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A prospective study of syphilis and HIV infection among injection drug users receiving methadone in the Bronx, NY

Author

Listed:
  • Gourevitch, M.N.
  • Hartel, D.
  • Schoenbaum, E.E.
  • Selwyn, P.A.
  • Davenny, K.
  • Friedland, G.H.
  • Klein, R.S.

Abstract

Objectives. The purpose of this study was to assess the relationship between syphilis and human immunodeficiency virus (HIV) infection in injection drug users. Methods. A 6-year prospective study of 790 injection drug users receiving methadone maintenance treatment in the Bronx, NY, was conducted. Results. Sixteen percent (4/25) of HIV-seroconverting patients, 4.8% (16/335) of prevalent HIV-seropositive patients, and 3.5% (15/430) of persistently HIV-seronegative patients were diagnosed with syphilis. Incidence rates for early syphilis (cases per 1000 person-years) were 15.9 for HIV-seroconverting patients, 8.9 for prevalent HIV-seropositive patients, and 2.9 for persistently HIV-seronegative patients. Early syphilis incidence was higher among women than men (8.4 vs 3.2 cases per 1000 person- years). Independent risks for early syphilis included multiple sex partners. HIV seroconversion, paid sex, and young age. All HIV seroconverters with syphilis were female. Conclusions. Diagnosis of syphilis in drug-using women reflects high-risk sexual activity and is associated with acquiring HIV infection. Interventions to reduce the risk of sexually acquired infections are urgently needed among female drug users.

Suggested Citation

  • Gourevitch, M.N. & Hartel, D. & Schoenbaum, E.E. & Selwyn, P.A. & Davenny, K. & Friedland, G.H. & Klein, R.S., 1996. "A prospective study of syphilis and HIV infection among injection drug users receiving methadone in the Bronx, NY," American Journal of Public Health, American Public Health Association, vol. 86(8), pages 1112-1115.
    • Handle: RePEc:aph:ajpbhl:1996:86:8:1112-1115_5
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