Sexually transmissible infection control programs for men who have sex with men – what will they look like in 2020?

Refugio, Oliver N; Roberts, Chelsea; West, Richard; Klausner, Jeffrey D.

doi:10.1071/sh16038

Cited by 5 publications

(10 citation statements)

References 66 publications

(70 reference statements)

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“…Men who have sex with men (MSM) are disproportionally affected by sexually transmitted infections (STI), such as Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), or syphilis [1][2][3][4][5][6][7]. STI are often asymptomatic, and therefore remaining frequently undetected and untreated [8].…”

Section: Introductionmentioning

confidence: 99%

“…In previous studies, HIVpositive (HIV+) MSM often showed higher prevalences of STI than HIV-negative (HIV-) MSM [13,14]. As reasons for higher STI prevalence in MSM in general, higher number of sexual partners as well as higher frequencies of sexual practices with higher risk for acquiring STI are discussed [3,6,7,14]. In Germany, medical guidelines recommend risk adapted STI testing for MSM [15], but costs are not covered by German health insurance if patients do not show STI-related symptoms or if there is no clear report of a substantial risk of infection.…”

Section: Introductionmentioning

confidence: 99%

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STI in times of PrEP: high prevalence of chlamydia, gonorrhea, and mycoplasma at different anatomic sites in men who have sex with men in Germany

et al. 2020

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Background: Men who have sex with men (MSM) are disproportionally affected by sexually transmitted infections (STI). STI are often extragenital and asymptomatic. Both can delay diagnosis and treatment. Approval of HIV preexposure prophylaxis (PrEP) might have influenced sexual behaviour and STI-prevalence of HIV-MSM. We estimated STI-prevalence and risk factors amongst HIV-and HIV+ MSM in Germany to plan effective interventions. Methods: We conducted a nationwide, cross-sectional study between February and July 2018. Thirteen MSMfriendly STI-practices screened MSM for Chlamydia trachomatis (CT), Mycoplasma genitalium (MG), Neisseria gonorrhea (NG), and Trichomonas vaginalis (TV) using self-collected rectal and pharyngeal swabs, and urine samples. APTIMA™ STI-assays (Hologic™ Inc., San Diego, USA) were used for diagnostics, and samples were not pooled. We collected information on socio-demographics, HIV-status, clinical symptoms, sexual behaviour within the last 6 months, and PrEP use. We combined HIV status and PrEP use for defining risk groups, and used directed acyclic graphs and multivariable logistic regression to identify risk factors for STI. Results: Two thousand three hundred three MSM were included: 50.5% HIV+, median age 39 [18-79] years. Median number of male sex partners within the last 6 months was five. Sex without condom was reported by 73.6%, use of party drugs by 44.6%. 80.3% had a STI history, 32.2% of STI+ MSM reported STI-related symptoms. 27.6% of HIV-MSM used PrEP.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

STI in times of PrEP: high prevalence of chlamydia, gonorrhea, and mycoplasma at different anatomic sites in men who have sex with men in Germany

et al. 2020

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“…1–8 Finally, other authors provide recommendations about how to optimise the health of GBM during this period of rapid change and discuss the unintended consequences of getting this wrong. 9–14 Community responses have always underpinned how individual GBM deal with HIV, but government policy provides the social and structural conditions for those community responses to thrive.…”

Section: Introductionmentioning

confidence: 99%

“…3,9 First, clinical services must take full advantage of efficiency offered by the latest technological advances to ensure STI testing becomes as frequent, convenient and as cost-effective as possible. Condoms should be included in the mix of prevention strategies and Crosby argues that they are highly effective when used correctly.…”

Section: Introductionmentioning

confidence: 99%

“…Refugio et al cite the pilot work on doxycycline prophylaxis, strategies for web-based testing and screening clinics, such as the Dean Street clinic in the UK. 9 But they argue that if large changes are to occur, we need to rely less on clinical providers and more on technology, Telehealth and future diagnostics. These sorts of changes can empower individuals and communities to take control over their own health.…”

Section: Introductionmentioning

confidence: 99%

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2020, sexually transmissible infections and HIV in gay, bisexual and other men who have sex with men

et al. 2017

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This editorial accompanies a series of papers dealing with this watershed period for HIV and sexually transmissible infections (STI) infections in gay, bisexual and other men who have sex with men (GBM). We are delighted to share with you the views of some international opinion leaders on what the future may hold and what challenges lie ahead. In this issue of the Journal, authors describe current HIV and STI incidence among GBM and predict the future.

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Survey of Health Care Providers’ Practices and Opinions Regarding Bacterial Sexually Transmitted Infection Testing Among Gay, Bisexual, and Other Men Who Have Sex With Men

Rana

Guiang

Lisk³

et al. 2020

Sexual Trans Dis

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Background Rates of bacterial sexually transmitted infections (STIs) continue to rise among gay, bisexual, and other men who have sex with men (GBMSM) globally. Testing and treatment can prevent morbidity and transmission. However, testing rates remain suboptimal. Methods In 2018, we conducted an online cross-sectional survey to explore STI testing ordering practices, 14 potential barriers for testing and 11 possible ways to improve testing from the perspective of health care providers in Toronto, Ontario. An estimated 172 providers were invited from primary care and sexual health clinic settings. Providers were eligible to complete the survey if they provided care for ≥1 GBMSM per week and were involved in the decision-making process in providing STI tests. We used descriptive statistics to summarize survey responses. Results Ninety-five providers (55% response rate) participated, of whom 68% worked in primary care and 32% in sexual health settings. Most (66%) saw ≤10 GBMSM clients per week. In primary care (65%) and sexual health (40%) clinic settings, insufficient consultation time was the most common barrier to STI testing. In primary care, other common barriers included difficulty introducing testing during unrelated consultations (53%), forgetting (47%), and patients being sexually inactive (31%) or declining testing (27%). The following were most likely to improve testing: express/fast-track testing services (89%), provider alerts when patients are due for testing (87%), patient-collected specimens (84%), nurse-led STI testing (79%), and standing orders (79%). Conclusions Promising interventions to improve bacterial STI testing included initiatives that simplify and expedite testing and expand testing delivery to other health care professionals.

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Sexually transmissible infection control programs for men who have sex with men – what will they look like in 2020?

Cited by 5 publications

References 66 publications

STI in times of PrEP: high prevalence of chlamydia, gonorrhea, and mycoplasma at different anatomic sites in men who have sex with men in Germany

STI in times of PrEP: high prevalence of chlamydia, gonorrhea, and mycoplasma at different anatomic sites in men who have sex with men in Germany

2020, sexually transmissible infections and HIV in gay, bisexual and other men who have sex with men

Survey of Health Care Providers’ Practices and Opinions Regarding Bacterial Sexually Transmitted Infection Testing Among Gay, Bisexual, and Other Men Who Have Sex With Men

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