GENITAL HERPES IN A PRIMARY-CARE CLINIC - DEMOGRAPHIC AND SEXUAL CORRELATES OF HERPES-SIMPLEX TYPE-2 INFECTIONS

Background and Objectives: Genital herpes remains one of the most prev alent sexually transmitted diseases (STDs). The sexual behavioral corr elates of herpes simplex virus type 2 (HSV-2) infection in the general population have not been well characterized. Goals: To assess demogra phic and sexual behavioral correlates of symptomatic and subclinical H SV-2 infection. Study Design: Cross-sectional survey of 922 randomly c hosen patients and 78 of their partners (1,000 total) in a family prac tice, Sexual behavior information was collected in 492 people. Results : Two hundred twenty-five (23%) heterosexual people had HSV-2 infectio n, but only 59 (26%) reported a history of genital herpes. HSV-2 serop revalence was 63% in African-American women, 27% in white women, 40% i n African-American men, and 12% in white men. In multivariate analyses of risk factors for HSV-2 infection among men, 10 or more sexual part ners and a pries STD were statistically significantly associated with HSV-2 infection, Among white women, number of sexual partners, a prior STD, marriage or cohabitation, and less than a college education were predictive of HSV-2 infection. A history of oral sex was the only sta tistically significant predictor of HSV-2 infection in African-America n women. Conclusions: Risk factors for HSV-2 infection differ by gende r and ethnic group, Traditionally recognized behavioral correlates of STD acquisition may not identify people in communities with high preva lence of HSV-2 infection.