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Titolo:
Increase in sexually transmitted infections among homosexual men in Amsterdam in relation to HAART
Autore:
Stolte, IG; Dukers, NHTM; de Wit, JBF; Fennema, JSA; Coutinho, RA;
Indirizzi:
Municipal Hlth Serv Amsterdam, Div Publ Hlth & Environm, NL-1000 CE Amsterdam, Netherlands Municipal Hlth Serv Amsterdam Amsterdam Netherlands NL-1000 CE therlands Univ Utrecht, Dept Social & Organisat Psychol, NL-3508 TC Utrecht, Netherlands Univ Utrecht Utrecht Netherlands NL-3508 TC 3508 TC Utrecht, Netherlands Municipal Hlth Serv Amsterdam, Sexually Transmitted Infect Clin, Amsterdam, Netherlands Municipal Hlth Serv Amsterdam Amsterdam Netherlands terdam, Netherlands Univ Amsterdam, Acad Med Ctr, Dept Human Retrovirol, NL-1105 AZ Amsterdam,Netherlands Univ Amsterdam Amsterdam Netherlands NL-1105 AZ AZ Amsterdam,Netherlands
Titolo Testata:
SEXUALLY TRANSMITTED INFECTIONS
fascicolo: 3, volume: 77, anno: 2001,
pagine: 184 - 186
SICI:
1368-4973(200106)77:3<184:IISTIA>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
RISK BEHAVIOR; GONORRHEA; LONDON;
Keywords:
rectal gonorrhoea; syphilis; HAART; high risk sexual behaviour; MSM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Stolte, IG Municipal Hlth Serv Amsterdam, Div Publ Hlth & Environm, NieuweAchtergracht 100,POB 2200, NL-1000 CE Amsterdam, Netherlands Municipal Hlth Serv Amsterdam Nieuwe Achtergracht 100,POB 2200 Amsterdam Netherlands NL-1000 CE
Citazione:
I.G. Stolte et al., "Increase in sexually transmitted infections among homosexual men in Amsterdam in relation to HAART", SEX TRANS I, 77(3), 2001, pp. 184-186

Abstract

Objectives: We investigated ifa rise in rectal gonorrhoea and early syphilis among men who have sex with men (MSM) in Amsterdam coincided with the introduction of highly active antiretroviral therapies (HAART) in July 1996 and determined risk factors for these sexually transmitted infections (STI). Methods: Subjects were patients of the STI clinic of the municipal health service in Amsterdam. Surveillance data (1994-9) represented consultations (n = 11 240) of MSM (n = 6103). For analysts we used logistic regression. Results: Comparing the periods before and after the introduction of HAART,the infection rate for rectal gonorrhoea increased hom 4% to 5.4% (p=.001)and for syphilis, from 0.5% to 0.8% (p = 0.050). Independent risk factors for rectal gonorrhoea (younger age, western nationality, and concurrent infection with another STI) and for early syphilis (non-western nationality and concurrent infection with rectal gonorrhoea) did not change after HAART became available. For rectal gonorrhoea, however, the infection rate increased only among men who had exclusively homosexual contacts (OR 1.38, p <0.01), compared with bisexual men. For early syphilis, the infection rate increased only among men of western nationality (OR 3.38, p <0.01) compared to men of non-western nationality. Conclusions: Infection rates of rectal gonorrhoea and early syphilis increased, indicating a change in sexual behaviour, possibly as a result of the introduction of HAART. For now,it is important to find out how sexual behaviour is changing and to keep monitoring trends in STIs (including HIV) among MSM in Amsterdam.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 01:37:37