Significant increase in testing rates for sexually transmissible infections following the introduction of an anal cytological screening program, targeting HIV-positive men who have sex with men

Sexual Health ◽  
2011 ◽  
Vol 8 (1) ◽  
pp. 76 ◽  
Author(s):  
Leon P. Botes ◽  
John McAllister ◽  
Edward Ribbons ◽  
Fengyi Jin ◽  
Richard J. Hillman
Keyword(s):  
Screening Program ◽  
Health Benefit ◽  
Prevalence Ratio ◽  
Hiv Positive ◽  
Sti Testing ◽  
Number Of Patients ◽  
Sexually Transmissible Infections ◽  
Before And After ◽  
Sex With Men ◽  
Hiv Positive Men

ObjectivesTo evaluate whether the introduction of an anal cytology screening program (ACSP) targeting HIV-positive men who have sex with men (MSM) affected rates of sexually transmissible infection (STI) testing and detection in an urban HIV outpatient clinic. Methods: STI testing was offered as part of an ACSP. Uptake of STI testing and diagnoses were compared before and after the introduction of an ACSP. Results: The number of men undergoing STI testing increased significantly from 67 (20.4%) to 123 (34.8%) (relative risk 1.7, 95% confidence interval (CI) 1.40–2.07), but the increase in the total number of patients with any STI did not achieve significance (from 7 to 11, prevalence ratio 0.86, 95% CI 0.33–2.21). Rates of STI diagnosed in men participating in the ACSP were no different (11.3% v. 7.7%, P = 0.557) from those men declining screening. Conclusions: STI testing, when combined with an ACSP in HIV-positive MSM, may lead to an increase in STI testing and increased opportunities for risk reduction interventions. Men participating in an ACSP appear to have similar risk of STIs to those who decline participation in an ACSP. The inclusion of STI testing could potentially enhance the public health benefit of ACSPs.

scholarly journals 423. Self-Reported Screening for Rectal Sexually Transmitted Infections Among Men Who Have Sex with Men

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S212-S213
Author(s):  
Timothy William. Menza ◽  
Lauren Lipira ◽  
Amisha Bhattarai ◽  
Joseph Ramirez ◽  
Roberto Orellana
Keyword(s):  
Sexually Transmitted Infections ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Hiv Positive ◽  
Sexually Active ◽  
Hiv Status ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
Hiv Negative ◽  
Hiv Positive Men

Abstract Background Rectal gonorrhea and Chlamydia are common and predict HIV acquisition among men who have sex with men (MSM); however, screening for rectal sexually transmitted infections (STIs) is not routine. Methods In 2017, we recruited sexually-active MSM in the Portland, Oregon metropolitan area through venue-based sampling. Our outcome of interest was self-reported rectal STI screening in the prior 12 months. Stratified by HIV status, we assessed the prevalence and demographic, healthcare, clinical, and behavioral predictors of screening. Results Of 448 participants, 168 (37.5%) reported rectal STI screening. One hundred twenty-seven (35.8%) of 355 HIV-negative men, 41 (58.6%) of 70 HIV-positive men, and none of 23 men who did not know their HIV status reported screening. Among HIV-negative men, having a healthcare provider who offered HIV testing (adjusted prevalence ratio [aPR]=2.09; 95% confidence interval [CI]: 1.43, 3.04), a syphilis diagnosis (aPR=1.32; 95% CI: 1.03, 1.69), use of pre-exposure prophylaxis (aPR=1.57; 95% CI 1.21, 2.04), and condomless anal sex with casual partners in the prior 12 months (aPR=1.74; 95% CI: 1.36, 2.22) independently predicted screening for rectal STI in multivariable analysis. HIV-positive men who reported having a provider who always or often initiates conversations about sex were significantly more likely to report screening compared with men who did not have such a provider (aPR=1.48; 95% CI: 1.06, 2.06). Conclusion Rectal STI screening is not universal in a venue-based sample of sexually-active MSM. Implementing innovative, acceptable, and accessible screening practices and improving provider comfort with talking about sex are paramount to increasing rectal STI screening. Disclosures All authors: No reported disclosures.

Taming the great: enhanced syphilis screening in HIV-positive men who have sex with men in a hospital clinic setting

Sexual Health ◽  
2015 ◽  
Vol 12 (2) ◽  
pp. 176 ◽  
Author(s):  
Jason A. Trubiano ◽  
Jennifer F. Hoy
Keyword(s):  
Control Period ◽  
Fold Increase ◽  
Hiv Positive ◽  
Load Testing ◽  
Syphilis Testing ◽  
Before And After ◽  
Syphilis Screening ◽  
Sex With Men ◽  
Hospital Clinic ◽  
Hiv Positive Men

Syphilis incidence in HIV-positive men who have sex with men (MSM) continues to increase, with strategies based on early detection and treatment urgently required to control rising infections. There are barriers to enhanced testing in certain settings. At our tertiary referral HIV centre, testing rates before and after a period of enhanced syphilis testing in HIV-positive MSM were assessed. When compared with the control period (pre-enhanced screening), the enhanced syphilis testing was associated with a significant increase in syphilis testing of HIV-positive patients undergoing routine viral load testing (136 out of 574, 23% vs 317 out of 574, 55%; P < 0.0001) and a three-fold increase in new syphilis diagnoses (4 out of 574 vs 18 out of 574, P = 0.004).

scholarly journals HIV serosorting among HIV-positive men who have sex with men is associated with increased self-reported incidence of bacterial sexually transmissible infections

Sexual Health ◽  
2011 ◽  
Vol 8 (2) ◽  
pp. 184 ◽  
Author(s):  
Ulrich Marcus ◽  
Axel J. Schmidt ◽  
Osamah Hamouda
Keyword(s):  
Condom Use ◽  
Hiv Transmission ◽  
Hiv Positive ◽  
Hiv Test ◽  
Increased Risk ◽  
Sexually Transmissible Infections ◽  
Sex With Men ◽  
Hiv Serosorting ◽  
Hiv Negative ◽  
Hiv Positive Men

Background: We aimed to quantify the frequency of HIV serosorting among men who have sex with men (MSM) in Germany, and evaluate the association of serosorting with other sexual risk management approaches (RMA) and with the frequency of bacterial sexually transmissible infections (STI). Methods: An anonymous, self-administered questionnaire was distributed through German online sexual networking sites and medical practices in 2006. The analysis was based on 2985 respondents who reported an HIV test result. Based on two questions on RMA, serosorting was classified as tactical (an event-based decision) or strategic (a premeditated search for a seroconcordant partner). The analysis was stratified by HIV serostatus and seroconcordant partnership status. Results: HIV serosorting patterns were different for HIV-positive and HIV-negative participants. Tactical serosorting ranked second after RMA based on condom use (HIV-positive: 55.1%, HIV-negative: 45.1%; P < 0.001). While the overlap of strategic and tactical HIV serosorting among HIV-positive MSM was substantial (58.0%), HIV-negative strategic and tactical serosorting were more distinct (18.1% overlap). Among HIV-positive and HIV-negative respondents, tactical serosorting was associated with reduced condom use. Compared with respondents using RMA other than serosorting, HIV-positive men reporting serosorting had a three-fold increased risk for bacterial STI (strategic: odds ratio (OR) = 2.62; 95% confidence interval (CI): 1.76–3.89; tactical: OR = 3.19; 95% CI: 2.14–4.75; both for respondents without HIV seroconcordant partners). Conclusions: HIV serosorting has emerged as a common RMA among MSM. For HIV-positive MSM, it may contribute to high rates of bacterial STI that may lead to elevated per-contact risks for HIV transmission.

scholarly journals Uptake, yield and resource requirements of screening for asymptomatic sexually transmissible infections among HIV-positive people attending a hospital outpatient clinic

Sexual Health ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 67 ◽  
Author(s):  
Stephen Ritchie ◽  
Rebecca Henley ◽  
Jackie Hilton ◽  
Rupert Handy ◽  
Joan Ingram ◽  
...  
Keyword(s):  
Screening Program ◽  
Hiv Positive ◽  
Prospective Audit ◽  
Laboratory Cost ◽  
Opt Out ◽  
Sexually Transmissible Infections ◽  
Resource Requirements ◽  
Sex With Men ◽  
The Cost ◽  
Clinic Population

Background We performed a prospective audit of screening for asymptomatic sexually transmissible infections (STIs), during an intensive effort to screen all patients at our hospital-based HIV clinic. We aimed to measure the effectiveness and resource implications of our screening program. Methods: All outpatients who attended during an 8-month period were invited to take part in opt-out screening for chlamydia (Chlamydia trachomatis), gonorrhoea (Neisseria gonorrhoeae) and syphilis. Participants completed a brief questionnaire, were asked about current symptoms of STIs and self-collected specimens for laboratory testing. Results: The majority (535 out of 673, 80%) of the patients who were asked to participate provided specimens for screening. No chlamydia, gonorrhoea or syphilis infections were identified in women (n = 91) or in heterosexual men (n = 76). In contrast, 34 out of 368 (10%) of men who have sex with men tested positive (chlamydia, 25; gonorrhoea, 2; chlamydia and gonorrhoea, 2; syphilis, 5). The laboratory cost of diagnosing each case of rectal chlamydia or gonorrhoea (NZ$664) was substantially lower than the cost of diagnosing each case of urethral infection (NZ$5309). Conclusions: There was high uptake of screening among our clinic population, who preferred screening to be performed at the hospital clinic. The yield of screening men who have sex with men warrants continued annual screening for rectal gonorrhoea and chlamydia and for syphilis.

scholarly journals P16.03 Comparison of sexual risk behaviours among hiv positive men who have sex with men before and after their diagnosis

2015 ◽  
Vol 91 (Suppl 2) ◽  
pp. A212.3-A213 ◽  
Author(s):  
Gino M Calvo ◽  
Kelika A Konda ◽  
Segundo R León ◽  
Silver Vargas ◽  
Hugo Sánchez ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Hiv Positive ◽  
Risk Behaviours ◽  
Before And After ◽  
Sex With Men ◽  
Sexual Risk Behaviours ◽  
Hiv Positive Men

Role of Social Support on Medication Adherence in HIV-Positive Men Who Have Sex With Men

2011 ◽  
Author(s):  
Eva N. Woodward ◽  
David W. Pantalone
Keyword(s):  
Social Support ◽  
Medication Adherence ◽  
Hiv Positive ◽  
Sex With Men ◽  
Hiv Positive Men

Comparison of two sample collection devices for anal cytology in HIV‐ positive men who have sex with men: Cytology‐brush and Dacron‐swab

Cytopathology ◽  
2021 ◽  
Author(s):  
Ana C Silva‐Klug ◽  
Maria Saumoy ◽  
Nuria Baixeras ◽  
Loris Trenti ◽  
Isabel Catala ◽  
...  
Keyword(s):  
Hiv Positive ◽  
Sample Collection ◽  
Anal Cytology ◽  
Sex With Men ◽  
Cytology Brush ◽  
Hiv Positive Men
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