Universidad Peruana Cayetano Heredia

Association of internalised homonegativity with partner notification after diagnosis of syphilis or gonorrhoea among men having sex with men in 49 countries across four continents.

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dc.contributor.author Marcus, Ulrich
dc.contributor.author Jonas, Kai
dc.contributor.author Berg, Rigmor
dc.contributor.author Veras, Maria Amelia
dc.contributor.author Caceres Palacios, Carlos Fernando
dc.contributor.author Casabona, Jordi
dc.contributor.author Schink, Susanne B
dc.contributor.author Schmidt, Axel J
dc.coverage.spatial Canadá
dc.coverage.spatial Reino Unido
dc.coverage.spatial Paises Bajos
dc.coverage.spatial Noruega
dc.coverage.spatial Suiza
dc.coverage.spatial Austria
dc.coverage.spatial Finlandia
dc.coverage.spatial Bélgica
dc.coverage.spatial Irlanda
dc.coverage.spatial Suecia
dc.coverage.spatial Alemania
dc.coverage.spatial Dinamarca
dc.coverage.spatial Eslovaquia
dc.coverage.spatial Hungría
dc.coverage.spatial República Checa
dc.coverage.spatial Polonia
dc.coverage.spatial Serbia
dc.coverage.spatial Rumanía
dc.coverage.spatial Eslovenia
dc.coverage.spatial Bulgaria
dc.coverage.spatial Rusia
dc.coverage.spatial Croacia
dc.coverage.spatial Ucrania
dc.coverage.spatial Greece
dc.coverage.spatial Turquía
dc.coverage.spatial Italia
dc.coverage.spatial España
dc.coverage.spatial Portugal
dc.coverage.spatial Venezuela
dc.coverage.spatial Francia
dc.coverage.spatial Panamá
dc.coverage.spatial Israel
dc.coverage.spatial Brasil
dc.coverage.spatial Argentina
dc.coverage.spatial Costa Rica
dc.coverage.spatial Guatemala
dc.coverage.spatial Nicaragua
dc.coverage.spatial Perú
dc.coverage.spatial Chile
dc.coverage.spatial Colombia
dc.coverage.spatial Chipre
dc.coverage.spatial El Salvador
dc.coverage.spatial México
dc.coverage.spatial Ecuador
dc.coverage.spatial Honduras
dc.coverage.spatial Uruguay
dc.coverage.spatial Paraguay
dc.coverage.spatial Filipinas
dc.coverage.spatial Bolivia
dc.coverage.spatial Estonia
dc.coverage.spatial Letonia
dc.coverage.spatial Lituania
dc.coverage.spatial Luxemburgo
dc.coverage.spatial Malta
dc.coverage.spatial Islandia
dc.coverage.spatial Bosnia
dc.coverage.spatial Macedonia del Norte
dc.coverage.spatial Albania
dc.coverage.spatial Kosovo
dc.coverage.spatial Bielorusia
dc.coverage.spatial Líbano
dc.coverage.spatial Moldavia
dc.coverage.spatial Surinam
dc.date.accessioned 2023-02-20T13:28:10Z
dc.date.available 2023-02-20T13:28:10Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13139
dc.description.abstract BACKGROUND: Partner notification (PN) after a sexually transmitted infection (STI) diagnosis is being promoted as a means to interrupt transmission chains. We investigated whether Internalised Homonegativity (IH) is associated with PN among men having sex with men (MSM).METHODS: PN, defined as notifying at least one partner after diagnosis of syphilis and gonorrhoea, was queried in two internet-based self-completion surveys conducted between Oct 2017 and May 2018 in 68 countries in Europe, Latin America, Canada, and the Philippines. IH is defined by a man's level of agreement or disagreement with negative social beliefs about male homosexuality. Covariates included in a multivariate regression model with a random intercept at country level were age, HIV diagnosis, partnership status, sexual self-efficacy, HIV serostatus communication during last sex with a non-steady partner, place where this partner was met, and PN-related socio-historical background of the country of residence. We grouped countries in three areas: North- and Central-Western European countries plus Canada, former socialist countries, and Latin-American/Mediterranean countries plus the Philippines. In each of the three areas individuals were assigned to 4 subgroups based on IH quartiles and PN rates were determined for each subgroup.RESULTS: PN rates were calculated for 49 countries (excluding countries with less than 10 diagnoses). Mean proportions of MSM notifying their partners were 68.1% and 72.9% after syphilis and gonorrhoea diagnoses, respectively. PN rates were lower in Latin American countries and the Philippines compared to European countries. Within Europe, a North-South divide with lower PN rates in Mediterranean countries was observed. In each of the three regions we mostly observed a stepwise increase of PN rates with decreasing IH. Regression analysis showed lower IH scores associated with higher PN rates. Higher perceived self-efficacy, living in a partnership, and HIV status communication were positively associated with PN. Men who had met their last partner in a gay social venue were more likely to have notified their partners of a syphilis diagnosis compared to men who had met this partner online. Men with diagnosed HIV were less likely to report PN.CONCLUSIONS: We could demonstrate that IH was associated with PN among MSM across all countries included in our analysis. Reducing cultural homophobia and ensuring inclusive policies may contribute to STI prevention and control. en_US
dc.language.iso eng
dc.publisher BioMed Central Ltd
dc.relation.ispartofseries BMC Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Contact tracing en_US
dc.subject Syphilis en_US
dc.subject Gonorrhoea en_US
dc.subject Sexual and gender minorities en_US
dc.subject Internalised homonegativity en_US
dc.subject Regression analysis en_US
dc.subject Europe en_US
dc.subject Latin America en_US
dc.subject Canada en_US
dc.subject Philippines en_US
dc.subject.mesh Contact Tracing
dc.subject.mesh Syphilis
dc.subject.mesh Gonorrhea
dc.subject.mesh Sexual and Gender Minorities
dc.subject.mesh Regression Analysis
dc.subject.mesh Europe
dc.subject.mesh Latin America
dc.subject.mesh Canada
dc.subject.mesh Philippines
dc.title Association of internalised homonegativity with partner notification after diagnosis of syphilis or gonorrhoea among men having sex with men in 49 countries across four continents. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12889-022-14891-2
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1471-2458


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