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Could sexually transmissible infections be contributing to the increase in HIV infections among men who have sex with men in Australia?
- Source :
- Sexual Health. 5:131
- Publication Year :
- 2008
- Publisher :
- CSIRO Publishing, 2008.
-
Abstract
- Background: To review existing data on sexually transmissible infections (STI) in men who have sex with men in Australia in order to determine the possible contribution of STI to diverging trends in HIV notifications in different states. Methods: We reviewed data from multiple sources, including routine national surveillance data, laboratory surveillance data, self-reported information on STI testing in men who have sex with men and ad hoc reports of STI prevalence. Results: We found increasing rates of gonorrhoea and infectious syphilis notifications in urban men in Australia between 1997 and 2006, and increasing rates of chlamydia notifications in men aged 30–49 years. There was little difference in these trends by state. Differences in the population groups sampled meant we were unable to gain further information on trends in men who have sex with men from these studies. Data on STI testing showed an increase in anal STI testing between 2003 and 2006, which may have increased the number of diagnoses of chlamydia and gonorrhoea for men who have sex with men during this period. Conclusions: Over the past 10 years, there has been a substantial increase in diagnoses of gonorrhoea and infectious syphilis, and probably chlamydia, in men who have sex with men in Australia. However, it is unlikely that changes in the pattern of STI transmission are responsible for the recent divergence in HIV rates between Australian states because there is little evidence that trends in STI also differ by state.
- Subjects :
- Adult
Male
Sexually Transmitted Diseases, Bacterial
medicine.medical_specialty
Urban Population
Sexual Behavior
Gonorrhea
Population
HIV Infections
Comorbidity
urologic and male genital diseases
Genital warts
Men who have sex with men
Risk-Taking
Acquired immunodeficiency syndrome (AIDS)
Prevalence
medicine
Humans
Syphilis
Homosexuality, Male
education
Retrospective Studies
Gynecology
education.field_of_study
Chlamydia
business.industry
Transmission (medicine)
Australia
Public Health, Environmental and Occupational Health
virus diseases
Chlamydia Infections
Middle Aged
medicine.disease
female genital diseases and pregnancy complications
Sexual Partners
Infectious Diseases
Population Surveillance
business
Demography
Subjects
Details
- ISSN :
- 14485028
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- Sexual Health
- Accession number :
- edsair.doi.dedup.....fc890f0996d062e267f37fe1ea13c9f7
- Full Text :
- https://doi.org/10.1071/sh07086