High HIV incidence among men who have sex with men attending a community-based voluntary counselling and testing service in Barcelona, Spain: results from the ITACA cohort

Ferrer, Laia; Loureiro, Eva; Meulbroek, Michael; Folch, Cinta; Pérez, Félix Ibáñez; Esteve, Anna; Saz, Jorge; Taboada, Héctor; Pujol, Ferran; Casabona, Jordi

doi:10.1136/sextrans-2015-052042

Cited by 23 publications

(18 citation statements)

References 20 publications

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“…While these two studies employed a different methodology to estimate incidence, their results suggest that incidence has remained relatively stable and high over the past 10 years among men attending STI clinics [19]. Our estimates are also comparable with those for cohorts of MSM in Portugal (2.8 per 100 PY) [20], Spain (2.4 per 100 PY) [21], Germany (3.3%) [22] and the USA (2.4 per 100 PY) [23] but higher than that for clinic-attending MSM in Australia (1.3 per 100 PY) [24]. Different mathematical models have been developed to estimate HIV incidence among the general MSM population.…”

Section: Discussionsupporting

confidence: 69%

HIV incidence in an open national cohort of men who have sex with men attending sexually transmitted infection clinics in England

et al. 2017

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Objective: To determine HIV incidence among men who have sex with men (MSM) who repeat test for HIV at sexually transmitted infection (STI) clinics in England, and identify associated factors.Design/methods: Annual HIV incidence and 95% confidence interval (CI) was calculated for a national cohort of MSM who tested HIV negative at any STI clinic in England in 2012 and had a follow up test within one year using routinely collected data. Cox regression analyses were performed to identify predictors of HIV acquisition and population attributable risk for HIV was calculated for predictors.Results: In 2012, 85,500 MSM not known to be HIV positive attended any STI clinic in England, and 31% tested for HIV at least twice within a year at the same clinic. HIV incidence was 2.0/100 personyears (py) (95%CI 1.8-2.2) among repeat testers. Incidence was higher among MSM of black ethnicity (3.2/100 py); and those with a bacterial STI diagnosis at the initial attendance (3.2/100 py). MSM with a previous syphilis or gonorrhoea infection were at significantly greater risk of acquiring HIV in the subsequent year (adjusted hazard ratio: 4.1 95%CI 2.0-8.3 and 2.1 95%CI 1.4-3.2, respectively).The predictors accounted for 37% of HIV infections.

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Section: Discussionsupporting

confidence: 69%

HIV incidence in an open national cohort of men who have sex with men attending sexually transmitted infection clinics in England

et al. 2017

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“…35 The ITACA cohort of 3544 MSM established in Barcelona, Spain, noted an overall HIV incidence of 2.4 per 100 person-years, with foreign born men being at increased risk for infection. 157 During the study period, HIV incidence increased from 1.2 to 3.1 person-years from 2009 to 2011.…”

Section: Current Hiv Incidence Data Among Men Who Have Sex With Men Imentioning

confidence: 94%

HIV incidence among gay men and other men who have sex with men in 2020: where is the epidemic heading?

et al. 2017

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Abstract. The goal to effectively prevent new HIV infections among gay, bisexual, and other men who have sex with men (MSM) is more challenging now than ever before. Despite declines in the late 1990s and early 2000s, HIV incidence among MSM is now increasing in many low-and high-income settings including the US, with young, adolescent, and racial/ethnic minority MSM being among those at highest risk. Potentiating HIV risks across all settings are individual-, network-, and structural-level factors such as stigma and lack of access to pre-exposure prophylaxis (PrEP) and antiretroviral treatment as prevention. To make a sustained impact on the epidemic, a concerted effort must integrate all evidence-based interventions that will most proximally decrease HIV acquisition and transmission risks, together with structural interventions that will support improved coverage and retention in care. Universal HIV treatment, increased access to HIV testing, and daily oral PrEP have emerged as integral to the prevention of HIV transmission, and such efforts should be immediately expanded for MSM and other populations disproportionately affected by HIV. Respect for human rights and efforts to combat stigma and improve access to prevention services are needed to change the trajectory of the HIV pandemic among MSM.

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“…Studies have demonstrated MSM going to the sauna and seeking sexual partners through the internet were more likely to be younger and engage in high risk sexual behavior [20, 21]. Characteristics of sexual partnership have an impact upon risky behaviors and the majority of unprotected sex events occurring between steady/regular partners, this being associated with HIV seroincidence [22–24]. Anal sex roles also contribute to high risk of HIV seroconversion especially among YMSM who adopt the receptive anal sex role without a condom [5, 25].…”

Section: Introductionmentioning

confidence: 99%

Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

et al. 2017

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High HIV incidence has been reported in young men who have sex with men (YMSM) in North America and Western Europe, but there are limited data from Southeast Asia suggesting MSM may be the driver of the HIV epidemic in this region. We described HIV incidence and risk factors among 494 YMSM enrolled in a cohort study in Bangkok, Thailand. The HIV incidence was 7.4 per 100 person-years. In multivariable analysis, reporting use of an erectile dysfunction drug in combination with club drugs, having receptive or both insertive and receptive anal intercourse with men, having hepatitis A infection, having rectal Chlamydia trachomatis, having hepatitis B infection prior to HIV seroconversion, and reporting not always using condoms with male steady partners were significantly associated with HIV incidence in YMSM. Reduction in new HIV infections in YMSM are critical to reach targets set by Thailand and the region.

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High HIV incidence among men who have sex with men attending a community-based voluntary counselling and testing service in Barcelona, Spain: results from the ITACA cohort

Cited by 23 publications

References 20 publications

HIV incidence in an open national cohort of men who have sex with men attending sexually transmitted infection clinics in England

HIV incidence in an open national cohort of men who have sex with men attending sexually transmitted infection clinics in England

HIV incidence among gay men and other men who have sex with men in 2020: where is the epidemic heading?

Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

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