Contribution of transmission in HIV-positive men who have sex with men to evolving epidemics of sexually transmitted infections in England: an analysis using multiple data sources, 2009–2013

Malek, R; Mitchell, Helen S.; Furegato, Martina; Simms, Ian; Mohammed, Hamish; Nardone, Anthony; Hughes, Gwenda

doi:10.2807/1560-7917.es2015.20.15.21093

Cited by 36 publications

(35 citation statements)

References 33 publications

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“…Hence, we used HIV status, low education level and number of sex partners in the previous six months as proxies for sexual (high) risk behaviour. [16][17][18] Furthermore, there were many missing values for SES and education level, but loss of data was restricted by including missing values in the analyses as a separate category.…”

Section: Discussionmentioning

confidence: 99%

Frequency and determinants of consistent STI/HIV testing among men who have sex with men testing at STI outpatient clinics in the Netherlands: a longitudinal study

et al. 2017

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ObjectivesMen who have sex with men (MSM) are at highest risk for STIs and HIV infections in the Netherlands. However, official guidelines on STI testing among MSM are lacking. They are advised to test for STIs at least every six months, but their testing behaviour is not well known. This study aimed to get insight into the proportion and determinants of consistent 6-monthly STI testing among MSM testing at STI outpatient clinics in the Netherlands.MethodsThis study included longitudinal surveillance data of STI consultations among MSM from all 26 STI outpatient clinics in the Netherlands between 1 June 2014 and 31 December 2015. Multinomial logistic regression analysis was used to identify determinants of consistent 6-monthly testing compared with single testing and inconsistent testing. Determinants of time between consultations among men with multiple consultations were analysed using a Cox Prentice-Williams-Peterson gap-time model.ResultsA total of 34 605 STI consultations of 18 634 MSM were included. 8966 (48.1%) men had more than one consultation, and 3516 (18.9%) men tested consistently 6-monthly. Indicators of high sexual risk behaviour, including having a history of STI, being HIV positive and having more than 10 sex partners, were positively associated with both being a consistent tester and returning to the STI clinic sooner. Men who were notified by a partner or who reported STI symptoms were also more likely to return to the STI clinic sooner, but were less likely to be consistent testers, identifying a group of event-driven testers.ConclusionsThe proportion of consistent 6-monthly testers among MSM visiting Dutch STI outpatient clinics was low. Testing behaviour was associated with sexual risk behaviour, but exact motives to test consistently remain unclear. Evidence-based testing guidelines are needed to achieve optimal reductions in STI transmission in the future.

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Section: Discussionmentioning

confidence: 99%

Frequency and determinants of consistent STI/HIV testing among men who have sex with men testing at STI outpatient clinics in the Netherlands: a longitudinal study

et al. 2017

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“…MSM who were HCV positive at PrEP start in the Netherlands were infected with HCV strains already circulating among HIV-infected MSM, suggesting an overlap between sexual networks of HIV-uninfected and HIV-infected MSM [93]. PrEP use is likely to increase this overlap, which might result in expanding epidemics of HCV and other STI that are more frequent among HIV-infected MSM than among HIV-uninfected men [97]. …”

Section: Emerging Challengesmentioning

confidence: 99%

Pre-exposure prophylaxis for MSM and transgender persons in early adopting countries

Hoornenborg

Krakower

Prins

et al. 2017

Aids

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“…The contribution of MSM on effective treatment to onward HIV transmission is likely to be small. However, the population rate of acute bacterial STI is up to four times higher in HIV infected compared to HIV uninfected or undiagnosed men and this ratio appears to have increased over recent years (406). proofreading changes included in published version which is available on the BASHH website.…”

Section: Antiretroviral Post-exposure Prophylaxis For Sexual Exposurementioning

confidence: 99%

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

et al. 2018

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Contribution of transmission in HIV-positive men who have sex with men to evolving epidemics of sexually transmitted infections in England: an analysis using multiple data sources, 2009–2013

Abstract: Binary file ES_Abstracts_Final_ECDC.txt matches

Cited by 36 publications

References 33 publications

Frequency and determinants of consistent STI/HIV testing among men who have sex with men testing at STI outpatient clinics in the Netherlands: a longitudinal study

Frequency and determinants of consistent STI/HIV testing among men who have sex with men testing at STI outpatient clinics in the Netherlands: a longitudinal study

Pre-exposure prophylaxis for MSM and transgender persons in early adopting countries

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

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