scholarly journals P049 Audit: rates of sexual history taking and screening in HIV positive men who have sex with men (MSM): Abstract P049 Table 1

2016 ◽  
Vol 92 (Suppl 1) ◽  
pp. A35.2-A35
Author(s):  
Alasdair Macrae ◽  
Emily Lord ◽  
Annabel Forsythe ◽  
Jackie Sherrard
Keyword(s):  
Sexual History ◽  
Hiv Positive ◽  
History Taking ◽  
Audit Rates ◽  
Sexual History Taking ◽  
Sex With Men ◽  
Hiv Positive Men

Addressing sexually transmissible infection in HIV-positive patients. A clinical audit

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 75 ◽  
Author(s):  
Danielle Esler ◽  
Catriona Ooi
Keyword(s):  
New England ◽  
Clinical Audit ◽  
Sexual History ◽  
Hiv Positive ◽  
History Taking ◽  
Health Unit ◽  
Sti Testing ◽  
Sexual History Taking ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Australian guidelines for sexual history taking and sexually transmissible infection (STI) screening of HIV-positive patients do not exist. An audit was conducted to assess current practices of sexual history taking and STI testing of HIV-positive patients attending Hunter New England Sexual Health Unit.

Tackling STI epidemics through the HIV clinic: is sex high enough on the agenda?

2008 ◽  
Vol 19 (10) ◽  
pp. 711-712 ◽  
Author(s):  
R A Ferrand ◽  
S De Silva ◽  
J D Cartledge
Keyword(s):  
Significant Proportion ◽  
Sexual History ◽  
High Rate ◽  
Hiv Positive ◽  
Medical Problems ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual History Taking ◽  
Sex With Men ◽  
A Prospective Study

Sexually transmitted infection (STI) rates among men having sex with men continue to increase. HIV services may operate independently to genitourinary medicine clinics and the sexual health of HIV-positive patients may be of low priority in the context of medical problems related to HIV. A prospective study of HIV-positive gay men was conducted in a London outpatient clinic over a three-month period. Data were available for 90 men. Forty-five percent had STI screens in the preceding six months. These revealed a high rate of infections; 26 infections diagnosed in 14 men in the study period. Fifty-seven percent of the 90 men in the study had more than one partner in the past three months and approximately one-third had unprotected sexual activity. A significant proportion of men were unaware of recent outbreaks of hepatitis C and lymphogranuloma venereum and of HIV postexposure prophylaxis. We therefore recommend that sexual history-taking, STI screens and health promotion should become a routine feature of HIV outpatient consultations in this group.

scholarly journals Prevalence of Oral Human Papillomavirus Infection among Indian HIV-Positive Men Who Have Sex With Men: A Cross-Sectional Study

2020 ◽  
Author(s):  
Alexandra Lydia Hernandez ◽  
Rajiv Karthik ◽  
Murugesan Sivasubramanian ◽  
Anantharam Raghavendran ◽  
Shelly Lensing ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Hpv Infection ◽  
Sexual History ◽  
Hiv Positive ◽  
Increased Risk ◽  
Oral Hpv ◽  
Hpv Types ◽  
Sex With Men ◽  
The Impact ◽  
Hiv Positive Men

Abstract Background: Oral human papillomavirus (HPV) infection has been causally linked to a subset of oropharyngeal cancers in Western populations15-20, and both oropharyngeal cancer and oral HPV infection are increased among HIV-positive individuals24,41. India has high incidences of oral and oropharyngeal cancers, and Indian HIV-positive men who have sex with men (MSM) may be at increased risk of developing oropharyngeal cancers. However, there is little information available on the prevalence of oral HPV in this population.Methods: We tested 302 HIV-positive Indian MSM for oral HPV infection using L1 HPV DNA PCR with probes specific for 29 types and a mixture of 10 additional types. CD4+ level and plasma HIV viral load (VL) were measured. Participants completed an interviewer-administered questionnaire including a sexual history.Results: The prevalence of oral HPV was 23.7% (95% CI: 19-29%) and 2.4% of participants had oncogenic HPV types. No participants had oral HPV type 16 (HPV-16) and the prevalence of other anogenital HPV types was low. Participants with higher CD4+ levels had reduced odds of having any oral HPV infection (OR: 3.1 [1.4-6.9]) in multivariable analyses.Conclusions: This is the first report of oral HPV among Indian HIV-positive MSM. Our results show a high prevalence of oral HPV infection consistent with studies from Western populations. However, oncogenic anogenital HPV types were relatively uncommon in our study population. It is unknown what the impact of this distribution of oral HPV will be on oropharyngeal cancers. HIV-positive MSM in India should be monitored closely for oral and oropharyngeal pre-cancer and cancer.

scholarly journals Prevalence of Oral Human Papillomavirus Infection among Indian HIV-positive Men who have Sex with Men: A Cross-Sectional Study

2021 ◽  
Author(s):  
Alexandra Lydia Hernandez ◽  
Rajiv Karthik ◽  
Murugesan Sivasubramanian ◽  
Anantharam Raghavendran ◽  
Shelly Lensing ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Hpv Infection ◽  
Sexual History ◽  
Hiv Positive ◽  
Increased Risk ◽  
Oral Hpv ◽  
Hpv Types ◽  
Sex With Men ◽  
The Impact ◽  
Hiv Positive Men

Abstract Background: Oral human papillomavirus (HPV) infection has been causally linked to a subset of oropharyngeal cancers in Western populations15-20, and both oropharyngeal cancer and oral HPV infection are increased among HIV-positive individuals24,41. India has high incidences of oral and oropharyngeal cancers, and Indian HIV-positive men who have sex with men (MSM) may be at increased risk of developing oropharyngeal cancers. However, there is little information available on the prevalence of oral HPV in this population.Methods: We tested 302 HIV-positive Indian MSM for oral HPV infection using L1 HPV DNA PCR with probes specific for 29 types and a mixture of 10 additional types. CD4+ level and plasma HIV viral load (VL) were measured. Participants completed an interviewer-administered questionnaire including a sexual history.Results: The prevalence of oral HPV was 23.7% (95% CI: 19-29%) and 2.4% of participants had oncogenic HPV types. No participants had oral HPV type 16 (HPV-16) and the prevalence of other anogenital HPV types was low. Participants with higher CD4+ levels had reduced odds of having any oral HPV infection (OR: 3.1 [1.4-6.9]) in multivariable analyses. Conclusions: This is the first report of oral HPV among Indian HIV-positive MSM. Our results show a high prevalence of oral HPV infection consistent with studies from Western populations. However, oncogenic anogenital HPV types were relatively uncommon in our study population. It is unknown what the impact of this distribution of oral HPV will be on oropharyngeal cancers. HIV-positive MSM in India should be monitored closely for oral and oropharyngeal pre-cancer and cancer.

Does using self-completed sexual history questionnaires in HIV-positive men who have sex with men affect clinical outcomes?

2008 ◽  
Vol 19 (3) ◽  
pp. 203-205 ◽  
Author(s):  
Oliver Koch ◽  
Shamela De Silva ◽  
Simon Edwards ◽  
Tabitha Peake ◽  
Brian George ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Sexual History ◽  
Hiv Positive ◽  
Sex With Men ◽  
Hiv Positive Men

Rates of sexual history taking and screening in HIV-positive men who have sex with men

2016 ◽  
Vol 28 (3) ◽  
pp. 294-296 ◽  
Author(s):  
Alasdair MacRae ◽  
Emily Lord ◽  
Annabel Forsythe ◽  
Jackie Sherrard
Keyword(s):  
Drug Use ◽  
Sexual History ◽  
Hiv Positive ◽  
Recreational Drug ◽  
Sexually Active ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Recreational Drug Use ◽  
Sex With Men ◽  
Hiv Positive Men

A case note audit was undertaken of HIV-positive men who have sex with men (MSM) to ascertain whether national guidelines for taking sexual histories, including recreational drug use and sexually transmitted infection (STI) screening were being met. The notes of 142 HIV-positive men seen in 2015 were available, of whom 85 were MSM. Information was collected regarding sexual history, recreational drug use documentation, sexually transmitted infection screen offer and test results. Seventy-seven (91%) of the MSM had a sexual history documented, of whom 60 (78%) were sexually active. STI screens were offered to 58/60 (97%) of those who were sexually active and accepted by 53 (91%). Twelve (23%) of these had an STI. A recreational drug history was taken in 63 (74%) with 17 (27%) reporting use and 3 (5%) chemsex. The high rate of STIs highlights that regular screening in this group is essential. Additionally, the fact that over a quarter reported recreational drug use and given the increasing concern around chemsex, questions about this should be incorporated into the sexual history proforma.

scholarly journals Prevalence of oral human papillomavirus infection among Indian HIV-positive men who have sex with men: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra L. Hernandez ◽  
Rajiv Karthik ◽  
Murugesan Sivasubramanian ◽  
Anantharam Raghavendran ◽  
Shelly Lensing ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Hpv Infection ◽  
Sexual History ◽  
Hiv Positive ◽  
Increased Risk ◽  
Oral Hpv ◽  
Hpv Types ◽  
Sex With Men ◽  
The Impact ◽  
Hiv Positive Men

Abstract Background Oral human papillomavirus (HPV) infection has been causally linked to a subset of oropharyngeal cancers in Western populations, and both oropharyngeal cancer and oral HPV infection are increased among HIV-positive individuals. India has high incidences of oral and oropharyngeal cancers, and Indian HIV-positive men who have sex with men (MSM) may be at increased risk of developing oropharyngeal cancers. However, there is little information available on the prevalence of oral HPV in this population. Methods We tested 302 HIV-positive Indian MSM for oral HPV infection using L1 HPV DNA PCR with probes specific for 29 types and a mixture of 10 additional types. CD4+ level and plasma HIV viral load (VL) were measured. Participants completed an interviewer-administered questionnaire including a sexual history. Results The prevalence of oral HPV was 23.7% (95% CI: 19–29%) and 2.4% of participants had oncogenic HPV types. No participants had oral HPV type 16 (HPV-16) and the prevalence of other anogenital HPV types was low. Participants with higher CD4+ levels had reduced odds of having any oral HPV infection (OR: 3.1 [1.4–6.9]) in multivariable analyses. Conclusions This is the first report of oral HPV among Indian HIV-positive MSM. Our results show a high prevalence of oral HPV infection consistent with studies from Western populations. However, oncogenic anogenital HPV types were relatively uncommon in our study population. It is unknown what the impact of this distribution of oral HPV will be on oropharyngeal cancers. HIV-positive MSM in India should be monitored closely for oral and oropharyngeal pre-cancer and cancer.

Sexual history taking and sexually transmissible infection screening practices among men who have sex with men: a survey of Victorian general practitioners

Sexual Health ◽  
2011 ◽  
Vol 8 (3) ◽  
pp. 349 ◽  
Author(s):  
Bridget Barber ◽  
Margaret Hellard ◽  
Rebecca Jenkinson ◽  
Tim Spelman ◽  
Mark Stoove
Keyword(s):  
General Practitioners ◽  
Sexual History ◽  
Time Constraints ◽  
Hiv Screening ◽  
History Taking ◽  
Cross Sectional Survey ◽  
Attitudes And Practices ◽  
Hiv Test ◽  
Sexual History Taking ◽  
Sex With Men

Background HIV notifications among men who have sex with men (MSM) in Victoria, Australia, have increased recently. Early HIV diagnosis is a prevention strategy that requires general practitioners (GP) to recognise at-risk individuals and perform screening. Sexual history taking is part of this process. Methods: A cross-sectional survey of 354 Victorian GP to investigate attitudes and practices regarding sexual history taking and screening for HIV in MSM. Results: In total, 185 (53%, 95% CI: 47–58%) GPs reported being ‘very likely’ to take a sexual history from MSM presenting for a routine check-up; however 161 (46%, 95% CI: 40–51%) would not do so during the initial consultation. Barriers to sexual history taking included time constraints (28%, 95% CI: 24–36%), feeling inadequately trained (25%, 95% CI: 21–30%), discomfort discussing sex (24%, 95% CI: 20–29%) and fear of patient embarrassment (24%, 95% CI: 20–29%). Factors associated with a reduced likelihood included being male, time constraints, fear of patient embarrassment, and moral or religious views. Most GP (63%, 95% CI: 58–68%) reported they would offer HIV screening 3–6 monthly for MSM with casual partners; 54 (16%, 95% CI: 12–20%) would offer screening only on request. Being unlikely to take a sexual history and fear of patient embarrassment were associated with a decreased likelihood of offering an HIV test. Conclusion: GP often fail to take a sexual history from MSM, limiting opportunities to offer HIV screening. Strategies are required to increase GPs’ awareness of sexual health as a priority for MSM.

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