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All consenting women underwent a genital and pelvic examination regardless of whether they reported STI symptoms.

Signs of STIs were defined as genital wart, genital ulcer, inflamed cervix with or without pus or blood, yellow or green or white vaginal discharge, or adnexal or cervical motion tenderness during bimanual examination.

Signs of chlamydia and gonorrhea included all STI signs except genital wart and ulcer.

STI treatment was done using a syndromic approach, according to Thai national guidelines, and was provided, along with condoms, free of charge.

Serologic tests for syphilis were done using Rapid Plasma Reagin (RPR) card tests (New Market Laboratory, Kentford, UK) and, for specimens reactive on RPR testing, by light microscopy.Women were considered to have an STI if they had clinician-diagnosed genital ulcer disease (GUD); positive results for gonorrhea, chlamydia, or trichomoniasis; or syphilis (defined as RPR titer positive and a reactive TPHA test).HIV infection status was confirmed by Murex HIV1-2 ELISA (Murex Biotech, Ltd., Dartford, UK) if not previously documented.Chi-squared tests and Wilcoxon rank sum tests were used for categorical and continuous data, respectively.Fisher’s exact test was used for categorical data when the expected frequency of any cell in 2x2 table was ].

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Limited data on STI prevalence and correlates among HIV-infected women in Thailand are available.

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