserman","sequence":"additional","affiliation":[{"name":"Communicable Disease and Public Health Nursing Division, Hawaii State Department of Health, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"bibr1-09564624221149460","volume-title":"HIV Surveillance Supplemental Report 2021;26 (No. 1)","author":"Centers for Disease Control and Prevention"},{"key":"bibr2-09564624221149460","volume-title":"Sexually Transmitted Disease Surveillance 2019","author":"Centers for Disease Control and Prevention"},{"key":"bibr3-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1136\/sti.75.1.3"},{"key":"bibr4-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200410210-00012"},{"key":"bibr5-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181812d15"},{"key":"bibr6-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.2706"},{"key":"bibr7-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199219020-00001"},{"key":"bibr8-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(04)01061-8"},{"key":"bibr9-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1177\/00333549091240S203"},{"key":"bibr10-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1177\/00333549091240S206"},{"key":"bibr11-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1177\/00333549141291S113"},{"key":"bibr12-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02562-0"},{"key":"bibr13-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000810"},{"key":"bibr14-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1177\/003335491412900210"},{"key":"bibr15-09564624221149460","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ289"},{"key":"bibr16-09564624221149460","volume-title":"Sexually transmitted disease surveillance 2019","author":"Centers for Disease Control and Prevention","year":"2021"},{"issue":"10","key":"bibr17-09564624221149460","first-page":"1","volume":"57","author":"Centers for Disease Control and Prevention","year":"2008","journal-title":"MMWR Recomm Rep."},{"issue":"03","key":"bibr18-09564624221149460","first-page":"1","volume":"63","author":"Centers for Disease Control and Prevention","year":"2014","journal-title":"MMWR Recomm Rep."},{"key":"bibr19-09564624221149460","volume-title":"Basic HHS policy for protection of human research subjects. 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