ArticleSexually transmitted infections2017
Serosorting and recreational drug use are risk factors for diagnosis of genital infection with chlamydia and gonorrhoea among HIV-positive men who have sex with men: results from a clinical cohort in Ontario, Canada.
Article in Sexually transmitted infections, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 40 citations in OpenAlex.
- A Randomized Clinical Trial of a Brief Internet-based Group Intervention to Reduce Sexual Transmission Risk Behavior Among HIV-Positive Gay and Bisexual Men.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018Trial
- Acute Alcohol Consumption Directly Increases HIV Transmission Risk: A Randomized Controlled Experiment.Journal of acquired immune deficiency syndromes (1999) · 2017Trial
- Article
- Determinants of sexual exposure to HIV in Portuguese and Brazilian adolescents: a path analysis.Revista latino-americana de enfermagem · 2022Article
- Longitudinal Event-Level Sexual Risk and Substance Use among Gay, Bisexual, and Other Men Who Have Sex with Men.International journal of environmental research and public health · 2021Article
- The use of inappropriate anal douching tool associates with increased HIV infection among men who have sex with men: a cross-sectional study in Shenyang, China.BMC public health · 2021Article
- Canadian results from the European Men-who-have-sex-with-men Internet survey (EMIS-2017).Canada communicable disease report = Releve des maladies transmissibles au Canada · 2019Article
- Community-Directed Bacterial Sexually Transmitted Infection Testing Interventions Among Men Who Have Sex With Men: Protocol for an E-Delphi Study in Toronto, Canada.JMIR research protocols · 2019Article
- The epidemiology of HIV and other sexually transmitted infections in African, Caribbean and Black men in Toronto, Canada.BMC infectious diseases · 2019Article
- Risk Factors and Incidence of Syphilis in Human Immunodeficiency Virus (HIV)-Infected Persons: The HIV Outpatient Study, 1999-2015.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018Observational
- Article
- Disparities in severe shigellosis among adults - Foodborne diseases active surveillance network, 2002-2014.BMC public health · 2018Article
- Gonorrhea and Chlamydia Case Detection Increased When Testing Increased in a Multisite US HIV Cohort, 2004-2014.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Syphilis and HIV: Is HAART at the heart of this epidemic?Sexually transmitted infections · 2017Article
- Social and Behavioral Correlates of Sexually Transmitted Infections among Men who Have Sex with Men who Use Alcohol in the San Francisco Bay Area.American journal of men's healthArticle
Corrections and comments
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Authors and funding
13 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesRates of chlamydia and gonorrhoea have been rising in urban centres in Canada, particularly among HIV-positive men who have sex with men (MSM). Our objective was to identify behavioural risk factors for diagnosis with chlamydia and gonorrhoea in this population, with a focus on the HIV status of sexual partners.
methodsThe OHTN Cohort Study follows people in HIV care across Ontario. We restricted the analysis to 1997 MSM who completed questionnaires in 2010-2013 at one of seven clinics that submit all chlamydia and gonorrhoea tests to the provincial public health laboratory; we obtained test results via record linkage. We estimated cumulative incidences using Kaplan-Meier methods and identified risk factors for diagnosis of a composite outcome (chlamydia or gonorrhoea infection) using Cox regression.
resultsAt follow-up, there were 74 new chlamydia/gonorrhoea diagnoses with a 12-month cumulative incidence of 1.7% (95% CI 1.1% to 2.2%). Risk factors for chlamydia/gonorrhoea diagnosis were: 5+ HIV-positive partners (HR=3.3, 95% CI 1.4 to 7.8; reference=none) and recreational drug use (HR=2.2, 95% CI 1.2 to 3.9).
conclusionsHeightened risks with recreational drug use and multiple HIV-positive partners suggest that chlamydia/gonorrhoea may have achieved high prevalence in certain sexual networks among HIV-positive MSM. Interventions to promote safer sex and timely testing among MSM are needed.
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