HIV/AIDS and other STI in men who have sex with men – a continuous challenge for public health

Laar, M J van de

doi:10.2807/ese.14.47.19423-en

Cited by 12 publications

(10 citation statements)

References 23 publications

(34 reference statements)

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“…In 2009, 9,023 newly diagnosed HIV infections were reported among this population in Europe, which accounts for 35% of all HIV diagnoses in that year (European Centre for Disease Prevention and Control ECDC/World Health Organisation WHO -Regional Office for Europe, 2010;Likatavi ius et al, 2008). Moreover, in this specific population, a high level of risk behaviours associated with an increasing incidence of other Sexually Transmitted Infections (STI) clearly show the need for specific and targeted prevention campaigns (Dodds et al, 2005;Van de Laar et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

The SIALON Project: Report on HIV Prevalence and Risk Behaviour Among MSM in Six European Cities

Mirandola¹,

Foschia²,

Breveglieri³

et al. 2012

Epidemiology Insights

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Section: Introductionmentioning

confidence: 99%

The SIALON Project: Report on HIV Prevalence and Risk Behaviour Among MSM in Six European Cities

Mirandola¹,

Foschia²,

Breveglieri³

et al. 2012

Epidemiology Insights

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“…[8] Syphilis infection may drive people to seek care earlier by causing a visible lesion requiring treatment, and STI care-seeking increases the likelihood of concomitant HIV testing. [29,30] Untreated syphilis infection has also been shown to increase susceptibility to acquiring HIV and may have been a major risk factor for infection among these participants. [30] Other studies have shown an association between recent syphilis infection and HIV serostatus awareness.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with previously undiagnosed human immunodeficiency virus infection in a population of men who have sex with men and male-to-female transgender women in Lima, Peru

et al. 2016

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The aim of the study was to identify factors associated with undiagnosed human immunodeficiency virus (HIV) infection among men who have sex with men (MSM) and male-to-female transgender women in Lima, Peru.We analyzed characteristics of 378 MSM and transgender women recruited from 2 sexually transmitted infection (STI) clinics in Lima, Peru. Descriptive analyses compared: (A) HIV-uninfected, (B) previously undiagnosed HIV-infected, and (C) previously diagnosed HIV-infected participants. Multivariable logistic regression models identified: (1) correlates of previously undiagnosed HIV-infection among participants thought to be HIV-uninfected (B vs A); and (2) correlates of previously undiagnosed HIV-infection among HIV-infected participants (B vs C). Subanalysis identified correlates of frequent HIV testing among participants thought to be HIV-uninfected.Among participants, 31.0% were HIV-infected; of those, 35.0% were previously undiagnosed. Among participants thought to be HIV-uninfected (model 1), recent condomless receptive anal intercourse and last HIV test being over 1-year ago (compared to within the last 6-months) were associated with increased odds of being previously undiagnosed HIV-infected (adjusted odds ratio [aOR] = 2.43, 95% confidence interval [95%CI] = 1.10–5.36; aOR = 2.87, 95%CI = 1.10–7.53, respectively). Among HIV-infected participants (model 2), recent condomless receptive anal intercourse was again associated with previously undiagnosed HIV-infection (aOR = 2.54, 95%CI = 1.04–6.23). Achieving post-secondary education and prior syphilis infection were associated with lower odds of having previously undiagnosed HIV-infection (aOR = 0.35, 95%CI = 0.15–0.81; aOR = 0.32, 95%CI = 0.14–0.75, respectively).Reporting semiannual testing was associated with higher educational attainment, identifying as a transgender woman, or reporting a history of syphilis (aOR = 1.94, 95%CI = 1.11–3.37; aOR = 2.40, 95%CI = 1.23–4.70; aOR = 2.76, 95%CI = 1.62–4.71, respectively). Lower odds of semiannual testing were associated with recent condomless insertive anal intercourse or reporting a moderate or high self-perceived risk of acquiring HIV (aOR = 0.56, 95%CI = 0.33–0.96; aOR = 0.32, 95%CI = 0.18–0.59 and aOR = 0.43, 95%CI = 0.21–0.86, respectively).In our study, undiagnosed HIV-infection was associated with recent condomless receptive anal intercourse, infrequent HIV testing, lower education, and absence of prior syphilis diagnosis. Infrequent HIV testing was associated with lower education, not identifying as transgender, recent condomless insertive anal intercourse, absence of prior syphilis diagnosis, and higher self-perceived risk of HIV. Further efforts to decrease HIV transmission and increase HIV-serostatus awareness should be directed towards effectively promoting condom use and frequent HIV testing, integrated with STI management.

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“…This number is about one fifth (19%) smaller than 3.17 million (2.9-3.4 million) people who were newly infected in 1999, and more than one fifth (21%) smaller than in 1997, when annual new infections peaked (1). There is a strong evidence of resurgent HIV epidemics among men who have sex with men (MSM) in North America and in Western Europe and this group continues to represent a population at high risk of HIV infection (2,3). Data from 23 western countries show that the annual number of men who have sex with men diagnosed with HIV infection rose by 86% between 2000 and 2006 (4).…”

Section: Introductionmentioning

confidence: 99%

HIV and Risk Behaviour among Men Who Have Sex with Men in Slovakia (2008-2009)

Staneková¹,

Kramárová²,

Wimmerová³

et al. 2014

Cent Eur J Public Health

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SUMMARYThe HIV infection remains a major public health issue in the world and especially in those countries where there exists unprotected sexual intercourse between people of the same sex. It is namely the category of men having sex with men (MSM) that still represents a group at high risk of being infected with HIV or transmitting the virus. The aim of our study was to present HIV 2nd generation surveillance data on MSM in Slovakia in the period between the years 2008 and 2009. Time-location sampling (TLS) was used to recruit participants and oral fluid samples together with completed anonymous questionnaires were collected simultaneously. The oral fluids were tested with use of the Genscreen HIV 1/2 version 2, (Bio-Rad) and Western Blot (Genlabs) diagnostic kits. The data analysis was performed using Stata version 8. Saliva testing revealed HIV prevalence of 6.1% (21/349) among MSM in Slovakia. 75% of HIV-positive cases were undiagnosed. The high-risk behaviour of MSM in respect to the number of their sexual partners as well as drug and condom usage did not correspond with their relatively high knowledge about HIV/AIDS. People's attitude towards MSM was found to be the worst in the religious context. Though our results reflect a relative good knowledge of MSM about HIV/AIDS infection, new HIV-positive cases and high-risk behaviour still appear, suggesting the need for more effective HIV prevention among members of this high-risk group in Slovakia.

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HIV/AIDS and other STI in men who have sex with men – a continuous challenge for public health

Abstract: Citation style for this article: van de Laar MJ. HIV/AIDS and other STI in men who have sex with men -a continuous challenge for public health.

Cited by 12 publications

References 23 publications

The SIALON Project: Report on HIV Prevalence and Risk Behaviour Among MSM in Six European Cities

The SIALON Project: Report on HIV Prevalence and Risk Behaviour Among MSM in Six European Cities

Factors associated with previously undiagnosed human immunodeficiency virus infection in a population of men who have sex with men and male-to-female transgender women in Lima, Peru

HIV and Risk Behaviour among Men Who Have Sex with Men in Slovakia (2008-2009)

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