High levels of undiagnosed rectal STIs suggest that screening remains inadequate among Black gay, bisexual and other men who have sex with men.
High levels of undiagnosed rectal STIs suggest that screening remains inadequate among Black gay, bisexual and other men who have sex with men.
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DOI：
10.1136/sextrans-2020-054563
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发表时间：
2022-03
影响因子：
3.6
通讯作者：
Eaton L
中科院分区：
文献类型：
--
作者：
Watson RJ;Collibee C;Maksut JL;Earnshaw VA;Rucinski K;Eaton L
为了更好地了解黑人同性恋、双性恋和其他男男性行为者 (BGBMSM) 的直肠性传播感染筛查做法，对佐治亚州亚特兰大的 331 名 HIV 阴性或状态未知的 BGBMSM 进行了直肠衣原体/淋病性传播感染检测（使用实验室核酸扩增检测）、HIV 检测（使用 OraQuick ADVANCE Rapid HIV 1/2）和行为调查措施。尽管 15% 的 BGBMSM 实验室检测结果呈直肠性传播感染阳性，但其中大多数 (94%) 无症状。尽管所有参与者都报告其 HIV 阴性/未知状态，但 31/331 (9.4%) 的 HIV 快速检测结果呈阳性。尽管直肠性传播感染的诊断与艾滋病毒检测呈阳性呈正相关，但无套肛交和男性性伴侣的数量均与直肠性传播感染或艾滋病毒的诊断无关。研究结果表明，大量 BGBMSM 患有无症状性传播感染，但没有接受检测——这一结果可能是进一步感染艾滋病毒的强大推动力。因此，我们必须解决GBMSM中无症状性传播感染的流行问题，以减少艾滋病毒传播，并控制这一重点人群中的性传播感染。
To better understand rectal STI screening practices for Black gay, bisexual, and other men who have sex with men (BGBMSM), rectal chlamydia/gonorrhea STI testing (using lab nucleic acid amplification testing), HIV testing (using OraQuick ADVANCE Rapid HIV 1/2), and behavioral survey measures were administered to 331 HIV negative or status unknown BGBMSM in Atlanta, Georgia. Although 15% of BGBMSM lab tested positive for a rectal STI, the majority of these (94%) were asymptomatic. Though all participants reported their status as HIV negative/unknown, 31/331 (9.4%) tested positive on HIV rapid tests. Neither condomless anal intercourse nor the number of male sex partners were associated with rectal STI or HIV diagnosis, although rectal STI diagnosis was positively related to testing HIV positive. Findings suggest that substantial numbers of BGBMSM have asymptomatic STIs but are not tested— an outcome that is likely a strong driver of onward HIV acquisition. Therefore, we must address the asymptomatic STI epidemic among GBMSM in order to reduce HIV transmission, as well as temper STI transmission, amongst this key population.
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影响因子：
4.4
作者：
Matthews DD;Herrick AL;Coulter RW;Friedman MR;Mills TC;Eaton LA;Wilson PA;Stall RD;POWER Study Team
通讯作者：
POWER Study Team
影响因子：
4.8
作者：
Lutz, Anthony R.
通讯作者：
Lutz, Anthony R.
影响因子：
3.1
作者：
Hoover, Karen W.;Butler, Mary;Kent, Charlotte K.
通讯作者：
Kent, Charlotte K.
影响因子：
1.5
作者：
Kelley, Colleen F.;Vaughan, Adam S.;Rosenberg, Eli S.
通讯作者：
Rosenberg, Eli S.
影响因子：
4.4
作者：
Watson, Ryan J.;Eaton, Lisa A.;Earnshaw, Valerie A.
通讯作者：
Earnshaw, Valerie A.