scholarly journals Kissing may be an important and neglected risk factor for oropharyngeal gonorrhoea: a cross-sectional study in men who have sex with men

2019 ◽  
Vol 95 (7) ◽  
pp. 516-521 ◽  
Author(s):  
Eric P F Chow ◽  
Vincent J Cornelisse ◽  
Deborah A Williamson ◽  
David Priest ◽  
Jane S Hocking ◽  
...  
Keyword(s):  
Health Centre ◽  
Significant Proportion ◽  
Gay And Bisexual Men ◽  
Cross Sectional Study ◽  
Nucleic Acid Amplification ◽  
Bisexual Men ◽  
Sex Partners ◽  
Cross Sectional ◽  
And Bisexual ◽  
Sex With Men

ObjectivesA mathematical model suggested that a significant proportion of oropharyngeal gonorrhoea cases are acquired via oropharynx-to-oropharynx transmission (ie, tongue-kissing), but to date, no empirical study has investigated this. This study aimed to examine the association between kissing and oropharyngeal gonorrhoea among gay and bisexual men who have sex with men (MSM).MethodsMSM attending a public sexual health centre in Melbourne, Australia, between March 2016 and February 2017 were invited to participate in a brief survey that collected data on their number of male partners in the last 3 months, in three distinct categories: kissing-only (ie, no sex including no oral and/or anal sex), sex-only (ie, any sex without kissing), and kissing-with-sex (ie, kissing with any sex). Univariable and multivariable logistic regression analyses were performed to examine associations between oropharyngeal gonorrhoea positivity by nucleic acid amplification tests and the three distinct partner categories.ResultsA total of 3677 men completed the survey and were tested for oropharyngeal gonorrhoea. Their median age was 30 (IQR 25–37) and 6.2% (n=229) had oropharyngeal gonorrhoea. Men had a mean number of 4.3 kissing-only, 1.4 sex-only, and 5.0 kissing-with-sex partners in the last 3 months. Kissing-only and kissing-with-sex were associated with oropharyngeal gonorrhoea, but sex-only was not. The adjusted odds for having oropharyngeal gonorrhoea were 1.46-fold (95% CI 1.04 to 2.06) for men with ≥4 kissing-only partners and 1.81-fold (95% CI 1.17 to 2.79) for men with ≥4 kissing-with-sex partners.ConclusionsThese data suggest that kissing may be associated with transmission of oropharyngeal gonorrhoea in MSM, irrespective of whether sex also occurs.

scholarly journals Exploring the role of sex-seeking apps and websites in the social and sexual lives of gay, bisexual and other men who have sex with men: a cross-sectional study

Sexual Health ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 229 ◽  
Author(s):  
Kiffer G. Card ◽  
Nathan J. Lachowsky ◽  
Zishan Cui ◽  
Susan Shurgold ◽  
Maya Gislason ◽  
...  
Keyword(s):  
Sensation Seeking ◽  
Gay And Bisexual Men ◽  
Cross Sectional Study ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Social Interventions ◽  
Gay Community ◽  
Social Time ◽  
And Bisexual ◽  
Sex With Men

Background The objective of this study was to explore the relationship between online sex-seeking, community/social attachment and sexual behaviour. Methods: Respondent-driven sampling was used to recruit 774 sexually active gay and bisexual men in Vancouver, Canada, aged ≥16 years. Multivariable logistic regression compared men who had used online sex-seeking apps/websites in the past 6 months (n = 586) with those who did not (n = 188). Results: Multivariable results showed that online sex seekers were more likely to be younger [adjusted odds ratio (aOR) = 0.95, 95% CI: (0.93–0.96)], college educated [aOR = 1.60, 95% CI: (1.07, 2.40)], have more Facebook friends [aOR = 1.07, 95% CI: (1.01, 1.13)], spend more social time with other gay men [aOR = 1.99, 95% CI: (1.33–2.97)], and were less likely to identify emotionally with the gay community [aOR = 0.93, 95% CI: (0.86–1.00)]. Further, they had displayed high sensation-seeking behaviour [aOR = 1.08, 95% CI: (1.03–1.13)], were more likely to engage in serodiscordant/unknown condomless anal sex [aOR = 2.34, 95% CI: (1.50–3.66)], use strategic positioning [aOR = 1.72, 95% CI: (1.08–2.74)], ask their partner’s HIV-status prior to sex [aOR = 2.06, 95% CI: (1.27–3.37)], and have ever been tested for HIV [aOR = 4.11, 95% CI: (2.04–8.29)]. Conclusion: These findings highlight the online and offline social behaviour exhibited by gay and bisexual men, pressing the need for pro-social interventions to promote safe-sex norms online. We conclude that both Internet and community-based prevention will help reach app/web users.

scholarly journals P517 Do sexual practices differ by age among gay and bisexual men? A cross-sectional study in melbourne, australia

2019 ◽  
Author(s):  
Alex Kilner ◽  
Christopher Fairley ◽  
Sam Burrell ◽  
Catriona Bradshaw ◽  
Marcus Chen ◽  
...  
Keyword(s):  
Gay And Bisexual Men ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Bisexual Men ◽  
Sectional Study ◽  
Cross Sectional ◽  
And Bisexual

Proctitis in gay and bisexual men. Are microscopy and proctoscopy worthwhile?

2020 ◽  
Vol 96 (7) ◽  
pp. 475-477
Author(s):  
Gwamaka Eliudi Mwasakifwa ◽  
Colleen Nugent ◽  
Rick Varma
Keyword(s):  
Health Centre ◽  
Positive Likelihood Ratio ◽  
Mycoplasma Genitalium ◽  
Gay And Bisexual Men ◽  
Anal Intercourse ◽  
Nucleic Acid Amplification ◽  
Receptive Anal Intercourse ◽  
Polymorphonuclear Cells ◽  
Bisexual Men ◽  
And Bisexual

ObjectivesWe explored the association between nucleic acid amplification testing (NAAT) and rectal microscopy/proctoscopy findings and correlates of rectal STIs among 150 gay and bisexual men (GBM) diagnosed with proctitis at the Sydney Sexual Health Centre from March 2016 to October 2017.MethodsFrom case files, we analysed risk behaviours, microscopy, proctoscopy and NAAT results for rectal STIs (Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, herpes simplex virus type 1/2, lymphogranuloma venereum and syphilis). χ2 test assessed the association between microscopy/proctoscopy findings and NAAT results. Linear regression assessed the association between NAAT positivity and correlates of rectal STIs.ResultsThe mean age was 32.5 (9.8) years, 43% (65/150) were taking pre-exposure prophylaxis, 17% (26/150) were HIV positive and 24% (36/147) had multiple rectal STIs.Among GBM with documented proctoscopy findings (n=113), 58% (65/113) had discharge, 36% (41/113) had anorectal erythema and 25% (28/113) had bleeding. A quarter of GBM (28/113) had negative proctoscopy findings.Discharge found on proctoscopy (p=0.001), positive HIV status (p=0.030) and time since last receptive anal intercourse (p=0.028) were independently associated with NAAT positivity for any rectal STI. Discharge had a positive likelihood ratio of 1.6 (95% CI 1.0 to 2.4).Among those with documented microscopy findings (n=69), 59% (41/69) and 41% (28/69) were NAAT positive and negative, respectively. Among NAAT-positive GBM, 27 (66%) had polymorphonuclear cells (PMNs) (mean number of PMNs, 10 (SD 9) cells per oil immersion field), 1 (2%) had Gram-negative intracellular diplococci and 11 (27%) had negative findings. There was no significant association between microscopy findings and NAAT results (p=0.651) or the number of rectal STI (p=0.279).ConclusionMicroscopy does not reliably provide information necessary to tailor the management of GBM diagnosed with proctitis. Discharge found during proctoscopy may identify GBM with rectal STI. Services should consider recommendations to perform these investigations.

An alternative model of sexually transmissible infection testing in men attending a sex-on-premises venue in Sydney: a cross-sectional descriptive study

Sexual Health ◽  
2016 ◽  
Vol 13 (4) ◽  
pp. 353 ◽  
Author(s):  
Cherie Bennett ◽  
Vickie Knight ◽  
Douglas Knox ◽  
James Gray ◽  
Gemma Hartmann ◽  
...  
Keyword(s):  
Low Cost ◽  
Health Centre ◽  
Gay And Bisexual Men ◽  
Local Health ◽  
Bisexual Men ◽  
Community Based ◽  
Cross Sectional ◽  
And Bisexual ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background Sydney Sexual Health Centre (SSHC) partnered with a large sex-on-premises venue, South Eastern Sydney Local Health District HIV and Related Programs Unit and AIDS Council of NSW (ACON) to develop and implement a community-based sexually transmissible infection (STI) screening model co-located in a sex-on-premises venue. This paper describes the process, the outcomes and examines the cost of this model. Methods: A retrospective cross-sectional study of gay and bisexual men (GBM) attending a STI testing service co-located in a sex-on-premises venue in Sydney city between the 1 November 2012 and 31 May 2014. Results: A total of 402 patrons had 499 testing episodes in the study period. Testing patrons were a median of 39.5 years of age, 221 (55%) were born overseas, 85 (21%) spoke a language other than English at home and 54 (13%) had a STI at first testing. A total of 105 (26%) testing patrons had never tested for a STI before. Of the 297 (74%) who had been tested before, 83 (21%) had not been tested within the last 12 months. A total of 77 STIs were detected in 63 people over 499 testing episodes, giving a STI positivity rate of 15% in the testing episodes. The prevalence of rectal chlamydia was the highest at 8% followed by pharyngeal gonorrhoea at 3%. A total of 97% of testing patrons were successfully relayed their results via their preferred methods within a median of 7.5 days. Conclusion: This paper highlights that offering STI screening in a community-based setting was an effective and low-cost alternative to traditional testing services.

scholarly journals Condomless Group Sex Is Associated With HIV Pre-Exposure Prophylaxis Knowledge and Interest Uptake: A Cross-Sectional Study of Gay and Bisexual Men in Paris, France

2019 ◽  
Vol 31 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Denton Callander ◽  
Su Hyun Park ◽  
Yazan A. Al-Ajlouni ◽  
John A. Schneider ◽  
Maria R. Khan ◽  
...  
Keyword(s):  
Online Survey ◽  
Gay And Bisexual Men ◽  
Cross Sectional Study ◽  
Recent Experience ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Once Daily ◽  
And Bisexual ◽  
Group Sex ◽  
Exposure Prophylaxis

As a prevention strategy, HIV pre-exposure prophylaxis (PrEP) may benefit men who participate in group sex, but little is known about PrEP among this group internationally and virtually nothing is known of the European context. This study used an online survey of gay men living in Paris, France to assess associations between group sex and awareness of, use and interest in PrEP in its once-daily, episodic, injectable, and microbicidal forms. Men reporting recent (within 3 months) condomless group sex were much more likely to report once-daily PrEP use than men with no group sex experience (41.5% vs 7.7%, p < .001). Uptake was similarly low among men who had group sex with condoms (8.0%) and those with less-recent experience (6.43%). Overall, willingness to use PrEP—including its non-daily forms—was high among men reporting group sex, suggesting opportunities for outreach and implementation.

scholarly journals Experiences of homophobia among gay and bisexual men: results from a cross-sectional study in seven countries

2015 ◽  
Vol 17 (10) ◽  
pp. 1174-1189 ◽  
Author(s):  
Anna N. Chard ◽  
Catherine Finneran ◽  
Patrick S. Sullivan ◽  
Rob Stephenson
Keyword(s):  
Gay And Bisexual Men ◽  
Cross Sectional Study ◽  
Bisexual Men ◽  
Sectional Study ◽  
Cross Sectional ◽  
And Bisexual
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