Enhanced surveillance of syphilis cases among men who have sex with men in London, October 2016–January 2017
| Autor: | Sheel Patel, Tara Suchak, Ann Sullivan, Neil Macdonald, John White, Jay Jarman, Patrick French, Paul Crook, Sangeeta Rana, Mags Portman |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Substance-Related Disorders Public health interventions HIV Infections Dermatology Men who have sex with men Condoms 03 medical and health sciences Risk-Taking 0302 clinical medicine London medicine Humans Pharmacology (medical) Prospective Studies Syphilis 030212 general & internal medicine Homosexuality Male 030505 public health Risk behaviour Unsafe Sex business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease Sexual Partners Infectious Diseases 0305 other medical science business Sentinel Surveillance Demography |
| Zdroj: | International Journal of STD & AIDS. 30:422-429 |
| ISSN: | 1758-1052 0956-4624 |
| DOI: | 10.1177/0956462418814998 |
| Popis: | Syphilis rates have been increasing in men who have sex with men (MSM) in London. To describe risk behaviour and refine public health interventions, we conducted prospective enhanced surveillance of new syphilis cases in MSM attending selected London sexual health clinics (SHCs) between October 2016 and January 2017. Sexual health advisors (SHAs) completed 107 questionnaires. Eighteen per cent of respondents reported always using condoms, with lower use in HIV-positive (8%, 4/53) than HIV-negative men (33%, 14/52). Almost half of respondents reported condomless sero-discordant sex (46%, 33/72). The most frequent means of meeting new partners reported were venues (80%, 76/95), particularly bars or clubs (34%, 32/95), and apps or websites (79%, 75/95). Nearly a third of respondents reported engaging in group sex (32%, 30/95). Almost half reported drug use during sex (47%, 46/98), with HIV-positive men more likely to report use of the three main ‘chemsex’ drugs. The majority of respondents preferred health promotion information from SHAs (63%, 58/92) compared to other sources such as Google/Wikipedia and apps. Prevention activity should continue to focus on condomless sex, serosorting, multiple and overlapping partners, and chemsex. SHCs, particularly those serving HIV-positive men, are important sources for sexual health promotion advice. |
| Databáze: | OpenAIRE |
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