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Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014

BACKGROUND: Gonorrhoea is increasing in France since its resurgence in the late 1990’s. Understanding trends of condomless sex is a requirement to tailor prevention toward most exposed individuals. This study aims to analyse trends and determinants of condomless penetrative sex (PS) in MSM and heter...

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Autores principales: Itodo, Oche Adam, Viriot, Delphine, Velter, Annie, Leon, Lucie, Dupin, Nicolas, Bercot, Beatrice, Goubard, Agathe, Lassau, François, Fouere, Sébastien, Martinet, Pervenche, Tosini, William, Florence, Sophie, Lot, Florence, Ndeikoundam Ngangro, Ndeindo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7594409/
https://www.ncbi.nlm.nih.gov/pubmed/33115464
http://dx.doi.org/10.1186/s12889-020-09703-4
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author Itodo, Oche Adam
Viriot, Delphine
Velter, Annie
Leon, Lucie
Dupin, Nicolas
Bercot, Beatrice
Goubard, Agathe
Lassau, François
Fouere, Sébastien
Martinet, Pervenche
Tosini, William
Florence, Sophie
Lot, Florence
Ndeikoundam Ngangro, Ndeindo
author_facet Itodo, Oche Adam
Viriot, Delphine
Velter, Annie
Leon, Lucie
Dupin, Nicolas
Bercot, Beatrice
Goubard, Agathe
Lassau, François
Fouere, Sébastien
Martinet, Pervenche
Tosini, William
Florence, Sophie
Lot, Florence
Ndeikoundam Ngangro, Ndeindo
author_sort Itodo, Oche Adam
collection PubMed
description BACKGROUND: Gonorrhoea is increasing in France since its resurgence in the late 1990’s. Understanding trends of condomless sex is a requirement to tailor prevention toward most exposed individuals. This study aims to analyse trends and determinants of condomless penetrative sex (PS) in MSM and heterosexuals diagnosed with gonorrhoea in France. METHODS: A standardized self-administered questionnaire filled by 3453 patients was used to monitor condomless sex through the sentinel surveillance network ResIST between 2005 and 2014. Trends were used to describe consistent condom use for penetrative sex (PS). A logistic regression model analysed patients’ characteristics associated with condomless PS. RESULTS: Between 2005 and 2014, condomless PS increased regardless of sexual orientation. Condomless PS was particularly common among HIV positive men who have sex with men (MSM (65%)). People living in metropolitan regions outside Paris area (adjusted odds-ratio (AOR) [95% CI] =1.33[1.12–1.58]) were more likely to engage in condomless PS. Conversely, MSM (AOR [95% CI] =0.21 [0.16–0.29]), HIV seronegative patients (AOR [95% CI] =0.68 [0.51–0.89]), patients diagnosed in hospital (AOR [95% CI] = 0.66 [0.45–0.97]) and multi-partners (≥ 10 partners, AOR [95% CI] = 0.54 [0.40–0.74]) were more likely to use condoms. CONCLUSIONS: These findings highlight a decreasing use of condom in MSM and heterosexuals diagnosed with gonorrhoea. Prevention strategies should take in account drivers of condomless sex in a context of uncontrolled STI epidemics.
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spelling pubmed-75944092020-10-30 Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014 Itodo, Oche Adam Viriot, Delphine Velter, Annie Leon, Lucie Dupin, Nicolas Bercot, Beatrice Goubard, Agathe Lassau, François Fouere, Sébastien Martinet, Pervenche Tosini, William Florence, Sophie Lot, Florence Ndeikoundam Ngangro, Ndeindo BMC Public Health Research Article BACKGROUND: Gonorrhoea is increasing in France since its resurgence in the late 1990’s. Understanding trends of condomless sex is a requirement to tailor prevention toward most exposed individuals. This study aims to analyse trends and determinants of condomless penetrative sex (PS) in MSM and heterosexuals diagnosed with gonorrhoea in France. METHODS: A standardized self-administered questionnaire filled by 3453 patients was used to monitor condomless sex through the sentinel surveillance network ResIST between 2005 and 2014. Trends were used to describe consistent condom use for penetrative sex (PS). A logistic regression model analysed patients’ characteristics associated with condomless PS. RESULTS: Between 2005 and 2014, condomless PS increased regardless of sexual orientation. Condomless PS was particularly common among HIV positive men who have sex with men (MSM (65%)). People living in metropolitan regions outside Paris area (adjusted odds-ratio (AOR) [95% CI] =1.33[1.12–1.58]) were more likely to engage in condomless PS. Conversely, MSM (AOR [95% CI] =0.21 [0.16–0.29]), HIV seronegative patients (AOR [95% CI] =0.68 [0.51–0.89]), patients diagnosed in hospital (AOR [95% CI] = 0.66 [0.45–0.97]) and multi-partners (≥ 10 partners, AOR [95% CI] = 0.54 [0.40–0.74]) were more likely to use condoms. CONCLUSIONS: These findings highlight a decreasing use of condom in MSM and heterosexuals diagnosed with gonorrhoea. Prevention strategies should take in account drivers of condomless sex in a context of uncontrolled STI epidemics. BioMed Central 2020-10-28 /pmc/articles/PMC7594409/ /pubmed/33115464 http://dx.doi.org/10.1186/s12889-020-09703-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data.
spellingShingle Research Article
Itodo, Oche Adam
Viriot, Delphine
Velter, Annie
Leon, Lucie
Dupin, Nicolas
Bercot, Beatrice
Goubard, Agathe
Lassau, François
Fouere, Sébastien
Martinet, Pervenche
Tosini, William
Florence, Sophie
Lot, Florence
Ndeikoundam Ngangro, Ndeindo
Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014
title Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014
title_full Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014
title_fullStr Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014
title_full_unstemmed Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014
title_short Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014
title_sort trends and determinants of condomless sex in gonorrhoea patients diagnosed in france through the sentinel surveillance network resist, 2005–2014
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7594409/
https://www.ncbi.nlm.nih.gov/pubmed/33115464
http://dx.doi.org/10.1186/s12889-020-09703-4
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