scholarly journals Are homosexual males a risk group for hepatitis A infection in intermediate endemicity areas?

1996 ◽  
Vol 117 (1) ◽  
pp. 145-148 ◽  
Author(s):  
J. Ballesteros ◽  
R. Dal-Ré ◽  
A. González ◽  
J. Del Romero
Keyword(s):  
Sexual Orientation ◽  
Sexually Transmitted Diseases ◽  
Odds Ratio ◽  
Hepatitis A ◽  
Risk Group ◽  
Heterosexual Men ◽  
Homosexual Men ◽  
Sexually Transmitted ◽  
Increased Risk ◽  
Intermediate Endemicity

SummaryThe purpose of this study was to examine the prevalence of antibody against hepatitis A (anti-HAV) in a population of homosexual men compared with that of heterosexual men in an area of intermediate HAV endemicity (Madrid, Spain). A total of 148 patients were recruited in a Sexually Transmitted Diseases Clinic: 74 homosexuals (mean age of 28±5 years) and 74 heterosexuals (29±5 years). The prevalence of anti-HAV antibody was 47% and 43% for homo-and heterosexuals, respectively. Among the factors evaluated (age, sexual orientation and practices, travel to high HAV endemicity areas) oral-anal contact was significantly associated with a higher prevalence of anti-HAV antibody (odds ratio, 2·8; 95% confidence interval, 1·1–7·4;P= 0·03). These results indicated that in an area of intermediate endemicity young homosexual men are not at increased risk of having acquired hepatitis A infection than heterosexuals. Oral–anal contact is an independent risk factor that influences the presence of anti-HAV antibody, regardless of sexual orientation.

scholarly journals Lack of evidence for increased risk of hepatitis A infection in homosexual men

1999 ◽  
Vol 123 (1) ◽  
pp. 89-93 ◽  
Author(s):  
R. CORONA ◽  
T. STROFFOLINI ◽  
A. GIGLIO ◽  
R. COTICHINI ◽  
M. E. TOSTI ◽  
...  
Keyword(s):  
Hepatitis A ◽  
Hepatitis A Virus ◽  
Transmitted Disease ◽  
Homosexual Men ◽  
Oral Infections ◽  
Sexually Transmitted ◽  
Increased Risk ◽  
Number Of Sexual Partners ◽  
History Of ◽  
Syphilis Serology

In 1997, prevalence of and risk factors for hepatitis A virus (HAV) infection were evaluated in 146 homosexual and 286 heterosexual men attending a Sexually Transmitted Disease (STD) Clinic in Rome, Italy. Total HAV antibody (anti-HAV) was detected in 60·3% of homosexuals and 62·2% of heterosexuals. After adjustment for the confounding effects of age, years of schooling, number of sexual partners, use of condoms, and history of STD, homosexuals were not found to be at increased risk of previous HAV exposure than heterosexuals (OR 1·1; 95% CI 0·7–1·9). Independent predictors of the likelihood of anti-HAV seropositivity among homosexuals and heterosexuals were: age older than 35 years and positive syphilis serology which is likely a proxy of lifestyles that increase the risk of faecal–oral infections.These findings do not support a higher risk in homosexual men but could suggest a role for the vaccination of susceptible patients attending STD clinics.

The sexual behaviour of international travellers at two Glasgow GUM clinics

1997 ◽  
Vol 8 (5) ◽  
pp. 336-338 ◽  
Author(s):  
Simon Carter ◽  
Kate Horn ◽  
Graham Hart ◽  
Martin Dunbar ◽  
Anne Scoular ◽  
...  
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sexual Behaviour ◽  
Safer Sex ◽  
Sexual Contact ◽  
Heterosexual Men ◽  
Sexually Transmitted ◽  
Increased Risk ◽  
Risk Of Exposure ◽  
Genitourinary Medicine ◽  
Business Travellers

A survey of patients attending 2 Glasgow genitourinary medicine (GUM) clinics was conducted in 2 3-month periods in 1993 and 1994. Three hundred and twenty-five attendees who had travelled abroad in the preceding 3 months completed anonymous self-administered questionnaires about their sexual behaviour during these recent journeys abroad. There were 112 women and 213 men (185 heterosexuals and 28 homosexuals). Twenty-two (19.6%) women, 56 (31%) heterosexual men and 13 (42%) homesexual men had a sexual contact with a new partner while abroad. Of those who had had a new sexual contact abroad, 11 women (50% of those who had sex with a new partner) and 33 heterosexual men (59% of those who had sex with a new partner) were inconsistent users of condoms. Analysis of data found that homosexual and heterosexual men, and business travellers, are at increased risk of exposure to sexually transmitted diseases, including HIV infection, and should be targeted with safer sex health promotion prior to travel.

Comparative Rates of Sexually Transmitted Diseases among Heterosexual Men, Homosexual Men, and Heterosexual Womend

1984 ◽  
Vol 11 (4) ◽  
pp. 271-274 ◽  
Author(s):  
STEPHEN L. SHORT ◽  
DOUGLAS L. STOCKMAN ◽  
STEVEN M. WOLINSKY ◽  
MARY ANNE TRUPEI ◽  
JULIE MOORE ◽  
...  
Keyword(s):  
Sexually Transmitted Diseases ◽  
Heterosexual Men ◽  
Homosexual Men ◽  
Sexually Transmitted

Role of the Pediatrician in Management of Sexually Transmitted Diseases in Children and Adolescents

PEDIATRICS ◽  
1987 ◽  
Vol 79 (3) ◽  
pp. 454-456
Author(s):  
Keyword(s):  
Young People ◽  
Children And Adolescents ◽  
Sexually Transmitted Diseases ◽  
Sexual Intercourse ◽  
Contraceptive Methods ◽  
Delay In Diagnosis ◽  
Sexually Transmitted ◽  
Adolescent Population ◽  
Increased Risk

Approximately half of all American adolescents have experienced sexual intercourse by age 17 years.1 The second highest rate of reported gonococcal infections (1,229 cases per 100,000 persons) occurs in 15- to 19-year-old adolescents. This increased risk in the adolescent population has been associated with the greater number of young people having sexual intercourse, the infrequent use of barrier contraceptive methods, the obstacles to prompt medical care that teenagers face, with consequent delay in diagnosis and further spread of the disease, and the large number of asymptomatic carriers.2 The pediatrician has an important responsibility for providing sexuality-related care to children and adolescents.2-4

Concurrent gonococcal and chlamydial infections among men attending a sexually transmitted diseases clinic

2005 ◽  
Vol 16 (5) ◽  
pp. 357-361 ◽  
Author(s):  
A McMillan ◽  
K Manavi ◽  
H Young
Keyword(s):  
Retrospective Study ◽  
Chlamydia Trachomatis ◽  
Confidence Interval ◽  
Sexually Transmitted Diseases ◽  
Chlamydial Infection ◽  
Empirical Treatment ◽  
Heterosexual Men ◽  
Sexually Transmitted ◽  
High Prevalence ◽  
Sex With Men

The aim of this retrospective study was to determine the prevalence of Chlamydia trachomatis co-infection in men with gonorrhoea attending a sexually transmitted diseases clinic in Edinburgh, Scotland. During the study period, there were 660 cases of culture-proven gonorrhoea. Chlamydial DNA was detected in the urethra in 79 (31%; 95% confidence interval [CI], 25–37%) heterosexual men who have sex with women (MSW); the median age was significantly lower than those with gonorrhoea alone (24.0 versus 30.0; P < 0.0005). The prevalence of urethral chlamydial infection among MSW was significantly higher than among men who have sex with men (MSM) (32 [12%; 95% CI, 8–16%] of 268 MSM) (χ2 = 27.21; P < 0.001). Sixteen (24%; 95% CI, 14–34%) of 68 MSM with rectal gonorrhoea had concurrent rectal chlamydial infection. The high prevalence of concurrent gonorrhoea and chlamydiae therefore warrants empirical treatment and/or testing for chlamydia in all men with urethral gonorrhoea.

Human Immunodeficiency Virus and Treponema Pallidum Infections in Nigerian Patients with Leprosy

1994 ◽  
Vol 5 (1) ◽  
pp. 48-51
Author(s):  
C M Nwosu ◽  
S N N Nwosu ◽  
K C Okoye
Keyword(s):  
Human Immunodeficiency Virus ◽  
Sexually Transmitted Diseases ◽  
Demographic Data ◽  
Control Measures ◽  
Leprosy Patient ◽  
Control Group ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
Increased Risk ◽  
Immunodeficiency Virus

Fifty-one patients were selected from 4 leprosaria in eastern Nigeria and were examined for evidence of syphilis. They were screened serologically for treponemal and human immunodeficiency virus (HIV) infections. Information about their sexual behaviour and demographic data were obtained to determine the factors associated with increased risk of contracting sexually transmitted diseases (STD). They were compared with 115 controls. The results showed that positive treponemal tests were more common in those patients living outside the leprosaria ( P<0.05). Age and sex of the patients living inside the leprosaria were not factors associated with treponemal infections. Leprosy appeared to be a factor for T. pallidum infection when compared with the control group ( P < 0.05; OR 476; CI 1.16,19.5). One leprosy patient and one control subject had positive HIV tests and there was no significant association between leprosy and HIV infection. These findings suggest the possibility of the spread of sexually transmitted diseases amongst the leprosy patient population. The importance with respect to control measures is that leprosy patients living outside leprosaria may constitute a potential reservoir for introducing sexually transmitted diseases into the leprosaria.

Hepatitis A and B infection and vaccination in a cohort of homosexual men in Sydney

Sexual Health ◽  
2004 ◽  
Vol 1 (4) ◽  
pp. 227 ◽  
Author(s):  
Fengyi Jin ◽  
Garrett P. Prestage ◽  
Catherine M. Pell ◽  
Basil Donovan ◽  
Paul G. Van de Ven ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sexually Transmitted Infections ◽  
Hepatitis A ◽  
Hbv Infection ◽  
Homosexual Men ◽  
Sex Partners ◽  
Sexually Transmitted ◽  
Gay Community ◽  
Hbv Vaccination ◽  
Hiv Negative

Objectives: To determine the prevalence and incidence of hepatitis A (HAV) and B (HBV) infection and vaccination in HIV-negative homosexual men in Sydney, and associated risk factors. Methods: An open prospective cohort study was conducted among a community-based sample of HIV-negative homosexual men in Sydney in 2001–02. Participants underwent a face-to-face interview, regarding demographics, sexual behavioural risk factors and sexually transmitted infections, and blood samples were collected. They were followed annually. Results: Nine hundred and three men completed a baseline interview by the end of 2002. Among them, 68% were seropositive to hepatitis A. The seroprevalence of prior hepatitis B infection was 19%, and 53% had serological evidence of HBV vaccination. Younger men were much more likely to be seronegative, with 48% and 46% of <25-year-olds being seronegative to HAV and HBV respectively. In multivariate analysis HAV and HBV infection were associated with increasing age, greater number of lifetime sex partners and HBV infection was also associated with previous sexually transmitted infections. HAV vaccination was associated with increasing age, greater number of lifetime sex partners, overseas travel in the last year and self-reported anogenital warts. HBV vaccination was associated with higher occupational status, greater lifetime number of sex partners and previous sexually transmitted infections. Conclusion: Substantial proportions of gay community attached young homosexual men are still at risk of HAV and HBV infection. This study points to a need for vaccination strategies which ensure high levels of hepatitis A and B immunity in young sexually active gay men.

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