Gonorrhea in the HIV era: a reversal in trends among men who have sex with men
Gonorrhea cases among men who have sex with men (MSM) declined in the early years of the HIV epidemic. We evaluated more recent trends in gonorrhea among MSM through the Centers for Disease Control and Prevention's Gonococcal Isolate Surveillance Project. Isolates and case information were coll...
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| Veröffentlicht in: | American journal of public health (1971) 2001-06, Vol.91 (6), p.959-964 |
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| container_title | American journal of public health (1971) |
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| creator | Fox, KK del Rio, C Holmes, KK Hook, EW, 3rd Judson, FN Knapp, JS Procop, GW Wang, SA Whittington, WL Levine, WC |
| description | Gonorrhea cases among men who have sex with men (MSM) declined in the early years of the HIV epidemic. We evaluated more recent trends in gonorrhea among MSM through the Centers for Disease Control and Prevention's Gonococcal Isolate Surveillance Project.
Isolates and case information were collected from 29 US sexually transmitted disease (STD) clinics. Gonococcal urethritis cases among MSM were compared with those among heterosexual men, and cases among MSM in 1995 to 1999 were compared with earlier MSM cases.
Of 34,942 cases, the proportion represented by MSM increased from 4.5% in 1992 to 13.2% in 1999 (P < .001). Compared with heterosexuals, MSM were older, more often White, and more often had had gonorrhea previously, although fewer had had gonorrhea in the past year. MSM with gonorrhea in 1995 to 1999 were slightly older than those with gonorrhea in 1992 to 1994, and a higher proportion had had gonorrhea in the past year.
MSM account for an increasing proportion of gonococcal urethritis cases in STD clinics. Given recent evidence that gonorrhea may facilitate HIV transmission, these trends demand increased attention to safe sexual behaviors and reducing STDs among MSM. |
| doi_str_mv | 10.2105/AJPH.91.6.959 |
| format | Article |
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Isolates and case information were collected from 29 US sexually transmitted disease (STD) clinics. Gonococcal urethritis cases among MSM were compared with those among heterosexual men, and cases among MSM in 1995 to 1999 were compared with earlier MSM cases.
Of 34,942 cases, the proportion represented by MSM increased from 4.5% in 1992 to 13.2% in 1999 (P < .001). Compared with heterosexuals, MSM were older, more often White, and more often had had gonorrhea previously, although fewer had had gonorrhea in the past year. MSM with gonorrhea in 1995 to 1999 were slightly older than those with gonorrhea in 1992 to 1994, and a higher proportion had had gonorrhea in the past year.
MSM account for an increasing proportion of gonococcal urethritis cases in STD clinics. Given recent evidence that gonorrhea may facilitate HIV transmission, these trends demand increased attention to safe sexual behaviors and reducing STDs among MSM.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.91.6.959</identifier><identifier>PMID: 11392941</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject><![CDATA[Adult ; Bacterial diseases ; Bacterial diseases of the urinary system ; Biological and medical sciences ; Clinics ; Community Health Centers - statistics & numerical data ; Condoms ; Disease control ; Episode of Care ; Erythromycin - analysis ; Expected values ; Gays & lesbians ; Gonorrhea ; Gonorrhea - complications ; Gonorrhea - epidemiology ; Gonorrhea - virology ; Heterosexuality ; Heterosexuality - statistics & numerical data ; HIV ; Homosexuality, Male - statistics & numerical data ; Homosexuals ; Hospitals, Military - statistics & numerical data ; Human bacterial diseases ; Human immunodeficiency virus ; Humans ; Infectious diseases ; Male ; Males ; Medical laboratories ; Medical sciences ; Men ; Microbial Sensitivity Tests ; Neisseria gonorrhoeae ; Neisseria gonorrhoeae - drug effects ; Neisseria gonorrhoeae - isolation & purification ; Prevalence ; Public health ; Safe Sex ; Sentinel Surveillance ; Sexual Behavior ; Sexual orientation ; Sexually transmitted diseases ; STD ; Surveillance ; Trends ; United States - epidemiology ; Urethritis - etiology ; USA]]></subject><ispartof>American journal of public health (1971), 2001-06, Vol.91 (6), p.959-964</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright American Public Health Association Jun 2001</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-d1d897b52283720c38ca982189f432532f38937de9de1336565bfca7ea994c5c3</citedby><cites>FETCH-LOGICAL-c532t-d1d897b52283720c38ca982189f432532f38937de9de1336565bfca7ea994c5c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446475/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446475/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27845,27903,27904,30979,53770,53772</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1046734$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11392941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fox, KK</creatorcontrib><creatorcontrib>del Rio, C</creatorcontrib><creatorcontrib>Holmes, KK</creatorcontrib><creatorcontrib>Hook, EW, 3rd</creatorcontrib><creatorcontrib>Judson, FN</creatorcontrib><creatorcontrib>Knapp, JS</creatorcontrib><creatorcontrib>Procop, GW</creatorcontrib><creatorcontrib>Wang, SA</creatorcontrib><creatorcontrib>Whittington, WL</creatorcontrib><creatorcontrib>Levine, WC</creatorcontrib><title>Gonorrhea in the HIV era: a reversal in trends among men who have sex with men</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>Gonorrhea cases among men who have sex with men (MSM) declined in the early years of the HIV epidemic. We evaluated more recent trends in gonorrhea among MSM through the Centers for Disease Control and Prevention's Gonococcal Isolate Surveillance Project.
Isolates and case information were collected from 29 US sexually transmitted disease (STD) clinics. Gonococcal urethritis cases among MSM were compared with those among heterosexual men, and cases among MSM in 1995 to 1999 were compared with earlier MSM cases.
Of 34,942 cases, the proportion represented by MSM increased from 4.5% in 1992 to 13.2% in 1999 (P < .001). Compared with heterosexuals, MSM were older, more often White, and more often had had gonorrhea previously, although fewer had had gonorrhea in the past year. MSM with gonorrhea in 1995 to 1999 were slightly older than those with gonorrhea in 1992 to 1994, and a higher proportion had had gonorrhea in the past year.
MSM account for an increasing proportion of gonococcal urethritis cases in STD clinics. Given recent evidence that gonorrhea may facilitate HIV transmission, these trends demand increased attention to safe sexual behaviors and reducing STDs among MSM.</description><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the urinary system</subject><subject>Biological and medical sciences</subject><subject>Clinics</subject><subject>Community Health Centers - statistics & numerical data</subject><subject>Condoms</subject><subject>Disease control</subject><subject>Episode of Care</subject><subject>Erythromycin - analysis</subject><subject>Expected values</subject><subject>Gays & lesbians</subject><subject>Gonorrhea</subject><subject>Gonorrhea - complications</subject><subject>Gonorrhea - epidemiology</subject><subject>Gonorrhea - virology</subject><subject>Heterosexuality</subject><subject>Heterosexuality - statistics & numerical data</subject><subject>HIV</subject><subject>Homosexuality, Male - statistics & numerical 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fox, KK</au><au>del Rio, C</au><au>Holmes, KK</au><au>Hook, EW, 3rd</au><au>Judson, FN</au><au>Knapp, JS</au><au>Procop, GW</au><au>Wang, SA</au><au>Whittington, WL</au><au>Levine, WC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gonorrhea in the HIV era: a reversal in trends among men who have sex with men</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2001-06-01</date><risdate>2001</risdate><volume>91</volume><issue>6</issue><spage>959</spage><epage>964</epage><pages>959-964</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>Gonorrhea cases among men who have sex with men (MSM) declined in the early years of the HIV epidemic. We evaluated more recent trends in gonorrhea among MSM through the Centers for Disease Control and Prevention's Gonococcal Isolate Surveillance Project.
Isolates and case information were collected from 29 US sexually transmitted disease (STD) clinics. Gonococcal urethritis cases among MSM were compared with those among heterosexual men, and cases among MSM in 1995 to 1999 were compared with earlier MSM cases.
Of 34,942 cases, the proportion represented by MSM increased from 4.5% in 1992 to 13.2% in 1999 (P < .001). Compared with heterosexuals, MSM were older, more often White, and more often had had gonorrhea previously, although fewer had had gonorrhea in the past year. MSM with gonorrhea in 1995 to 1999 were slightly older than those with gonorrhea in 1992 to 1994, and a higher proportion had had gonorrhea in the past year.
MSM account for an increasing proportion of gonococcal urethritis cases in STD clinics. Given recent evidence that gonorrhea may facilitate HIV transmission, these trends demand increased attention to safe sexual behaviors and reducing STDs among MSM.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>11392941</pmid><doi>10.2105/AJPH.91.6.959</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0090-0036 |
| ispartof | American journal of public health (1971), 2001-06, Vol.91 (6), p.959-964 |
| issn | 0090-0036 1541-0048 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1446475 |
| source | MEDLINE; PAIS Index; EBSCOhost Business Source Complete; Applied Social Sciences Index & Abstracts (ASSIA); Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Bacterial diseases Bacterial diseases of the urinary system Biological and medical sciences Clinics Community Health Centers - statistics & numerical data Condoms Disease control Episode of Care Erythromycin - analysis Expected values Gays & lesbians Gonorrhea Gonorrhea - complications Gonorrhea - epidemiology Gonorrhea - virology Heterosexuality Heterosexuality - statistics & numerical data HIV Homosexuality, Male - statistics & numerical data Homosexuals Hospitals, Military - statistics & numerical data Human bacterial diseases Human immunodeficiency virus Humans Infectious diseases Male Males Medical laboratories Medical sciences Men Microbial Sensitivity Tests Neisseria gonorrhoeae Neisseria gonorrhoeae - drug effects Neisseria gonorrhoeae - isolation & purification Prevalence Public health Safe Sex Sentinel Surveillance Sexual Behavior Sexual orientation Sexually transmitted diseases STD Surveillance Trends United States - epidemiology Urethritis - etiology USA |
| title | Gonorrhea in the HIV era: a reversal in trends among men who have sex with men |
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