UNITED STATES: Predictors of Herpes Simplex Virus Type 2 Antibody Positivity Among Persons With No History of Genital Herpes CDC Daily UpdateImportant note: Information in this article was accurate in 2004. The state of the art may have changed since the publication date.

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UNITED STATES: Predictors of Herpes Simplex Virus Type 2 Antibody Positivity Among Persons With No History of Genital Herpes

Sexually Transmitted Diseases Vol. 31; No. 11; P:676-681 (11.04) - Thursday, December 30, 2004
Kenneth H. Fife, MD, PhD; David I. Bernstein, MD; Wanzhu Tu, PhD; Gregory D. Zimet, PhD; Rebecca Brady, MD; Jingwei Wu; J. Dennis Fortenberry, MD, MS; Katherine M. Stone, MD; Susan L. Rosenthal, PhD; Lawrence R. Stanberry, MD, PhD


The researchers asked individuals ages 14-30 to complete a questionnaire and offered them free HSV-2 antibody testing. Factors from the questionnaire were correlated with HSV-2 antibody results.

Univariate analysis found female gender to be positively associated with positive test results. Gender-specific multiple logistic regression models found a positive HSV-2 antibody test among men to be associated with older age, non- white race, and a history of STDs. Gender-specific symptom scores from the questionnaire were not predictive in either gender, but the gender-common symptom score was marginally predictive of a positive HSV-2 antibody test in women. Among women, older age, non-white race and STD history predicted a positive test.

"Among young persons with no history of genital herpes who agreed to HSV-2 antibody testing, increasing age, non-white race, and a history of an STD were predictors of a positive test," the authors concluded. "A history of frequent pain, itching, burning, and rashes in the anogenital region was marginally associated with positive HSV-2 tests in women. These results might help guide selective use of HSV-2 antibody screening."
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