The characteristics of men who have sex with men who present as sexual contacts of gonorrhoea from a clinic‐based population.

2021 ◽  
Author(s):  
Daniel Richardson ◽  
Keshinie Samarasekara ◽  
Miriam Ringshall ◽  
Kuhuk Parashar ◽  
Kayleigh Nichols ◽  
...  
Keyword(s):  
Sexual Contacts ◽  
Sex With Men

An outbreak of syphilis in Oslo

2002 ◽  
Vol 13 (6) ◽  
pp. 370-372 ◽  
Author(s):  
A M Halsos ◽  
K Edgardh
Keyword(s):  
Public Health ◽  
Hiv Infection ◽  
Medical Records ◽  
University Hospital ◽  
Oral Sex ◽  
Sexual Contacts ◽  
Male Patients ◽  
Sex With Men ◽  
Latent Syphilis ◽  
Retrospective Investigation

During 1999 and 2000, an outbreak of syphilis occurred in Norway: 93 cases were reported to the National Institute of Public Health. This report summarizes a retrospective investigation of the medical records of 60 patients with primary, secondary and early latent syphilis treated during 1999–2000 at the Department of STD at the Ullevål University Hospital in Oslo. Five women and 55 men were treated, mean age 38.6 and 44.9 years, respectively. Of the 60 cases, 14 (23.3%) had primary, 39 (65.0) secondary and seven (11.7%) early latent syphilis. Men who have sex with men (MSM) constituted 78.2% (43/55) of the male patients. Transmission among MSM was related to casual sexual contacts in bathhouses in Oslo. Two cases occurred among men with previously diagnosed HIV infection. Two new cases of HIV were reported. Condom use was inconsistent, and seldom used for oral sex.

scholarly journals Men treated for syphilis in Białystok, Poland, 2014-2018

2019 ◽  
pp. 329-335
Author(s):  
Agnieszka Beata Serwin ◽  
Adriana Grochowska ◽  
Iwona Flisiak
Keyword(s):  
Urban Areas ◽  
Partner Notification ◽  
Secondary Syphilis ◽  
Contact Tracing ◽  
Professional Activity ◽  
Symptomatic Infection ◽  
Sexually Transmitted ◽  
Sexual Contacts ◽  
Sex With Men

INTRODUCTION. Incidence of syphilis is increasing in Europe in recent years, mainly due to high incidence in men, especially men who have sex with men (MSM). AIM. To analyse sociodemographic, epidemiological and clinical characteristics of men treated for syphilis in Bialystok in 2014 – 2018, to compare these of MSM and men who have sex with women (MSW). MATERIAL AND METHODS. Analysis of age, residency, professional activity, type of sexual contacts (steady vs. casual), marital status, stage of syphilis diagnosed, concomitant sexually transmitted infections (STIs), treatment, partner notification and follow-up attendance. RESULTS. Of 49 male patients with syphilis 26 (53.06%) were MSM and 23 (46.94%) – MSW. The average age was 33.67 and 35.87 years in MSM and MSW patients, respectively. Majority of patients in both groups were residents of urban areas. Tradesmen and those unemployed constituted the highest proportion in MSM and MSW group, respectively. MSM were in majority single and had only casual contacts while MSW, mostly married or engaged in steady relationship, had also casual contacts. Secondary syphilis was most frequently diagnosed in MSM and late latent syphilis - in MSW. Eight patients (16.32%) had concomitant HIV infection, in all diagnosed before syphilis. Contact tracing was successful in 26.92% of MSM and 39.13% of MSW. Follow-up was not done or not completed in half of MSM and more than half of MSW. CONCLUSIONS. Results confirm that MSM play a crucial role in the current epidemics of syphilis. They have mainly casual sexual contacts and have symptomatic infection. In both MSM and MSW contact tracing and follow-up attendance is suboptimal.

A novel response to an outbreak of infectious syphilis in Christchurch, New Zealand

Sexual Health ◽  
2015 ◽  
Vol 12 (2) ◽  
pp. 170 ◽  
Author(s):  
Edward Coughlan ◽  
Heather Young ◽  
Catherine Parkes ◽  
Maureen Coshall ◽  
Nigel Dickson ◽  
...  
Keyword(s):  
Public Health ◽  
Social Media ◽  
Contact Tracing ◽  
Outbreak Response ◽  
Public Health Communication ◽  
Sexually Transmissible Infections ◽  
Sexual Contacts ◽  
Sex With Men ◽  
Use Of Social Media ◽  
Clinical Records

During 2012, Christchurch experienced a dramatic increase in cases of infectious syphilis among men who have sex with men. This was accompanied by some novel trends; notably, the acquisition of infection in a younger age group, with local sexual contacts, commonly via the use of social media. This study is a report on an approach to case identification and public health communication as a component of a multifaceted outbreak response. Enhanced syphilis surveillance data on public health responses to outbreaks of sexually transmissible infections was collated and reviewed, alongside clinical records and literature. Reported outbreak response methods were adapted for the Christchurch cohort. A Facebook page was created to raise awareness of infectious syphilis, the importance of screening and where to get tested. Twenty-six males were diagnosed with infectious syphilis in 2012, an increase from previous years, of which 22 reported only male sexual contact. High use of social media used to find potential sexual contacts was reported. Enhanced syphilis surveillance characterised in detail an infectious syphilis outbreak in Christchurch. Index cases were identified, contact tracing mapping was used to identify transmission networks and social media was also used to educate the risk group. There was a decrease in infectious syphilis presentations, with no cases in the last 3 months of 2012.

scholarly journals Prevention of HIV and Other Sexually Transmitted Infections by Geofencing and Contextualized Messages With a Gamified App, UBESAFE: Design and Creation Study

10.2196/14568 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e14568
Author(s):  
Felipe Besoain ◽  
Antoni Perez-Navarro ◽  
Constanza Jacques Aviñó ◽  
Joan A Caylà ◽  
Nicolas A Barriga ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Information And Communication Technologies ◽  
Preventive Measures ◽  
Health Agency ◽  
Sexually Transmitted ◽  
Information And Communication ◽  
Sexual Contacts ◽  
The Creation ◽  
Sex With Men ◽  
Feasibility Test

Background Advances in the development of information and communication technologies have facilitated social and sexual interrelationships, thanks to the websites and apps created to this end. However, these resources can also encourage sexual contacts without appropriate preventive measures in relation to HIV and other sexually transmitted infections (STIs). How can users be helped to benefit from the advantages of these apps while keeping in mind those preventive measures? Objective This study aimed to prevent STIs by helping users to remember preventive measures in the risky situations. Methods We have used the design and creation methodology and have developed a software system. This system has two parts: an Android operating system app with emphasis on ubiquitous computing and gamification as well as a server with a webpage. First, a functional test with 5 men who have sex with men (MSM) allowed us to test the app with end users. In addition, a feasibility test with 4 MSM for a month allowed us to try the UBESAFE system with all its functionalities. Results The main output is a system called UBESAFE that is addressed to MSM. The system has two main parts: (1) an app that sends preventive contextualized messages to users when they use a contact app or when they are near a point where sexual contacts are likely and (2) a server part that was managed by the public health agency of Barcelona (ASPB), which preserves the quality and pertinence of messages and places and offers instant help to users. To increase users’ adherence, UBESAFE uses a gamified system to engage users in the creation of preventive messages. Users increased the initial pool of messages by more than 100% (34/30) and created more than 56% (9/16) of places (named hot zones). Conclusions The system helped MSM who used it to become conscious about HIV and other STIs. The system also helped the ASPB to stay in contact with MSM and to detect behaviors that could benefit from preventive measures. All functions were performed in a nonintrusive manner because users used the app privately. Furthermore, the system has shown how important it is to make users a part of the creation process as well as to develop apps that work by themselves and thus become useful to the users.

Pharyngeal Chlamydia and gonorrhea: a hidden problem

2019 ◽  
Vol 30 (8) ◽  
pp. 732-738 ◽  
Author(s):  
Valeria Gaspari ◽  
Antonella Marangoni ◽  
Antonietta D’Antuono ◽  
Greta Roncarati ◽  
Melissa Salvo ◽  
...  
Keyword(s):  
Molecular Detection ◽  
Oral Sex ◽  
Pharyngeal Swab ◽  
Effective Strategies ◽  
Pharyngeal Infection ◽  
History Of ◽  
Sexual Contacts ◽  
Sex With Men ◽  
Set Up ◽  
Omp1 Gene

In this study we assessed the prevalence and predictors of pharyngeal infections due to Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) in a cohort of patients attending an STI Clinic. From January 2016 to September 2018, 893 patients attending the STI Clinic of St Orsola-Malpighi Hospital (Bologna, Italy) and reporting unprotected oral sex were enrolled. A pharyngeal swab for the molecular detection of CT and NG was collected from each patient. Positive CT samples were further genotyped by an omp1 gene PCR. A total of 134 cases of gonorrhea (15%) and 34 chlamydial infections (3.8%) were detected in the pharyngeal site, with no significant differences between males (all men who have sex with men [MSM]) and females. More than 90% of the infections were completely asymptomatic, suggesting that symptoms were not predictors of a pharyngeal infection ( P = 0.7). On the contrary, a history of sexual contacts with a partner positive for CT and/or NG ( P < 0.0001), HIV positivity ( P = 0.01), and the presence of concurrent genital and/or rectal infections ( P < 0.0001) were significantly associated with CT/NG pharyngeal infections. Pharyngeal lymphogranuloma venereum cases were rare (prevalence: 0.4%), asymptomatic, and only found in MSM. Better knowledge about pharyngeal CT/NG infections could help to set up effective strategies for their prevention.

Child Molestation and Homosexuality

1986 ◽  
Vol 58 (1) ◽  
pp. 327-337 ◽  
Author(s):  
Paul Cameron ◽  
Kay Proctor ◽  
William Coburn ◽  
Nels Forde ◽  
Helen Larson ◽  
...  
Keyword(s):  
Los Angeles ◽  
Generational Differences ◽  
Sexual Contact ◽  
Washington Dc ◽  
Child Molestation ◽  
Sexual Involvement ◽  
Sexual Molestation ◽  
Sexual Contacts ◽  
Random Probability ◽  
Sex With Men

How much child molestation occurs in our society and how much is homosexual? Random-probability samples in Los Angeles, Denver, Omaha, Louisville, and Washington, DC yielded 4,340 adults who answered an extensive questionnaire regarding sexual attitudes, activities, and experiences. Results indicate that perhaps 16% of both boys and girls claim sexual relations with an adult before the age of 16; if only experiences with men are counted about 5% of boys and 15% of girls claim sexual involvements. Sexual contacts with adults before respondents were aged 13 were claimed by 9% of boys and 7% of girls; if only experiences with men are counted, only 3% of boys claimed molestation. Considering only children's claims of sex with men, about a third were homosexual molestations. About 1% of females claimed some sexual involvement with their fathers and a like number with stepfathers. The latter were considerably more apt to be considered “serious.” About 1% of elementary pupils and 3% of secondary pupils claimed sexual advances by teachers and about a third of these advances resulted in physical sexual contact. Bisexuals or homosexuals claimed much more frequent sexual contact with caretakers, and homosexuality was disproportionately implicated in sexual events under caretakers' charge. No generational differences in rate of claims of sexual molestation were found.

scholarly journals Behavioral and Molecular Tracing of Risky Sexual Contacts in a Sample of Chinese HIV-infected Men Who Have Sex With Men

2013 ◽  
Vol 177 (4) ◽  
pp. 343-350 ◽  
Author(s):  
Haijiang Lin ◽  
Na He ◽  
Sujuan Zhou ◽  
Yingying Ding ◽  
Danhong Qiu ◽  
...  
Keyword(s):  
Sexual Contacts ◽  
Sex With Men

scholarly journals Differential processes of ‘Internet’ versus ‘real life’ sexual filtering and contact among men who have sex with men

2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Shelia R. Rice ◽  
Michael W. Ross
Keyword(s):  
Risk Reduction ◽  
Risk Behavior ◽  
Real Life ◽  
Sexual Scripts ◽  
The Internet ◽  
Anal Sex ◽  
Face To Face ◽  
Face Negotiation ◽  
Sexual Contacts ◽  
Sex With Men

We studied the behaviors and sexual contacts in 1,000 Men who have Sex with Men (MSM), and behaviors for main and casual partners, and between Internet and In Real Life (IRL) sexual contacts for non-main partners. Data establish different patterns of MSM courtships and a pattern of partner acquisition. Data indicate the process of filtering, courtship, and / or negotiating for sex (including positioning) is different for Internet-acquired and IRL-acquired partners. There are more steps in the Internet process compared to the IRL processes prior to face-to-face contact, as well as negotiations of risk reduction. Higher levels of risk behavior and specifically anal sex and rimming suggest that the Internet allows for pre-Face-To-Face negotiation of sexual scripts.

scholarly journals Dating apps and websites as tools to reach anonymous sexual contacts during an outbreak of hepatitis A among men who have sex with men, Berlin, 2017

2019 ◽  
Vol 24 (21) ◽  
Author(s):  
Claudia Ruscher ◽  
Dirk Werber ◽  
Janine Thoulass ◽  
Ruth Zimmermann ◽  
Matthias Eckardt ◽  
...  
Keyword(s):  
Hepatitis A ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Contact Tracing ◽  
Independent Effect ◽  
Negative Binomial Regression Model ◽  
Prevention Messages ◽  
Dating Apps ◽  
Sexual Contacts ◽  
Sex With Men

Background In an outbreak of hepatitis A among men who have sex with men (MSM) in Berlin (2016 and 2017), patients frequently reported anonymous sex and use of dating applications to meet sexual contacts, hampering tracing and vaccination of contacts. Aim Our objective was to evaluate dating apps and websites as a means of spreading prevention messages among MSM during the ongoing outbreak. Methods Advertisements in different formats were placed on three MSM dating apps and eight websites for anonymous dating during three weeks in March and April 2017. We calculated frequency of ads shown and click-through rates (CTR) and investigated the independent effect of format and platform on the number of clicks using a negative binomial regression model. We evaluated the campaign’s impact using a survey among visitors of a large gay-lesbian street-festival in Berlin. Results Overall, 1,920,180 ads were shown and clicked on 8,831 times (CTR = 0.46%). The multivariable model showed significantly more clicks on one dating app (incidence rate ratio (IRR) = 9.5; 95% confidence interval (CI): 7.7–12.2) than on websites and on full-screen ads (IRR = 3.1; 95% CI: 2.5–3.8) than on banner ads. Of 266 MSM who participated in the survey, 190 (71%) knew about the outbreak and 39 (15%) declared to have been vaccinated recently because of the campaign. Conclusions Dating apps provided a means to rapidly reach and influence a substantial number of MSM in Berlin and should complement case-based contact tracing among MSM in outbreak settings. Clicking on ads depended on platform and format used.

Audit of the use of benzathine penicillin, post-treatment syphilis serology and partner notification of patients with early infectious syphilis

2006 ◽  
Vol 17 (3) ◽  
pp. 200-202 ◽  
Author(s):  
M Chauhan ◽  
B Serisha ◽  
K N Sankar ◽  
R S Pattman ◽  
M L Schmid
Keyword(s):  
Partner Notification ◽  
Post Treatment ◽  
Benzathine Penicillin ◽  
First Line ◽  
Serological Tests ◽  
Sexual Contacts ◽  
Sex With Men ◽  
One Year ◽  
Syphilis Serology

Recent increases in the incidence of early infectious syphilis have been particularly noted in men who have sex with men (MSM). Case-notes of 40 consecutive patients with infectious syphilis and follow-up data for one year were audited. Of the 40 patients, six were HIV co-infected. In all, 31 men received benzathine penicillin as first line while the remaining had other treatments. About 17 (42.5%) failed to attend for any post-treatment serological tests. Of the remainder, 17 (42.5%) attended for the first appointment and only 13 (32.5%) attended for the full one year follow-up. In all, 40 men in the study had 362 sexual contacts of which only 44 (12.2%) elected to be screened. This study illustrates the successful use of benzathine penicillin as first-line treatment, lack of patient compliance with post-treatment serological follow-up and difficulty with partner notification.

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