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Viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse

BACK GROUND AND OBJECTIVES: A rising trend of syphilis has been documented worldwide recently. After decriminalization of homosexuality in India more and more males having sex with males (MSMs) have come out to seek medical advice. AIM: We evaluated sexual behavior of patients with syphilis attendin...

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Autores principales: Palakkal, Seena, Anila, K., Sobhanakumari, K., Celine, Machiyanikal Issac, Vineetha, Mary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8000671/
https://www.ncbi.nlm.nih.gov/pubmed/33817592
http://dx.doi.org/10.4103/ijstd.IJSTD_104_16
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author Palakkal, Seena
Anila, K.
Sobhanakumari, K.
Celine, Machiyanikal Issac
Vineetha, Mary
author_facet Palakkal, Seena
Anila, K.
Sobhanakumari, K.
Celine, Machiyanikal Issac
Vineetha, Mary
author_sort Palakkal, Seena
collection PubMed
description BACK GROUND AND OBJECTIVES: A rising trend of syphilis has been documented worldwide recently. After decriminalization of homosexuality in India more and more males having sex with males (MSMs) have come out to seek medical advice. AIM: We evaluated sexual behavior of patients with syphilis attending our sexually transmitted infections (STIs) clinic focusing on the factors associated with the increasing MSM practices and rising trend of syphilis among MSM. MATERIALS AND METHODS: This is a 10-year (2006–2015) descriptive study from among STI patients attending the dermatology outpatient department in a tertiary care center. Recognizing the rising homosexuality, from 2011 onward, we had given a questionnaire to assess their sexual behavior and sexual practices. RESULTS: Analysis of data from 560 cases diagnosed as having STI revealed a rising trend of all STIs including syphilis from 2011 onward. The MSM cases reporting to our STI clinic showed a sustained rise from 2011 onward. The most common STI in MSM was syphilis that too early acquired. More than half of the MSM indulged in bisexual activities and the predominant mode was anoreceptive. Nearly 70% had unprotected contact and most had early sexual debut (<20 years). Thirty-six percent gave a history of childhood sexual abuse (CSA) by a close male acquaintance. CONCLUSIONS: After 2011, we have observed a resurgence of early acquired syphilis which coincided with an increase in promiscuous homosexuality. Many of the MSMs were bisexuals and homosexuality was an acquired behavior. An alarming increase in the incidence of CSA was observed in MSMs.
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spelling pubmed-80006712021-04-01 Viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse Palakkal, Seena Anila, K. Sobhanakumari, K. Celine, Machiyanikal Issac Vineetha, Mary Indian J Sex Transm Dis AIDS Original Article BACK GROUND AND OBJECTIVES: A rising trend of syphilis has been documented worldwide recently. After decriminalization of homosexuality in India more and more males having sex with males (MSMs) have come out to seek medical advice. AIM: We evaluated sexual behavior of patients with syphilis attending our sexually transmitted infections (STIs) clinic focusing on the factors associated with the increasing MSM practices and rising trend of syphilis among MSM. MATERIALS AND METHODS: This is a 10-year (2006–2015) descriptive study from among STI patients attending the dermatology outpatient department in a tertiary care center. Recognizing the rising homosexuality, from 2011 onward, we had given a questionnaire to assess their sexual behavior and sexual practices. RESULTS: Analysis of data from 560 cases diagnosed as having STI revealed a rising trend of all STIs including syphilis from 2011 onward. The MSM cases reporting to our STI clinic showed a sustained rise from 2011 onward. The most common STI in MSM was syphilis that too early acquired. More than half of the MSM indulged in bisexual activities and the predominant mode was anoreceptive. Nearly 70% had unprotected contact and most had early sexual debut (<20 years). Thirty-six percent gave a history of childhood sexual abuse (CSA) by a close male acquaintance. CONCLUSIONS: After 2011, we have observed a resurgence of early acquired syphilis which coincided with an increase in promiscuous homosexuality. Many of the MSMs were bisexuals and homosexuality was an acquired behavior. An alarming increase in the incidence of CSA was observed in MSMs. Wolters Kluwer - Medknow 2020 2020-07-31 /pmc/articles/PMC8000671/ /pubmed/33817592 http://dx.doi.org/10.4103/ijstd.IJSTD_104_16 Text en Copyright: © 2020 Indian Journal of Sexually Transmitted Diseases and AIDS http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Palakkal, Seena
Anila, K.
Sobhanakumari, K.
Celine, Machiyanikal Issac
Vineetha, Mary
Viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse
title Viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse
title_full Viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse
title_fullStr Viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse
title_full_unstemmed Viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse
title_short Viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse
title_sort viewing the resurgence of early syphilis in light of increasing male homosexuality and childhood sexual abuse
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8000671/
https://www.ncbi.nlm.nih.gov/pubmed/33817592
http://dx.doi.org/10.4103/ijstd.IJSTD_104_16
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