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Sildenafil (Viagra) use among persons with AIDS in San Francisco.

Chu PW, McFarland WC, Hsu L, Schwarcz S; International Conference on
AIDS.

Int Conf AIDS. 2002 Jul 7-12; 14: abstract no. MoPeC3433.

San Francisco Department of Public Health, San Francisco, United
States

BACKGROUND: A recent survey of STD clinic patients found Viagra use
among men who have sex with men (MSM) at 32% and significantly higher
among HIV-positive MSM. Similarly, a community-based survey of MSM
found Viagra use to be 33%. Because Viagra may be prescribed for
erectile dysfunction resulting from AIDS medications or depression
among persons with AIDS, we reviewed medical records of AIDS cases in
San Francisco in order to characterize Viagra use and assess its
potential role in the risk of HIV transmission. METHODS: We
ascertained Viagra use through medical chart review of persons living
with AIDS in San Francisco in 2001 and characterized its use with
respect to demographic and behavioral risk characteristics, and use of
highly active antiretroviral therapy (HAART). Logistic regression was
used to determine factors associated with Viagra use. RESULTS: Of
4,394 medical records of AIDS cases examined, one female (<1%) and 168
males (4%) had ever used Viagra. Among 4,113 male AIDS cases, Viagra
use was significantly associated with older age (odds ratio OR=1.03,
confidence interval CI=1.01,1.05) and use of HAART (OR=4.29,
CI=2.59,7.12). CONCLUSIONS: Viagra use was less frequent in our
study than suggested by previous surveys. Physician prescription of
Viagra to persons with AIDS is more frequent among older men in whom
erectile dysfunction is more common. Increased use of Viagra among
persons receiving HAART may reflect increased sexual activity among
persons with AIDS with improved physical function. The finding points
to the need for HIV care providers to address prevention issues in
their clinic population. Additional studies to assess recreational use
of Viagra outside of primary care settings should be conducted to more
completely ascertain the potential risk of Viagra use and HIV
transmission.

Publication Types:

Meeting Abstracts

Keywords:

Acquired Immunodeficiency Syndrome

Antiretroviral Therapy, Highly Active

Female

HIV Infections

HIV Seropositivity

Humans

Male

Piperazines

Risk Factors

San Francisco

sildenafil

utilization

Other ID:

GWAIDS0013906

UI: 102251404

From Meeting Abstracts

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