scholarly journals O2-S3.01 Feasibility and acceptability of self-sampling for rectal sexually transmitted infections (STI) among bisexual men in the USA

2011 ◽  
Vol 87 (Suppl 1) ◽  
pp. A58-A58
Author(s):  
B. Dodge ◽  
B. Van Der Pol ◽  
M. Reece ◽  
D. Malebranche ◽  
D. Fortenberry
Author(s):  
Teresa Fasciana ◽  
Giuseppina Capra ◽  
Paola Di Carlo ◽  
Cinzia Calà ◽  
Marco Vella ◽  
...  

Sexually transmitted infections (STIs) are a serious global health problem. In Italy, data describing the vulnerability to STIs of specific sexual minorities and the influence of sociodemographic and behavioral determinants are limited, as most infections are not subject to mandatory notification. This retrospective study describes the sociodemographic profile and main sexual behaviors of patients attending a hospital in Palermo (Sicily, Italy) from January 2018 to March 2019 as predictors of STI risk. Patients were divided in subgroups: men-who-have-sex-with-men (MSM), men-who-have-sex-with-women (MSW), bisexual men and females. Data were obtained through an anonymous questionnaire. Patients were tested for chlamydia, syphilis, Mycoplasma genitalium infection, genital herpes and HPV infection. A total of 294 subjects with STIs (male/female ratio about 2:1) were screened. Of the total sample, 79.6% of patients were Italian. MSM accounted for 34.3%, MSW for 29.6%, bisexual men for 5.8% and females for 30.3%. A total of 44.5% of patients had a high education level, 42.5% reported irregular use of condoms, 20.7% reported having had 5–10 partners in the six months prior to the visit and 32.9% were HIV-positive. HPV infection and syphilis were the most prevalent STIs. Conclusions: The most common profile of patients attending our clinic was that of an adult, Italian man with a high level of education, poor use of condoms and a high number of partners. MSM had the highest sex-behavior-related risk for STIs. In addition, our results suggest that all STD teams need to implement counselling topics and recommendations to share with patients, as well as tips on how to approach sexual health education/counselling, thereby promoting patient-centered approaches and educational programs.


2019 ◽  
Vol 222 (9) ◽  
pp. 1432-1434 ◽  
Author(s):  
Robert W Eisinger ◽  
Emily Erbelding ◽  
Anthony S Fauci

Abstract This article highlights biomedical research goals for the development of critical tools, including innovative diagnostics, safe and effective vaccines, and new and improved therapeutics, necessary to achieve an end to the global epidemic of sexually transmitted infections. The incidence of sexually transmitted infections (STIs), including gonorrhea, syphilis, chlamydia, and trichomoniasis, is increasing by over 1 million new cases daily and represents a global public health crisis. There is an alarming increase of gonorrhea and syphilis among men who have sex with men and bisexual men, 2 key populations also at high risk for human immunodeficiency virus. A refocused, dedicated, and intensive biomedical research program is needed targeting development of innovative diagnostics, safe and effective vaccines, and new and improved therapeutics. This article highlights biomedical research goals providing critical tools necessary to achieve an end to the global STIs epidemic.


2017 ◽  
Vol 372 (1729) ◽  
pp. 20160323 ◽  
Author(s):  
Enrique Rodriguez Pouget

In Black population centres in the USA, adult sex ratios (ASRs) are strongly female-biased primarily due to high male incarceration and early mortality rates. I explore the system of social determinants that shape these ASRs, and describe their apparent consequences. Evidence suggests that female-biased ASRs play a role, along with racial residential segregation, to increase mixing between core and peripheral members of sexual networks, facilitating transmission of human immunodeficiency virus and other sexually transmitted infections. Unique historical factors underlie Black male incarceration and mortality rates in the USA, making comparisons with other groups or other countries challenging. This article is part of the themed issue ‘Adult sex ratios and reproductive decisions: a critical re-examination of sex differences in human and animal societies’.


2013 ◽  
Vol 24 (2) ◽  
pp. 123-127 ◽  
Author(s):  
T L K Mullins ◽  
B J Rudy ◽  
C M Wilson ◽  
H Sucharew ◽  
J A Kahn

2020 ◽  
Author(s):  
Tara McKay ◽  
Jeff Henne ◽  
Gilbert Gonzales ◽  
Rebecca Quarles ◽  
Kyle A. Gavulic ◽  
...  

After decades of navigating HIV and other sexually transmitted infections, gay and bisexual men are again responding to new and uncertain risks presented by the coronavirus (COVID-19) pandemic by adapting aspects of their sexual behavior. We fielded a survey of LGBTQ Americans’ responses to the COVID-19 pandemic collected from April 10 to May 10, 2020, an important time period during which most states issued stay-at-home orders (April 10 to April 30) and also began implementing phased reopening (May 1 to May 10). In this paper, we limit analyses to a subsample of 728 gay and bisexual men and focus on changes to sexual behavior in response to the pandemic. We find that many gay and bisexual men made significant changes to their sexual behavior and partner selection. Nine out of 10 men in our sample reported having either one sexual partner or no sexual partner in the last 30 days, which, for many, was a substantial decrease compared to just before the pandemic. Men also made changes to the kinds of partners they had and their sexual activities with partners (e.g., more virtual sex), engaged in new strategies to reduce their risks of infection from partners, and expressed high levels of concern about how HIV may affect COVID-19 risk, treatment, and recovery. We expect these changes to be important not only for reducing the impact of the coronavirus pandemic, but also for reducing new sexually transmitted infections. Despite substantial changes in sexual behavior for most men in our sample, we note concerns around the sustainability of sexual behavior change over time and nondisclosure of COVID-19 symptoms to partners.


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