ArticleSexually transmitted infections2007
A tale of three cities: persisting high HIV prevalence, risk behaviour and undiagnosed infection in community samples of men who have sex with men.
Article in Sexually transmitted infections, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of sexually transmitted co-infections in people living with HIV/AIDS: systematic review with implications for using HIV treatments for prevention.Sexually transmitted infections · 2011Pooled it
- Mapping of SARS-CoV-2 IgM and IgG in gingival crevicular fluid: Antibody dynamics and linkage to severity of COVID-19 in hospital inpatients.The Journal of infection · 2022Article
- Conurbation, Urban, and Rural Living as Determinants of Allergies and Infectious Diseases: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2016-2017.JMIR public health and surveillance · 2018Article
- Acceptability of HIV self-sampling kits (TINY vial) among people of black African ethnicity in the UK: a qualitative study.BMC public health · 2018Article
- Frequency of HIV testing among gay and bisexual men in the UK: implications for HIV prevention.HIV medicine · 2016Article
- A Cross-Sectional Study on Attitudes to and Understanding of Risk of Acquisition of HIV: Design, Methods and Participant Characteristics.JMIR research protocols · 2016Article
- A new public health context to understand male sex work.BMC public health · 2015Review
- How Many HIV infections may be averted by targeting primary infection in men who have sex with men? Quantification of changes in transmission-risk behavior, using an individual-based model.The Journal of infectious diseases · 2014Article
- What constitutes the best sex life for gay and bisexual men? Implications for HIV prevention.BMC public health · 2013Article
- The 'Antiretrovirals, Sexual Transmission Risk and Attitudes' (ASTRA) study. Design, methods and participant characteristics.PloS one · 2013Article
- Analysis of duration of risk behaviour for key populations: a literature review.Sexually transmitted infections · 2012Review
- Towards condom skills: a cross-sectional study of the association between condom proficiency, condom problems and STI risk amongst MSM.BMC public health · 2012Article
- Actual and undiagnosed HIV prevalence in a community sample of men who have sex with men in Auckland, New Zealand.BMC public health · 2012Article
- HIV treatment as prevention: natural experiments highlight limits of antiretroviral treatment as HIV prevention.PLoS medicine · 2012Review
- Biomarker-based HIV incidence in a community sample of men who have sex with men in Paris, France.PloS one · 2012Article
- Developing a matrix to identify and prioritise research recommendations in HIV prevention.BMC public health · 2011Article
- Increased HIV testing and reduced undiagnosed infection among gay men in Scotland, 2005-8: support for the opt-out testing policy?Sexually transmitted infections · 2011Article
- Which HIV-infected men who have sex with men in care are engaging in risky sex and acquiring sexually transmitted infections: findings from a Boston community health centre.Sexually transmitted infections · 2010Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
Abstract
objectivesTo examine the geographical variations in HIV prevalence (diagnosed and undiagnosed), use of sexual health services, sexually transmitted infections and sexual behaviour in a community sample of men who have sex with men in three cities in England, specifically London, Brighton and Manchester.
methodsCross-sectional surveys of men visiting gay community venues in three large cities in England. Men self-completed a questionnaire and provided an anonymous oral fluid sample for HIV antibody testing.
resultsHIV prevalence ranged from 8.6% to 13.7% in the three cities. Over one-third of HIV infection remained undiagnosed in all sites despite 69% of HIV-positive men reporting attending a genitourinary medicine clinic in the last year. Similar and high levels of risk behaviour were reported in all three cities. 18% of HIV-negative men and 37% of HIV-positive men reported unprotected anal intercourse with more than one partner in the last year. 20% of negative men and 41% of positive men reported an STI in the last year.
conclusionsAcross all cities, despite widespread availability of anti-retroviral treatment and national policy to promote HIV testing, many HIV infections remain undiagnosed. Data from this community sample demonstrate high levels of risk behaviour and STI incidence, especially among those who are HIV positive. Renewed efforts are needed to increase diagnosis and to reduce risk behaviour to stem the continuing transmission of HIV.
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