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Titolo:
Characteristics of homosexually-active men with gonorrhoea during an epidemic in Sydney, Australia
Autore:
Donovan, B; Bodsworth, NJ; Rohrsheim, R; McNulty, A; Tapsall, JW;
Indirizzi:
Sydney Hosp, Sydney Sexual Hlth Ctr, Sydney, NSW 2001, Australia Sydney Hosp Sydney NSW Australia 2001 th Ctr, Sydney, NSW 2001, Australia
Titolo Testata:
INTERNATIONAL JOURNAL OF STD & AIDS
fascicolo: 7, volume: 12, anno: 2001,
pagine: 437 - 443
SICI:
0956-4624(200107)12:7<437:COHMWG>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
BEHAVIOR; DISEASES; INCREASE; AIDS; SEX;
Keywords:
Gonorrhoea; homosexual; HIV; travellers; screening; health services;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Donovan, B Sydney Hosp, Sydney Sexual Hlth Ctr, POB 1614, Sydney, NSW 2001, Australia Sydney Hosp POB 1614 Sydney NSW Australia 2001 2001, Australia
Citazione:
B. Donovan et al., "Characteristics of homosexually-active men with gonorrhoea during an epidemic in Sydney, Australia", INT J STD A, 12(7), 2001, pp. 437-443

Abstract

Our objective was to investigate an epidemic of gonorrhoea among homosexually-active men in Sydney. Demographic and behavioural data on all homosexually-active men diagnosed with gonorrhoea (any site) at the Sydney Sexual Health Centre (SSHC) from 1992 through 1998 were reviewed. The men diagnosed with anal gonorrhoea were then compared with all homosexually-active men who tested negative for anal gonorrhoea or who were not tested for anal gonorrhoea at the SSHC between 1996 and 1998. Data on HIV status and country of birth of men diagnosed with anal gonorrhoea during 1998 at the Taylor Square Private Clinic were also reviewed. Over the period 1992 to 1998, homosexually active men diagnosed with gonorrhoea at SSHC tended to become older atthe time of diagnosis (median age 26.5 years in 1992 up to 31.0 years in 1998), indicating a cohort effect in the clinic population due to service reductions. When compared with men who tested negative for anal gonorrhoea atSSHC between 1996 and 1998, those with anal gonorrhoea were more likely tohave anogenital symptoms (adjusted odds ratio [OR] 2.3), to have had a past history of gonorrhoea (OR 3.1), to present as a contact of gonorrhoea (OR8.6), to have used condoms less consistently (OR 2.3), to be HIV positive or of unknown HIV status (OR 3.2), and to have been born in an English-speaking country other than Australia (OR 2.9). The last feature was not observed at the private clinic. In conclusion, the gonorrhoea epidemic was linkedto public health service reductions, though it seems unlikely to be the only factor. Homosexually-active men with anal gonorrhoea had well established behavioural risk factors while men with concurrent HIV infection were overrepresented. Given the role of gonorrhoea in promoting the spread of HIV infection, a National Sexual Health Strategy-closely linked to the National HIV/AIDS Strategy-is due.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 14:38:54