Trends in Sexual Behavior Among Men Who have Sex with Men (MSM) in High-Income Countries, 1990–2013: A Systematic Review

Hess, Kristen L.; Crepaz, Nicole; Rose, Charles E.; Purcell, David W.; Paz–Bailey, Gabriela

doi:10.1007/s10461-017-1799-1

Cited by 85 publications

(53 citation statements)

References 67 publications

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“…In addition, PrEP use may result in less HIV serosorting amongst HIV‐negative MSM, a strategy reported in the pre‐PrEP era, as well as higher levels of CAS . Similarly, increasing awareness of the absence of HIV transmission in the context of a suppressed HIV viral load (‘Undetectable = Untransmittable’ (U = U)) may be driving increases in CAS with HIV‐discordant partners . As HCV prevalence is up 10‐fold higher amongst HIV‐positive than ‐negative MSM, reductions in HIV serosorting by HIV‐negative MSM may increase HCV exposure …”

Section: Discussionmentioning

confidence: 99%

Transmission of hepatitis C virus in HIV‐positive and PrEP‐using MSM in England

Bradshaw

Vasylyeva

Davis

et al. 2020

Journal of Viral Hepatitis

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We sought to characterize risk factors and patterns of HCV transmission amongst men who have sex with men (MSM). MSM with recently acquired HCV (AHCV) were prospectively recruited ('clinic cohort') between January and September 2017. Clinical data and risk behaviours were identified and blood obtained for HCV whole genome sequencing. Phylogenetic analyses were performed, using sequences from this cohort and two other AHCV cohorts, to identify transmission clusters. Sixteen (40.0%) men in the clinic cohort were HIV‐negative MSM. HIV‐negative MSM were younger than HIV‐positive MSM; most (81.3%) had taken HIV PrEP in the preceding year. Eighteen men (45.0%) reported injection drug use; most (34, 85.0%) reported noninjection drug use in the last year. Most in both groups reported condomless anal sex, fisting and sex in a group environment. Few (7, 17.5%) men thought partners may have had HCV. There were 52 sequences in the HCV genotype 1a phylogeny, 18 from the clinic cohort and 34 from other AHCV cohorts; 47 (90.4%) clustered with ≥1 other sequence. There were 7 clusters of 2‐27 sequences; 6 clusters contained HIV‐negative and HIV‐positive MSM and 1 cluster only HIV‐positive MSM. Four of these clusters were part of larger clusters first described in 2007. PrEP‐using MSM are at risk of HCV, sharing similar risk factors to HIV‐positive MSM. Phylogenetics highlights that PrEP‐using and HIV‐positive MSM are involved in the same HCV transmission networks. Few men demonstrated HCV awareness and risk reduction strategies should be expanded.

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Section: Discussionmentioning

confidence: 99%

Transmission of hepatitis C virus in HIV‐positive and PrEP‐using MSM in England

Bradshaw

Vasylyeva

Davis

et al. 2020

Journal of Viral Hepatitis

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“…Homosexual people could be better informed about access to healthcare and thus have higher costs [34]. At the same time, they have riskier sexual behaviour, which increases the prevalence of HIV and sexually transmitted infections (STIs) and thus overall care costs [46][47][48].…”

Section: Resultsmentioning

confidence: 99%

“…Homosexual people have higher costs. They are better informed about access to healthcare, they have riskier sexual behaviour, which increases the prevalence of HIV and sexually transmitted infections (STIs) and thus overall care costs are higher [34,[46][47][48]. The duration of treatment lowers the expenditures.…”

Section: Discussionmentioning

confidence: 99%

The impact of socioeconomic factors on the healthcare costs of people living with HIV in Turkey

et al. 2020

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Background: This study addresses an important field within HIV research, the impact of socioeconomic factors on the healthcare costs of people living with HIV/AIDS (PLHIV). We aimed to understand how different socioeconomic factors could create diverse healthcare costs for PLHIV in Turkey. The questionnaire collected socioeconomic data. The cost data for the same patients was taken from the electronic database Probel Hospital Information Management System (PHIMS) for the same period. The PHIMS data include costs for medication (highly active antiretroviral therapy or HAART), laboratory, pathology, radiology, polyclinic, examination and consultation, hospitalisation, surgery and intervention, blood and blood products, supplies and other costs. Data were analysed using STATA 14.2 to estimate the generalised linear model (GLM). Results: The findings of our GLM indicate that age, gender, marital and parental status, time since diagnosis, employment, wealth status, illicit drug use and CD4 cell count are the factors significantly related to the healthcare cost of patients. We found that compared with people who have AIDS (CD4 cells < 200 cells/mm 3 ), people who have a normal range of CD4 cells (≥ 500 cells/mm 3 ) have $1046 less in expenditures on average. Compared to younger people (19-39 years), older people (≥ 55) have $1934 higher expenditures on average. Costs are $644 higher on average for married people and $401 higher on average for people who have children. Healthcare costs are $518 and $651 higher on average for patients who are addicted to drugs and who use psychiatric drug(s), respectively. Compared to people who were recently diagnosed with HIV, people who were diagnosed ≥10 years ago have $743 lower expenditures on average. Conclusion: Our results suggest that in addition to immunological status, socioeconomic factors play a substantial role in the healthcare costs of PLHIV. The key factors influencing the healthcare costs of PLHIV are also critical for public policy makers, healthcare workers, health ministries and employment community programs.

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“…Oral sex experience has not increased in MSM in Australia25 and the frequency of condom use for oral sex acts is not well examined, although it is anecdotally uncommon. However, there is strong evidence for a reduction in condom use for anal sex in MSM in high-income countries in the past decade26 including in our clinic 27. Such a change would lead to a rise in the proportion of HSV-2 over time if all other factors were equal.…”

Section: Discussionmentioning

confidence: 97%

Increasing proportion of herpes simplex virus type 1 among women and men diagnosed with first-episode anogenital herpes: a retrospective observational study over 14 years in Melbourne, Australia

et al. 2018

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ObjectivesReports of rising herpes simplex virus type 1 (HSV-1) genital infections relative to HSV-2 have been published up to 2006 in Australia. These changes have been attributed to declining childhood immunity to HSV-1. We described the temporal trends of HSV-1 and HSV-2 up to 2017 in Melbourne, Australia, to determine if the earlier trend is continuing.MethodsWe conducted a retrospective review of the medical records of 4517 patients who were diagnosed with first episode of anogenital HSV infection at the Melbourne Sexual Health Centre, Australia, between January 2004 and December 2017. HSV-1 and HSV-2 were calculated as a proportion of all first episode of anogenital HSV infections. The change in the proportions of HSV-1 and HSV-2 over time was assessed by a χ2 trend test. Risk factors associated with HSV-1 were examined using a multivariable logistic regression model.ResultsThe proportion of first episode of anogenital herpes due to HSV-1 increased significantly over time in women (from 45% to 61%; ptrend<0.001) and heterosexual men (from 38% to 41%; ptrend=0.01) but not in men who have sex with men (MSM) (ptrend=0.21). After adjusting for condom use, partner number and age, the annual increase remained significant only in women (OR 1.08, 95% CI 1.03 to 1.13, p<0.001). In MSM, HSV-1 caused up to two-thirds of anogenital herpes in most years and HSV-1 was more likely to be diagnosed at an anal site than genital site (OR 1.69, 95% CI 1.23 to 2.32, p<0.001). Younger age (<28 years) was an independent risk factor for HSV-1 in all groups.ConclusionsThe proportion of first-episode anogenital herpes due to HSV-1 has been rising in women since 2004. HSV-1 has become the leading cause of anogenital herpes in younger populations, women and MSM.

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Trends in Sexual Behavior Among Men Who have Sex with Men (MSM) in High-Income Countries, 1990–2013: A Systematic Review

Cited by 85 publications

References 67 publications

Transmission of hepatitis C virus in HIV‐positive and PrEP‐using MSM in England

Transmission of hepatitis C virus in HIV‐positive and PrEP‐using MSM in England

The impact of socioeconomic factors on the healthcare costs of people living with HIV in Turkey

Increasing proportion of herpes simplex virus type 1 among women and men diagnosed with first-episode anogenital herpes: a retrospective observational study over 14 years in Melbourne, Australia

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