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  • Title: STD treatment: how can it improve HIV prevention in the South?
    Author: Berman SM, Cohen MS.
    Journal: Sex Transm Dis; 2006 Jul; 33(7 Suppl):S50-7. PubMed ID: 16554696.
    Abstract:
    BACKGROUND: Rates of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) and sexually transmitted diseases (STDs) are disproportionately high in the Southern United States. A high percentage of the population is black, and STD/HIV rates are particularly high among this group. Control and treatment of STDs offers promise as an HIV prevention strategy, and nowhere more than in the South. OBJECTIVE: Identify those specific recommendations for control and treatment of STDs that available evidence indicates can reduce HIV transmission. STUDY: Review of published literature. RESULTS: Community trials produced inconsistent results but still suggest that STD treatment can reduce HIV transmission in the United States. Treatment of symptomatic STDs among those with HIV-infection should reduce HIV infectivity. There is as yet only limited evidence that STD treatment can reduce HIV susceptibility, although promising studies addressing herpes simplex virus are under way. CONCLUSIONS: The unacceptably large racial disparities in STD rates must be addressed, symptomatic STDs among HIV-infected individuals treated, and syphilis prevention activities continued. Detection of unrecognized HIV infections among those seeking STD services should be a priority; identification of those with STDs and acute HIV infection may provide unique HIV prevention opportunities.
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