• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Epi Profile Section 4 - Co-Morbidities

 

 


 

Figure 4-1. Chlamydia, Gonorrhea, and Primary & Secondary Syphilis Cases and
Incidence Rates among PLWH in Texas, 2008-2015

Figure 4-1. Chlamydia, Gonorrhea, and Primary & Secondary Syphilis Cases and Incidence Rates among PLWH, 2005-2014. Data in link following.

Data for Figure 4-1

 

  • A cross-registry match was performed between Texas' STD Surveillance data and Texas' enhanced HIV/AIDS Reporting System (eHARS) to determine how many STDs were diagnosed in Persons Living with HIV (PLWH) between 2006 and 2015.

  • Persons living with HIV were considered to have an STD coinfection if their STD diagnosis occurred ≤ 30 days of their HIV diagnosis. Persons living with HIV may have >1 diagnosis of any STD. To calculate the rate of diagnoses among PLWH, we used the total number of STD diagnoses in HIV positive persons as the numerator and the total number of PLWH as the denominator.

  • Because chlamydia and gonorrhea infections are often asymptomatic, increases in the annual number and rate of chlamydia and gonorrhea diagnoses likely reflects increases in STD screening among PLWH.

  • The number and rate of P&S Syphilis cases in PLWH are lower than chlamydia and gonorrhea; however, syphilis infections are much more prevalent in PLWH. In Texas, PLWH are 106 times more likely to be diagnosed with P&S Syphilis compared to HIV-negative persons.

  • The disparity in chlamydia and gonorrhea case rates between PLWH and HIV-negative persons is not as large. PLWH are 4 times more likely to be diagnosed with chlamydia and 19 times more likely to be diagnosed with gonorrhea compared to HIV-negative persons.


 


 

Table 4-1. STD Cases and Incidence Rates among PLWH in Texas, 2015
   

Chlamydia

Gonorrhea

P&S Syphilis

EL Syphilis

 

Total
Cases

Cases in
PLWH

Rate

Cases in
PLWH

Rate

Cases in
PLWH

Rate

Cases in
PLWH

Rate

Total PLWH

82,745

1,672

2,020.7

2,114

2,554.8

546

659.9

1,105

1,335.4

Age Group                  
 0-14

274

0

0.0

0

0.0

0

0.0

0

0.0

 15-24

3,977

319

8,021.1

462

11,616.8

92

2,313.3

137

3,444.8

 25-34

15,766

725

4,598.5

942

5,974.9

234

1,484.2

409

2,594.2

 35-44

19,742

348

1,762.7

399

2,021.1

114

577.4

278

1,408.2

 45+

42,986

280

651.4

311

723.5

106

246.6

281

653.7

Race/Ethnicity                  
 White

22,222

311

1,399.5

484

2,178.0

127

571.5

309

1,390.5

 Black

31,009

704

2,270.3

890

2,870.1

179

577.3

316

1,019.1

 Hispanic

25,937

581

2,240.0

640

2,467.5

213

821.2

424

1,634.7

 Other

905

19

2,099.4

9

994.5

6

663.0

12

1,326.0

 Unknown

2,672

57

-

91

-

21

-

44

-

Sex                  
 Female

17,848

250

1,400.7

118

661.1

10

56.0

13

72.8

 Male

64,897

1,422

2,191.2

1,996

3,075.6

536

825.9

1,092

1,682.7

Current Residence                  
 Austin

5,521

217

3,930.4

306

5,542.5

77

1,394.7

116

2,101.1

 Dallas

19,793

437

2,359.4

648

3,273.9

104

525.4

396

2,000.7

 Houston

26,041

563

2,162.0

616

2,365.5

152

583.7

222

852.5

 Fort Worth

5,396

83

1,538.2

134

2,483.3

59

1,093.4

106

1,964.4

 San Antonio

6,096

109

1,788.1

164

2,690.3

72

1,181.1

120

1,968.5

Risk Group*              

 

 
 MSM

42,080

1,196

2,842.2

1,727

4,104.1

450

1,069.4

961

2,283.7

  Black MSM

11,162

440

3,941.9

684

6,127.9

145

1,299.1

275

2,463.7

  Hispanic MSM

14.619

464

3,174.0

569

3,892.2

180

1,231.3

382

2,613.0

  White MSM

14,597

246

1,685.3

400

2,740.3

102

698.8

256

1,753.8

* The number of MSM LWH in this table differs from other DSHS reports because we did not use multiple imputation to assign mode of exposure to persons with no reported risk.

 

  • The demographic profile of PLWH diagnosed with STDs is similar to that of persons diagnosed with STDs in the general population.

  • Young PLWH age 15-34, Black and Hispanic PLWH, and MSM are more likely to receive an STD diagnosis.

  • STD diagnoses in PLWH may be indicators of condomless sex. PLWH who engage in condomless sex can potentially transmit HIV and other STDs to their partners.

 


 

Table 4-2. HIV+ Persons among Diagnosed STD Cases, Texas, 2015
 

Chlamydia

Gonorrhea

P&S Syphilis

EL Syphilis

 

Cases

Cases in
PLWH

%

Cases

Cases in
PLWH

%

Cases

Cases in
PLWH

%

Cases

Cases in
PLWH

%

 

133,850

1,672

1.2%

37,539

2,114

5.6%

1,708

546

32.0%

2,491

1,105

44.4%

Age Group                        
 0-14

274

0

0.0%

300

0

0.0%

0

0

0.0%

4

0

0.0%

 15-24

3,977

319

8.0%

20,499

462

2.3%

560

92

16.4%

635

137

21.6%

 25-34

15,766

725

4.6%

11,434

942

8.2%

640

234

36.6%

929

409

44.0%

 35-44

19,742

348

1.8%

3,307

399

12.1%

261

114

43.7%

495

278

56.2%

 45+

42,986

280

0.7%

1,983

311

15.7%

247

106

42.9%

428

281

65.7%

Race/Ethnicity                        
 White

22,222

311

1.4%

8,165

484

5.9%

448

127

28.3%

699

309

44.2%

 Black

31,009

704

2.3%

13,095

890

6.8%

531

179

33.7%

774

316

40.8%

 Hispanic

25,937

581

2.2%

9,352

640

6.8%

672

213

31.7%

921

424

46.0%

 Other

905

19

2.1%

984

9

0.9%

40

6

15.0%

58

12

20.7%

 Unknown

2,672

57

-

5,493

91

-

17

21

-

39

44

-

Sex                    

 

 
 Female

96,481

250

0.3%

16,775

118

0.7%

232

10

4.3%

474

15

2.7%

 Male

33,273

1,422

4.3%

20,684

1,996

9.6%

1.476

536

36.3%

2,015

1,092

54.2%

Current Residence                        
 Austin

11,082

217

2.0%

3,100

306

9.9%

210

77

36.7%

234

116

49.6%

 Dallas

21,581

467

2.2%

6,883

648

9.4%

314

104

33.1%

699

396

56.7%

 Houston

29,227

563

1.9%

8,201

616

7.5%

435

152

34.9%

470

222

47.2%

 Fort Worth

9,841

83

0.8%

3,159

134

4.2%

169

59

34.9%

244

106

43.4%

 San Antonio

13,958

109

0.8%

4,049

164

4.1%

227

72

31.7%

268

120

44.8%

Risk Group*            

 

         
 MSM

*

1,196

N/A

*

1,727

N/A

1,145

450

39.3%

1,356

961

70.9%

  Black MSM

*

440

N/A

*

684

N/A

301

145

48.2%

371

275

74.1%

  Hispanic MSM

*

464

N/A

*

569

N/A

465

180

38.7%

519

382

73.6%

  White MSM

*

246

N/A

*

400

N/A

341

102

29.9%

418

256

61.2%

* Sexual risk information is not routinely collected for chlamydia and gonorrhea cases

 

  • Ongoing syphilis transmission is increasingly limited to MSM in Texas. MSM living with HIV comprise over a third of Primary & Secondary (P&S) and Early Latent (EL) syphilis diagnoses.

  • This disparity may be due to higher biological risk of syphilis infection in PLWH or serosorting among MSM. 

 


 

Table 4-3. Number and % of PLWH in 2015 with Tuberculosis Co-morbidity, by Sex
 

TB Diagnoses
Ever (1993-2015)

In 2015

 

PLWH

Number of
PLWH with
TB Diagnosis
after
HIV Diagnosis

%

Number of
PLWH with
TB Diagnosis
in 2015

%

Rate per
100,000
population

Total PLWH

82,745

1,491

1.8%

43

100.0%

52.0

Age Group            
 0-14

290

1

0.3%

0

0.0%

0.0

 15-24

3,983

10

0.3%

1

2.3%

25.1

 25-34

14,917

101

0.7%

12

27.9%

80.4

 35-44

19,763

354

1.8%

11

25.6%

55.7

 45+

41,120

1,025

2.5%

19

44.2%

46.2

Race/Ethnicity            
 White

22,184

145

0.7%

3

7.0%

13.5

 Black

29,895

621

2.1%

17

39.5%

56.9

 Hispanic

24,607

635

2.6%

19

44.2%

77.2

 Other

836

48

5.7%

2

4.7%

239.2

 Unknown

2,551

42

1.6%

2

4.7%

78.4

Sex            
 Female

17,848

304

1.7%

9

20.9%

50.4

 Male

64,897

1,187

1.8%

34

79.1%

52.4

Current Residence            
 Austin

5,521

89

1.6%

5

11.6%

90.6

 Dallas

19,793

356

1.8%

8

18.6%

40.4

 Houston

26,041

521

2.0%

15

34.9%

57.6

 Fort Worth

5,396

89

1.6%

2

4.7%

37.1

 San Antonio

6,096

82

1.3%

2

4.7%

32.8

 

  • Persons living with HIV who also have latent tuberculosis (TB) infection are more likely to develop TB disease because the immune system is weakened.

  • The rate of TB in PLWH is 10 times the rate of TB in the general population (4.9/100,000).

  • Hispanics and persons of Asian races living with HIV are more likely to have TB disease, mainly due to a higher prevalence of latent TB infection in these populations as a result of TB being endemic in their countries of origin.

 


Epi Profile

Table of Contents1. Executive Summary | 2. New HIV Diagnoses | 3. Persons Living with HIV | 4. Co-Morbidities | 5. HIV/AIDS Deaths | 6. HIV Incidence | 7. Targeted and Routine HIV Testing | 8. Indicators of HIV Risk in HIV-negative Persons at High Risk for HIV | 9. Indicators of HIV Risk in PLWH Currently in Care | 10. Men Who Have Sex With Men (MSM) | 11. HIV Treatment Cascade | Data Sources and Notes


Last updated March 6, 2017