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

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.

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Sexually transmitted diseases in homosexual men.

American Journal of Public Health ◽

10.2105/ajph.71.9.989 ◽

1981 ◽

Vol 71 (9) ◽

pp. 989-990 ◽

Cited By ~ 9

Author(s):

H H Handsfield

Keyword(s):

Sexually Transmitted Diseases ◽

Homosexual Men ◽

Sexually Transmitted

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

International Journal of STD & AIDS ◽

10.1258/0956462053888925 ◽

2005 ◽

Vol 16 (5) ◽

pp. 357-361 ◽

Cited By ~ 6

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.

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