Evidence of Sexually Transmitted Disease Testing Outside of Primary Human Immunodeficiency Virus Care for People Living With Human Immunodeficiency Virus in San Francisco, California

To the Editor—Using data from the Medical Monitoring Project (MMP), Mattson and colleagues found that a low proportion of sexually active adults in human immunodeficiency virus (HIV) care were screened for sexually transmitted diseases (STDs) in the prior 12 months in their primary care setting [1]. Sexually transmitted disease testing was far below recommended guidelines for sexually active persons living with HIV [2]. Reading this article encouraged us to examine our local MMP data to determine whether STD testing rates among MMP participants in San Francisco were similar and to examine whether the proportion of persons screened for STDs was underestimated because data collection in MMP was limited to medical chart abstraction from the participants' place of primary HIV care. Mattson et al noted this restriction as a limitation of their study.