"HIV Infection, Genital Ulcer Disease and Crack Cocaine Use Among Patients" Attending a Clinic for Sexually Transmitted Diseases

Important note: Information in this article was accurate in 1991. The state of the art may have changed since the publication date.

"HIV Infection, Genital Ulcer Disease and Crack Cocaine Use Among Patients" Attending a Clinic for Sexually Transmitted Diseases

American Journal of Public Health (12/91) Vol. 81, No. 12, P. 1576
Chirgwin, Keith et al.

Abstract: The increased coincidence of genital ulcer disease (GUD) and HIV infection in U.S. urban minority heterosexuals requires that more advanced efforts to promote risk behavior be implemented, write Keith Chirgwin, MD, et al. of the State University of New York and Health Sciences Center at Brooklyn, New York. Chirgwin et al. studied 194 patients who attended a predominantly minority sexually transmitted diseases clinic in central Brooklyn. All participants were tested for HIV. Among those 36 who tested positive, 23 denied any risk factors associated with AIDS besides heterosexual contact with persons of unknown HIV status. However, 24 of the 36 HIV-positive people also had GUD. HIV infection was linked with GUD, multiple concurrent STDs, and a history of crack cocaine use; all of which were found to be more prevalent among women than men. Increased efforts should focus not only on STD control and risk behavior reduction, but also on prevention and treatment of non-IV drug use related to risky sexual behavior, the researchers conclude.

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