Jennifer Jain1, Glenn-Milo Santos1,2, Susan Scheer2, Steve Gibson3, Pierre-Cédric Crouch3, Robert Kohn2, Walter Chang1, Adam W Carrico4. 1. 1 Department of Community Health Systems, University of California , San Francisco, San Francisco, California. 2. 2 San Francisco Department of Public Health , San Francisco, California. 3. 3 San Francisco AIDS Foundation , San Francisco, California. 4. 4 Department of Public Health Sciences, University of Miami School of Medicine , Miami, Florida.
Abstract
PURPOSE: This study examined rates and correlates of syphilis reinfection in men who have sex with men (MSM). METHODS: From 2012 to 2015, time to reinfection was assessed in 323 MSM receiving initial treatment for syphilis in San Francisco. RESULTS: One in five men was reinfected (71/323; 22%). The rate of syphilis reinfection was greater among HIV-infected men (adjusted hazard ratio [aHR] = 1.96; 95% confidence interval [95% CI] = 1.16-3.31) and ketamine users (aHR = 2.76; 95% CI = 1.09-7.00). CONCLUSION: Expanded prevention efforts are needed with HIV-infected and substance-using MSM to reduce the burden of reinfection in this population.
PURPOSE: This study examined rates and correlates of syphilis reinfection in men who have sex with men (MSM). METHODS: From 2012 to 2015, time to reinfection was assessed in 323 MSM receiving initial treatment for syphilis in San Francisco. RESULTS: One in five men was reinfected (71/323; 22%). The rate of syphilis reinfection was greater among HIV-infectedmen (adjusted hazard ratio [aHR] = 1.96; 95% confidence interval [95% CI] = 1.16-3.31) and ketamine users (aHR = 2.76; 95% CI = 1.09-7.00). CONCLUSION: Expanded prevention efforts are needed with HIV-infected and substance-using MSM to reduce the burden of reinfection in this population.
Entities:
Keywords:
HIV; men who have sex with men (MSM); repeat syphilis; substance use
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