High prevalence of extra-genital chlamydial or gonococcal infections among men who have sex with men and transgender women in Lima, Peru

Autor: Brandon Brown, Segundo R. Leon, Juan A Flores, Carlos F. Caceres, Claire C. Bristow, Silver K. Vargas, Kelika A. Konda, Lao-Tzu Allan-Blitz, Jeffrey D. Klausner
Rok vydání: 2016
Předmět:
Male
0301 basic medicine
Cross-sectional study
Gonorrhea
Anal Canal
Chlamydia trachomatis
medicine.disease_cause
Men who have sex with men
0302 clinical medicine
Peru
Prevalence
Mass Screening
purl.org/pe-repo/ocde/ford#1.06.02 [https]
Pharmacology (medical)
Gonorrhea/diagnosis/epidemiology/microbiology
030212 general & internal medicine
Chlamydia
Anal Canal/microbiology
Homosexuality
Middle Aged
Anal Infection
Anal canal
Infectious Diseases
medicine.anatomical_structure
Medical Microbiology
Pharynx/microbiology
Public Health and Health Services
HIV/AIDS
Female
epidemiology
Public Health
Infection
Pharyngeal
Adult
medicine.medical_specialty
Adolescent
Clinical Sciences
Chlamydia Infections/diagnosis/epidemiology/microbiology
030106 microbiology
Sexual and Gender Minorities (SGM/LGBT*)
Dermatology
gonorrhea (Neisseria gonorrhoeae)
Transgender Persons
Article
Young Adult
03 medical and health sciences
Chlamydia trachomatis/isolation & purification
Clinical Research
medicine
Humans
Sex organ
homosexual
Homosexuality
Male

Mass screening
Gynecology
purl.org/pe-repo/ocde/ford#3.03.12 [https]
business.industry
Public Health
Environmental and Occupational Health

Chlamydia Infections
South America
Neisseria gonorrhoeae/isolation & purification
medicine.disease
Neisseria gonorrhoeae
Good Health and Well Being
Cross-Sectional Studies
Pharynx
Sexually Transmitted Infections
Rectal
business
Peru/epidemiology
Chlamydia (Chlamydia trachomatis)
Demography
Zdroj: International journal of STD & AIDS, vol 28, iss 2
ISSN: 1758-1052
0956-4624
DOI: 10.1177/0956462416630909
Popis: Chlamydia trachomatis and Neisseria gonorrhoeae are among the most common sexually transmitted bacterial infections in the world. Data are limited, however, on the burden of extra-genital chlamydial and gonococcal infections among men who have sex with men and transgender women in Lima, Peru. Data were gathered from self-collected anal or pharyngeal swabs from participants in Lima, Peru, and analyzed via cross-sectional methods. Prevalence ratios for the association between extra-genital infection with socio-demographic and sexual behaviors were determined. Overall, 127 (32.8%) participants had anal or pharyngeal infections. On multivariate modeling, anal infection was positively associated with practicing both receptive and insertive anal sex, when compared to insertive alone (PR = 2.49; 95% CI = 1.32–4.71), and negatively associated with any antibiotic use in the prior three months (PR = 0.60; 95% CI = 0.39–0.91). Pharyngeal infection was negatively associated with age greater than 30 years compared to 18–30 years (PR = 0.54; 95% CI = 0.30–0.96), and positively associated with gender identity of transgender women (PR = 2.12; 95% CI = 1.20–3.73). This study demonstrates considerable burden of extra-genital chlamydial and gonococcal infections among men who have sex with men and transgender women in Lima, Peru.
Databáze: OpenAIRE