High Prevalence of Gonococcal and Chlamydial Infection in Men Who Have Sex With Men With Newly Diagnosed HIV Infection

2008 ◽  
Vol 48 (1) ◽  
pp. 109-112 ◽  
Author(s):  
Katherine C Scott ◽  
Susan Philip ◽  
Katherine Ahrens ◽  
Charlotte K Kent ◽  
Jeffrey D Klausner
2005 ◽  
Vol 16 (5) ◽  
pp. 357-361 ◽  
Author(s):  
A McMillan ◽  
K Manavi ◽  
H Young

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.


Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 325 ◽  
Author(s):  
Richard A. Crosby ◽  
Leandro Mena ◽  
Trisha Arnold

Background The first purpose of the present study was to determine whether young Black men who have sex with men (YBMSM) disclose their newly diagnosed HIV infection to a male or female partner, and to determine whether this disclosure is related to condom use; the second was to identify correlates of disclosing newly diagnosed HIV infection to male sex partners, including a measure of partner-related barriers to condom use. Methods: A sample of 125 HIV-infected YBMSM (age 15–29 years) provided cross-sectional data used for both study purposes. Recruitment occurred in a mid-size city in the southern US experiencing inordinately high prevalence and incidence rates of HIV among YBMSM. Significance was defined by an α level of <0.05. Results: Eighty-eight YBMSM (70.4%) indicated disclosing their newly diagnosed HIV status to the first male partner they had sex with after being diagnosed. Of these, nine (9.1%) reported that condoms were not used during ensuing sex with that partner. However, of the men not disclosing, 27.0% reported not using condoms for ensuing sex (P = 0.009). Similar findings were observed relative to sex with females (P = 0.057). Regarding the second study purpose, in addition to a protective effect of advancing age, men scoring at or above the median on a measure of partner-related barriers to condom use were 2.4-fold more likely to not disclose compared with men scoring below the median (P = 0.04). Conclusion: For YBMSM, a beneficial counselling objective relative to disclosing newly diagnosed HIV may be to help men resolve perceptions of partner-related barriers to condom use.


2011 ◽  
Vol 57 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Danielle German ◽  
Frangiscos Sifakis ◽  
Cathy Maulsby ◽  
Vivian L Towe ◽  
Colin P Flynn ◽  
...  

AIDS ◽  
2000 ◽  
Vol 14 (12) ◽  
pp. 1793-1800 ◽  
Author(s):  
Beryl A. Koblin ◽  
Lucia V. Torian ◽  
Vince Guilin ◽  
Leigh Ren ◽  
Duncan A. MacKellar ◽  
...  

2016 ◽  
Vol 28 (7) ◽  
pp. 693-701 ◽  
Author(s):  
Dara Spatz Friedman ◽  
Patrick O’Byrne ◽  
Marie Roy

Routine HIV surveillance cannot distinguish between recent and older infections: HIV-positive individuals reported soon or long after infection are both considered new diagnoses from a surveillance perspective, notwithstanding the time since infection. This lack of specificity makes it difficult to understand the jurisdiction-specific trends in HIV epidemiology needed for prevention planning. Previous efforts have been made to discern such timing of infection, but these methodologies are not easily applied in a public health setting. We wished to develop a simple protocol, using routinely collected information, to classify newly diagnosed infections as recent or older, and to enumerate and characterize recent versus older infections. Applying our methodology to a review of HIV cases reported between January 2011 and December 2014, we classified 62% of cases; one-third of these were recent infections. Although men who have sex with men (MSM) and persons from HIV-endemic countries (HEC) disproportionally accounted for new HIV diagnoses, the dynamics of HIV transmission within these groups differed dramatically: MSM accounted for the majority of recent infections, whereas persons from HEC accounted for the majority of older infections. Among older infections, one-quarter were previously unaware of their infection. Categorizing cases in this manner yielded greater, jurisdiction-specific understanding of HIV, and guides subpopulation-specific interventions.


2014 ◽  
Vol 19 (5) ◽  
pp. 909-917 ◽  
Author(s):  
Cathy Maulsby ◽  
Kriti Jain ◽  
Frangiscos Sifakis ◽  
Danielle German ◽  
Colin P. Flynn ◽  
...  

2009 ◽  
Vol 49 (10) ◽  
pp. 1532-1535 ◽  
Author(s):  
Thanh Dang ◽  
Katia Jaton‐Ogay ◽  
Markus Flepp ◽  
Helen Kovari ◽  
John‐Marc Evison ◽  
...  

2021 ◽  
Vol 26 (47) ◽  
Author(s):  
Oskar Ayerdi Aguirrebengoa ◽  
Mar Vera Garcia ◽  
Teresa Puerta López ◽  
Petunia Clavo Escribano ◽  
Juan Ballesteros Martín ◽  
...  

Introduction Knowing the factors associated with HIV transmission is necessary in order to design preventive programmes tailored to the epidemiological situation in each region and population. Aim Our objective was to study the sociodemographic, clinical and behavioural characteristics of men who have sex with men (MSM) who were newly diagnosed with HIV infection. Methods We carried out an observational, descriptive, study on all MSM newly diagnosed with HIV infection in one clinic for sexually transmitted infections (STI) and HIV clinic in Madrid between 2014 and 2019. Information on sociodemographic, clinical, and behavioural characteristics of participants per year of diagnosis was collected. Results We detected a total of 1,398 people with HIV infection, 253 of whom were recent seroconverters (rSCV) with a median duration of documented seroconversion of 6 months. From the total, 97.9% infections were sexually transmitted and 2.1% involved injected drugs, i.e. slam practices. The average age was 32.9 years (range: 15.6–74.9), 51.8% were Spanish and 40% Latin American. These diagnoses decreased in Spanish people and increased in Latin Americans during the study period. Of the rSCV, 73.9% had condomless sex under the influence of drugs and 28.9% participated in chemsex sessions. Apps were used by 92.6% rSCV for sexual encounters and 70.4% of them attributed HIV transmission to their use. Conclusions Combination of HIV prevention strategies, as pre-exposure prophylaxis, should be reinforced among young MSM, especially those born in Latin America, those who use drugs for sex, and those who use apps in search of sexual contacts.


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