BACKGROUND: Rectal gonorrhea in men has been increasing in San Francisco since 1995. GOAL: The goal was to determine behavioral risk factors associated with rectal gonorrhea (RGC) among men who have sex with men (MSM) by HIV serostatus. STUDY DESIGN: All men reporting receptive anal sex in the last 6 months are screened for RGC, regardless of reported condom use, at San Francisco's municipal sexually transmitted disease (STD) clinic. We surveyed a convenience sample of men screened for RGC at the clinic. RESULTS: Among 564 MSM surveyed, 7.1% had RGC. HIV-positive MSM were significantly more likely (relative risk, 3.5, 95% confidence interval, 1.9-5.8) to have RGC. Behavioral risks for RGC infection varied significantly by HIV serostatus. HIV-positive MSM engaging in anonymous sex were at highest risk for RGC infection. Drug use during anal sex was the strongest risk factor for RGC infection among HIV-negative or unknown HIV status MSM. CONCLUSION: Our data suggest that STD and HIV prevention efforts among MSM in San Francisco must consider the role that HIV serostatus plays in acquisition of new infections.
BACKGROUND:Rectal gonorrhea in men has been increasing in San Francisco since 1995. GOAL: The goal was to determine behavioral risk factors associated with rectal gonorrhea (RGC) among men who have sex with men (MSM) by HIV serostatus. STUDY DESIGN: All men reporting receptive anal sex in the last 6 months are screened for RGC, regardless of reported condom use, at San Francisco's municipal sexually transmitted disease (STD) clinic. We surveyed a convenience sample of men screened for RGC at the clinic. RESULTS: Among 564 MSM surveyed, 7.1% had RGC. HIV-positive MSM were significantly more likely (relative risk, 3.5, 95% confidence interval, 1.9-5.8) to have RGC. Behavioral risks for RGC infection varied significantly by HIV serostatus. HIV-positive MSM engaging in anonymous sex were at highest risk for RGC infection. Drug use during anal sex was the strongest risk factor for RGC infection among HIV-negative or unknown HIV status MSM. CONCLUSION: Our data suggest that STD and HIV prevention efforts among MSM in San Francisco must consider the role that HIV serostatus plays in acquisition of new infections.
Authors: Hyman M Scott; Kyle T Bernstein; Henry F Raymond; Robert Kohn; Jeffrey D Klausner Journal: BMC Public Health Date: 2010-06-06 Impact factor: 3.295
Authors: Kelly Thompson; Ryan Cramer; Archana Bodas LaPollo; Sarah Hexem Hubbard; Harrell W Chesson; Jami S Leichliter Journal: Public Health Rep Date: 2020 Jul/Aug Impact factor: 2.792
Authors: Lori A J Scott-Sheldon; Michael P Carey; Peter A Vanable; Theresa E Senn; Patricia Coury-Doniger; Marguerite A Urban Journal: J Stud Alcohol Drugs Date: 2009-09 Impact factor: 2.582
Authors: Nicholas Chamberlain; Richard A Crosby; Leandro Mena; Philip A Chan; Kenneth H Mayer Journal: Sex Transm Dis Date: 2017-07 Impact factor: 2.830
Authors: Fengyi Jin; Garrett P Prestage; Iryna Zablotska; Patrick Rawstorne; Susan C Kippax; Basil Donovan; Philip H Cunningham; David J Templeton; John M Kaldor; Andrew E Grulich Journal: Sex Transm Infect Date: 2007-06-07 Impact factor: 3.519
Authors: Laura A S Quilter; Eve Obondi; Colin Kunzweiler; Duncan Okall; Robert C Bailey; Gaston Djomand; Boaz Otieno-Nyunya; Fredrick Otieno; Susan M Graham Journal: Sex Transm Infect Date: 2018-09-21 Impact factor: 3.519