Paper Title

Predictors of Herpes Simplex Virus Type 2 Antibody Positivity Among Persons With No History of Genital Herpes

Keywords

  • hsv
  • herpes simplex virus type 2 (hsv-2)
  • antibody positivity
  • genital herpes
  • sexually transmitted disease (std)
  • hsv-2 screening
  • sexual health
  • std risk factors
  • hsv-2 testing
  • hsv-2 predictors
  • non-white race
  • gender differences
  • young adults
  • sexual behavior
  • std history
  • hsv-2 prevalence
  • age-related risk
  • hsv-2 symptoms
  • public health
  • hsv-2 epidemiology
  • viral infections
  • sexual risk assessment
  • hsv-2 diagnosis
  • asymptomatic hsv-2
  • anogenital symptoms

Article Type

Research Article

Research Impact Tools

Publication Info

Volume: 31 | Issue: 11 | Pages: 676–681

Published On

November, 2004

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Abstract

Background: The demographic, historical, and behavioral factors that predict a positive herpes simplex virus type 2 (HSV-2) antibody test in persons without a history of genital herpes have not been well-defined. Methods: Individuals (age 14–30 years) without a history of genital herpes completed a questionnaire and were offered free HSV-2 antibody testing. Factors from the questionnaire were correlated with the HSV-2 antibody result. Results: Univariate analysis showed that female gender was significantly associated with positive test results. In gender-specific, multiple logistic regression models, a positive HSV-2 antibody test among men was associated with older age, non-white race, and a history of sexually transmitted disease (STD). Gender-specific symptom scores from the questionnaire were not predictive in either gender, but the gender-common symptom score was marginally predictive of a positive HSV-2 antibody test in women. Among women, older age, non-white race, and STD history predicted a positive test. Conclusions: Among young persons with no history of genital herpes who agreed to HSV-2 antibody testing, increasing age, non-white race, and a history of an STD were predictors of a positive test. A history of frequent pain, itching, burning, and rashes in the anogenital region was marginally associated with positive HSV-2 tests in women. These results might help guide selective use of HSV-2 antibody screening.

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