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Increasing sexually transmitted infection rates in young men having sex with men in the Netherlands, 2006–2012
BACKGROUND: Men having sex with men (MSM) remain the largest high-risk group involved in on-going transmission of sexually transmitted infections (STI), including HIV, in the Netherlands. As risk behaviour may change with age, it is important to explore potential heterogeneity in risks by age. To im...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147385/ https://www.ncbi.nlm.nih.gov/pubmed/25170341 http://dx.doi.org/10.1186/1742-7622-11-12 |
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author | Koedijk, Femke DH van Benthem, Birgit HB Vrolings, Eliane MDC Zuilhof, Wim van der Sande, Marianne AB |
author_facet | Koedijk, Femke DH van Benthem, Birgit HB Vrolings, Eliane MDC Zuilhof, Wim van der Sande, Marianne AB |
author_sort | Koedijk, Femke DH |
collection | PubMed |
description | BACKGROUND: Men having sex with men (MSM) remain the largest high-risk group involved in on-going transmission of sexually transmitted infections (STI), including HIV, in the Netherlands. As risk behaviour may change with age, it is important to explore potential heterogeneity in risks by age. To improve our understanding of this epidemic, we analysed the prevalence of and risk factors for selected STI in MSM attending STI clinics in the Netherlands by age group. METHODS: Analysis of data from the national STI surveillance system for the period 2006–2012. Selected STI were chlamydia, gonorrhoea, infectious syphilis and/or a new HIV infection. Logistic regression was used to identify factors associated with these selected STI and with overall STI positivity. Analyses were done separately for MSM aged younger than 25 years and MSM aged 25 years and older. RESULTS: In young MSM a significant increase in positivity rate was seen over time (p < 0.01), mainly driven by increasing gonorrhoea diagnoses, while in MSM aged 25 and older a significant decrease was observed (p < 0.01). In multivariate analyses for young MSM, those who were involved in commercial sex were at higher risk (OR: 1.5, 95% CI: 1.2-1.9). For MSM aged 25 years and older this was not the case. Having a previous negative HIV test was protective among older MSM compared to those not tested for HIV before (OR: 0.8, 95% CI: 0.8-0.8), but not among younger MSM. CONCLUSIONS: MSM visiting STI clinics remain a high-risk group for STI infections and transmission, but are not a homogenous group. While in MSM aged older than 25 years, STI positivity rate is decreasing, positivity rate in young MSM increased over time. Therefore specific attention needs to be paid towards targeted counselling and reaching particular MSM sub-groups, taken into account different behavioural profiles. |
format | Online Article Text |
id | pubmed-4147385 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41473852014-08-29 Increasing sexually transmitted infection rates in young men having sex with men in the Netherlands, 2006–2012 Koedijk, Femke DH van Benthem, Birgit HB Vrolings, Eliane MDC Zuilhof, Wim van der Sande, Marianne AB Emerg Themes Epidemiol Research Article BACKGROUND: Men having sex with men (MSM) remain the largest high-risk group involved in on-going transmission of sexually transmitted infections (STI), including HIV, in the Netherlands. As risk behaviour may change with age, it is important to explore potential heterogeneity in risks by age. To improve our understanding of this epidemic, we analysed the prevalence of and risk factors for selected STI in MSM attending STI clinics in the Netherlands by age group. METHODS: Analysis of data from the national STI surveillance system for the period 2006–2012. Selected STI were chlamydia, gonorrhoea, infectious syphilis and/or a new HIV infection. Logistic regression was used to identify factors associated with these selected STI and with overall STI positivity. Analyses were done separately for MSM aged younger than 25 years and MSM aged 25 years and older. RESULTS: In young MSM a significant increase in positivity rate was seen over time (p < 0.01), mainly driven by increasing gonorrhoea diagnoses, while in MSM aged 25 and older a significant decrease was observed (p < 0.01). In multivariate analyses for young MSM, those who were involved in commercial sex were at higher risk (OR: 1.5, 95% CI: 1.2-1.9). For MSM aged 25 years and older this was not the case. Having a previous negative HIV test was protective among older MSM compared to those not tested for HIV before (OR: 0.8, 95% CI: 0.8-0.8), but not among younger MSM. CONCLUSIONS: MSM visiting STI clinics remain a high-risk group for STI infections and transmission, but are not a homogenous group. While in MSM aged older than 25 years, STI positivity rate is decreasing, positivity rate in young MSM increased over time. Therefore specific attention needs to be paid towards targeted counselling and reaching particular MSM sub-groups, taken into account different behavioural profiles. BioMed Central 2014-08-28 /pmc/articles/PMC4147385/ /pubmed/25170341 http://dx.doi.org/10.1186/1742-7622-11-12 Text en Copyright © 2014 Koedijk et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Koedijk, Femke DH van Benthem, Birgit HB Vrolings, Eliane MDC Zuilhof, Wim van der Sande, Marianne AB Increasing sexually transmitted infection rates in young men having sex with men in the Netherlands, 2006–2012 |
title | Increasing sexually transmitted infection rates in young men having sex with men in the Netherlands, 2006–2012 |
title_full | Increasing sexually transmitted infection rates in young men having sex with men in the Netherlands, 2006–2012 |
title_fullStr | Increasing sexually transmitted infection rates in young men having sex with men in the Netherlands, 2006–2012 |
title_full_unstemmed | Increasing sexually transmitted infection rates in young men having sex with men in the Netherlands, 2006–2012 |
title_short | Increasing sexually transmitted infection rates in young men having sex with men in the Netherlands, 2006–2012 |
title_sort | increasing sexually transmitted infection rates in young men having sex with men in the netherlands, 2006–2012 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147385/ https://www.ncbi.nlm.nih.gov/pubmed/25170341 http://dx.doi.org/10.1186/1742-7622-11-12 |
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