Comparing men who have sex with men only and men who have sex with men and women visiting a public STI clinic.

IF 2.4 4区医学 Q3 INFECTIOUS DISEASES

Sexually transmitted diseases Pub Date : 2024-09-24 DOI:10.1097/OLQ.0000000000002085

A C Reese, K G Ghanem, E A Gilliams, M M Hamill, Kathleen R Page, S Tuddenham

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引用次数: 0

Abstract

Background: Men reporting same-sex behaviors are disproportionately impacted by sexually transmitted infections (STI). Differences in clinical characteristics and STIs in men who have sex with men only (MSMO), with men and women (MSMW), and with women only (MSW) are not well described.

Methods: First visits to two Baltimore City STI clinics 2011-2016 from MSMO and MSMW compared to an age-matched random sample of MSW were analyzed. Acute STI (aSTI) included chlamydia, gonorrhea, nongonococcal urethritis (NGU), and primary or secondary syphilis (PSS). Chi-squared tests and logistic regression examined associations.

Results: Among N = 1226 MSMO, N = 491 MSMW and N = 1717 MSW, most identified as Black/African American; mean age (29.8) was similar across groups. 73.5%, 67.2%, and 60.3% of MSMW, MSMO, and MSW reported ≥2 partners in last 6 months. "Always" condom use was reported by 20.4%, 17.4 % and 14.1% of MSMW, MSMO and MSW. Overall HIV prevalence was 13.8%. Among those tested, urogenital chlamydia prevalence was 21.7%, 8.3%, and 3.9% (p ≤ 0.01) in MSW, MSMW, and MSMO. Urogenital gonorrhea prevalence was 11.6%,7.7%, and 8.3% in MSMW, MSW, and MSMO respectively. Extragenital STI (range 2.7-21.9%), NGU (25.2%), and PSS (5.3-5.7%) positivity was similar in MSMW and MSMO. Older age was inversely associated with STI diagnosis in MSW and MSMO only, consistent condom use was protective against aSTI in MSW (aOR:0.60, p < 0.01) and MSMW (aOR:0.54 p = 0.03) only.

Conclusion: Differences in behaviors and clinical characteristics associated with aSTI suggest that MSMO, MSMW and MSW have diverse sexual health needs and may require tailored interventions to improve sexual health outcomes.

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比较仅与男性发生性关系的男性和与男性发生性关系的男性以及前往公共性传播感染诊所就诊的女性。

背景：报告同性行为的男性受到性传播感染（STI）的影响尤为严重。仅与男性发生性行为的男性（MSMO）、与男性和女性发生性行为的男性（MSMW）以及仅与女性发生性行为的男性（MSW）在临床特征和 STI 方面的差异尚未得到很好的描述：方法：分析了 2011-2016 年巴尔的摩市两家 STI 诊所首次就诊的 MSMO 和 MSMW 与年龄匹配的 MSW 随机样本的对比情况。急性 STI (aSTI) 包括衣原体、淋病、非淋菌性尿道炎 (NGU) 以及原发性或继发性梅毒 (PSS)。卡方检验和逻辑回归检验了两者之间的关联：在 N = 1226 名 MSMO、N = 491 名 MSMW 和 N = 1717 名 MSW 中，大多数人被认定为黑人/非洲裔美国人；各组的平均年龄（29.8 岁）相似。73.5%、67.2% 和 60.3% 的男男性行为者、男男性行为者和男男性行为者表示在过去 6 个月中≥2 个性伴侣。20.4%、17.4% 和 14.1% 的男男性行为者、男男性行为者和男男性行为者表示 "经常 "使用安全套。总体艾滋病毒感染率为 13.8%。在接受检测的人群中，男男性行为者、男男性行为者和男男性行为者的尿道衣原体感染率分别为 21.7%、8.3% 和 3.9%（P≤0.01）。在 MSW、MSW 和 MSMO 中，尿路淋病发病率分别为 11.6%、7.7% 和 8.3%。在 MSMW 和 MSMO 中，生殖器外 STI（范围为 2.7-21.9%）、NGU（25.2%）和 PSS（5.3-5.7%）阳性率相似。仅在 MSW 和 MSMO 中，年龄偏大与性传播感染诊断成反比；仅在 MSW（aOR:0.60，p < 0.01）和 MSMW（aOR:0.54，p = 0.03）中，持续使用安全套对 aSTI 有保护作用：与 aSTI 相关的行为和临床特征的差异表明，MSMO、MSMW 和 MSW 具有不同的性健康需求，可能需要采取有针对性的干预措施来改善性健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sexually transmitted diseases 医学-传染病学

CiteScore

4.00

自引率

16.10%

发文量

289

审稿时长

3-8 weeks

期刊介绍： Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.