Universidad Peruana Cayetano Heredia

Comparison of the burden of self-reported bacterial sexually transmitted infections among men having sex with men across 68 countries on four continents.

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dc.contributor.author Marcus, Ulrich
dc.contributor.author Veras, Maria
dc.contributor.author Casabona, Jordi
dc.contributor.author Caceres Palacios, Carlos Fernando
dc.contributor.author Lachowsky, Nathan
dc.contributor.author Schink, Susanne B.
dc.contributor.author Schmidt, Axel J.
dc.coverage.spatial Albania
dc.coverage.spatial Alemania
dc.coverage.spatial Andorra
dc.coverage.spatial Argentina
dc.coverage.spatial Austria
dc.coverage.spatial Bélgica
dc.coverage.spatial Bielorusia
dc.coverage.spatial Bolivia
dc.coverage.spatial Bosnia y Herzegovina
dc.coverage.spatial Brasil
dc.coverage.spatial Bulgaria
dc.coverage.spatial Canadá
dc.coverage.spatial Chile
dc.coverage.spatial Chipre
dc.coverage.spatial Colombia
dc.coverage.spatial Costa Rica
dc.coverage.spatial Croacia
dc.coverage.spatial Dinamarca
dc.coverage.spatial Ecuador
dc.coverage.spatial El Salvador
dc.coverage.spatial Eslovaquia
dc.coverage.spatial Eslovenia
dc.coverage.spatial España
dc.coverage.spatial Estonia
dc.coverage.spatial Filipinas
dc.coverage.spatial Finlandia
dc.coverage.spatial Francia
dc.coverage.spatial Grecia
dc.coverage.spatial Guatemala
dc.coverage.spatial Honduras
dc.coverage.spatial Hungría
dc.coverage.spatial Irlanda
dc.coverage.spatial Islandia
dc.coverage.spatial Israel
dc.coverage.spatial Italia
dc.coverage.spatial Kosovo
dc.coverage.spatial Letonia
dc.coverage.spatial Líbano
dc.coverage.spatial Liechtenstein
dc.coverage.spatial Lituania
dc.coverage.spatial Luxemburgo
dc.coverage.spatial Macedonia del Norte
dc.coverage.spatial Malta
dc.coverage.spatial México
dc.coverage.spatial Moldavia
dc.coverage.spatial Mónaco
dc.coverage.spatial Montenegro
dc.coverage.spatial Nicaragua
dc.coverage.spatial Noruega
dc.coverage.spatial Paises Bajos
dc.coverage.spatial Panamá
dc.coverage.spatial Paraguay
dc.coverage.spatial Perú
dc.coverage.spatial Polonia
dc.coverage.spatial Portugal
dc.coverage.spatial Reino Unido
dc.coverage.spatial República Checa
dc.coverage.spatial Rumanía
dc.coverage.spatial Rusia
dc.coverage.spatial San Marino
dc.coverage.spatial Serbia
dc.coverage.spatial Suecia
dc.coverage.spatial Suiza
dc.coverage.spatial Surinam
dc.coverage.spatial Turquía
dc.coverage.spatial Ucrania
dc.coverage.spatial Uruguay
dc.coverage.spatial Venezuela
dc.date.accessioned 2023-06-12T16:25:54Z
dc.date.available 2023-06-12T16:25:54Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13606
dc.description.abstract BACKGROUND: Men who have sex with men (MSM) are in general more vulnerable to sexually transmitted infections (STIs) than the heterosexual men population. However, surveillance data on STI diagnoses lack comparability across countries due to differential identification of MSM, diagnostic standards and methods, and screening guidelines for asymptomatic infections. METHODS: We compared self-reported overall diagnostic rates for syphilis, gonorrhea, and chlamydia infections, and diagnostic rates for infections that were classified to be symptomatic in the previous 12 months from two online surveys. They had a shared methodology, were conducted in 68 countries across four continents between October 2017 and May 2018 and had 202,013 participants. RESULTS: Using multivariable multilevel regression analysis, we identified age, settlement size, number of sexual partners, condom use for anal intercourse, testing frequency, sampling rectal mucosa for extragenital testing, HIV diagnosis, and pre-exposure prophylaxis use as individual-level explanatory variables. The national proportions of respondents screened and diagnosed who notified some or all of their sexual partners were used as country-level explanatory variables. Combined, these factors helped to explain differences in self-reported diagnosis rates between countries. The following differences were not explained by the above factors: self-reported syphilis diagnoses were higher in Latin America compared with Europe, Canada, Israel, Lebanon, and the Philippines (aORs 2.30 - 3.71 for symptomatic syphilis compared to Central-West Europe); self-reported gonorrhea diagnoses were lower in Eastern Europe and in Latin America compared with all other regions (aORs 0.17-0.55 and 0.34 - 0.62 for symptomatic gonorrhea compared to Central-West Europe); and self-reported chlamydia diagnoses were lower in Central East and Southeast Europe, South and Central America, and the Philippines (aORs 0.25 - 0.39 for symptomatic chlamydia for Latin American subregions compared to Central West Europe). CONCLUSIONS: Possible reasons for differences in self-reported STI diagnosis prevalence likely include different background prevalence for syphilis and syndromic management without proper diagnosis, and different diagnostic approaches for gonorrhea and chlamydia. en_US
dc.language.iso eng
dc.publisher Springer
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 Bacterial sexually transmitted diseases en_US
dc.subject Burden of illness en_US
dc.subject Health problem, international en_US
dc.subject Male homosexuality en_US
dc.subject Community surveys en_US
dc.subject.mesh Enfermedades Bacterianas de Transmisión Sexual
dc.subject.mesh Costo de Enfermedad
dc.subject.mesh Salud Global
dc.subject.mesh Homosexualidad Masculina
dc.subject.mesh Encuestas y Cuestionarios
dc.title Comparison of the burden of self-reported bacterial sexually transmitted infections among men having sex with men across 68 countries on four continents. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12889-023-15946-8
dc.relation.issn 1471-2458


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