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Behavioral Determinants of Asymptomatic Chlamydia and Gonorrhea Among People Living With HIV in Thailand: A Cross-sectional Study

IMPACT SIGNAL73/100
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Information from the abstract

ABSTRACT: Asymptomatic sexually transmitted infections (STIs), particularly Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG), remain common among people living with HIV (PLHIV). To determine the prevalence of asymptomatic CT/NG infections and identify associated behavioral factors among PLHIV using Pender's Health Promotion Model, our cross-sectional study included 657 asymptomatic PLHIV enrolled in an ongoing cohort at a HIV research center in Bangkok, Thailand. Participants underwent CT/NG nucleic acid amplification testing and completed behavioral questionnaires. Modified Poisson regression estimated adjusted prevalence ratios. CT-only, NG-only, and dual CT/NG infections were identified in 12.2%, 6.8%, and 3.0% of participants, respectively. Overall, 16.0% had at least one asymptomatic infection. Younger age, prior STI history, and condom slippage were associated with CT/NG infection, whereas younger age and injection drug use were associated with dual infection. Routine extragenital STI screening and behavioral risk assessment should be integrated into HIV care.

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Why this record is monitored

This record has an Impact Signal of 73/100 based on recency, source, collaboration, and bibliographic signals. It prioritizes monitoring and is not a judgment of research quality.

Related topics: Reproductive tract infections research · HIV/AIDS Research and Interventions · Cervical Cancer and HPV Research

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Thai researcher and institutional participation

Supalak Phonphithak · Phenpanat Toomcharoen · Chuleeporn Wongvoranet · Thanawat Nochaiwong · Anchalee Avihingsanon · Suan Sunandha Rajabhat University · HIV Netherlands Australia Thailand Research Collaboration

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