{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:11:20Z","timestamp":1777853480129,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2014,6,4]],"date-time":"2014-06-04T00:00:00Z","timestamp":1401840000000},"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":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p>High rates of HIV coinfection among men with syphilis suggest HIV transmission opportunities due to biologic and behavioral risk synergy. We abstracted HIV viral loads for HIV-infected males aged 24 years or younger with a diagnosis of early syphilis (ES) in Maricopa County, Arizona, in order to evaluate HIV infectivity. During 2009 to 2012, there were 56 HIV-infected, ES cases meeting the age criteria, of whom 32 (57%) had a detectable viral load performed within 1 year of syphilis diagnosis (median 21\u200a000 copies\/mL, range 130-302 844 copies\/mL). Only 4 (7%) of the 56 patients had an undetectable viral load (&lt;100 copies\/mL) reported within a year of syphilis diagnosis. Twenty (36%) had no reported viral load or a viral load collected after 1 year of syphilis diagnosis. Among this group of young men coinfected with HIV and ES, many had detectable viral loads collected near the time of syphilis diagnosis, suggesting the potential for HIV transmission.<\/jats:p>","DOI":"10.1177\/2325957414536229","type":"journal-article","created":{"date-parts":[[2014,6,5]],"date-time":"2014-06-05T02:53:11Z","timestamp":1401936791000},"page":"501-505","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Viral Loads among Young HIV-Infected Men with Early Syphilis"],"prefix":"10.1177","volume":"13","author":[{"given":"Melanie M.","family":"Taylor","sequence":"first","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"},{"name":"Arizona Department of Health Services, STD Program, Phoenix, AZ, USA"},{"name":"Division of STD Prevention, Centers for Disease Control & Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Whitney Y.","family":"Li","sequence":"additional","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"},{"name":"Centers for Disease Control & Prevention, Office for State, Tribal, Local and Territorial Support, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Skinner","sequence":"additional","affiliation":[{"name":"Arizona Department of Health Services, HIV Surveillance Program, Phoenix, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Mickey","sequence":"additional","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,6,4]]},"reference":[{"key":"bibr1-2325957414536229","unstructured":"Centers for Disease Control and Prevention. Estimated HIV incidence in the United States, 2007-2010. HIV Surveillance Supplemental Report. 2012;17(No. 4). http:\/\/www.cdc.gov\/hiv\/topics\/surveillance\/resources\/reports\/#supplemental. Published December 2012. Accessed May 28, 2013."},{"issue":"47","key":"bibr2-2325957414536229","first-page":"971","volume":"61","author":"Centers for Disease Control and Prevention","year":"2012","journal-title":"MMWR"},{"key":"bibr3-2325957414536229","volume-title":"Sexually Transmitted Disease Surveillance 2011","author":"Centers for Disease Control and Prevention","year":"2012"},{"key":"bibr4-2325957414536229","unstructured":"Arizona Department of Health Services. HIV epidemiology program. 2012 Annual Report. http:\/\/azdhs.gov\/phs\/hiv\/reporting\/2012-annual-report.htm. Accessed May 28, 2013."},{"key":"bibr5-2325957414536229","unstructured":"Maricopa County Department of Public Health STD Program. Dual Infection\u2014MSM Early Syphilis and HIV (Slide 5) (PPT); 2002-2011. TomMickey@mail.maricopa.gov. Accessed March 22, 2013."},{"key":"bibr6-2325957414536229","doi-asserted-by":"publisher","DOI":"10.1136\/sti.75.1.3"},{"key":"bibr7-2325957414536229","unstructured":"Centers for Disease Control and Prevention. Guidance on community viral load: A family of measures, definitions and method for calculation; 2011. http:\/\/www.ct.gov\/dph\/lib\/dph\/aids_and_chronic\/surveillance\/statewide\/community_viralload_guidance.pdf. Accessed February 28, 2012."},{"key":"bibr8-2325957414536229","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.2706"},{"key":"bibr9-2325957414536229","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200410210-00012"},{"key":"bibr10-2325957414536229","unstructured":"Panel on Antiretroviral Guidelines for Adults & Adolescents. Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents. Department of Health and Human Services. http:\/\/aidsinfo.nih.gov\/contentfiles\/lvguidelines\/adultandadolescentgl.pdf. Accessed March 4, 2013."},{"key":"bibr11-2325957414536229","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"bibr12-2325957414536229","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200401020-00010"},{"issue":"9","key":"bibr13-2325957414536229","first-page":"887","volume":"38","author":"Hague JC","year":"2011","journal-title":"Sex Transm Dis"},{"issue":"9","key":"bibr14-2325957414536229","first-page":"1","volume":"57","author":"Centers for Disease Control and Prevention","year":"2008","journal-title":"MMWR"},{"key":"bibr15-2325957414536229","doi-asserted-by":"publisher","DOI":"10.1177\/00333549141291S113"},{"key":"bibr16-2325957414536229","unstructured":"Centers for Disease Control and Prevention. Program collaboration and service integration: enhancing the prevention and control of HIV\/AIDS, viral hepatitis, sexually transmitted diseases, and tuberculosis in the United States. http:\/\/www.cdc.gov\/nchhstp\/ProgramIntegration\/docs\/207181-C_NCHHSTP_PCSI%20WhitePaper-508c.pdf. Accessed May 15, 2013."},{"key":"bibr17-2325957414536229","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181e65e8b"},{"key":"bibr18-2325957414536229","unstructured":"Centers for Disease Control and Prevention. New hope for stopping HIV\u2014testing and medical care saves lives; 2011. http:\/\/www.cdc.gov\/vitalsigns\/HIVtesting\/index.html. Accessed June 10, 2013."},{"issue":"3","key":"bibr19-2325957414536229","first-page":"65","volume":"60","author":"Centers for Disease Control and Prevention","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr20-2325957414536229","unstructured":"Maricopa County Department of Public Health, Office of Epidemiology. Maricopa County health status report 2001-2010, ten year trends: reference tables. Phoenix, AZ; 2012. http:\/\/www.maricopa.gov\/publichealth\/Services\/EPI\/pdf\/hsr\/2001-2010-10Y-HSR.pdf. Accessed May 20, 2013."},{"key":"bibr21-2325957414536229","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.070417"},{"key":"bibr22-2325957414536229","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-3-201108020-00004"},{"key":"bibr23-2325957414536229","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0017502"},{"key":"bibr24-2325957414536229","doi-asserted-by":"publisher","DOI":"10.2174\/1874613601206010213"},{"key":"bibr25-2325957414536229","unstructured":"Centers for Disease Control and Prevention. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data\u2014United States and 6 U.S. dependent areas\u20142010. HIV Surveillance Supplemental Report 2013;18(No. 2, part B). http:\/\/www.cdc.gov\/hiv\/pdf\/statistics_2010_HIV_Surveillance_Report_vol_18_no_2.pdf. Accessed May 20, 2013."},{"key":"bibr26-2325957414536229","unstructured":"Arizona Department of Health Services. HIV\/AIDS statewide coordinated statement of need 2012-2014. http:\/\/www.azdhs.gov\/phs\/hiv\/documents\/care\/HIV-AIDS-Statewide-Coordinated-Statement-of-Need.pdf. 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