Incidence and spontaneous clearance of gonorrhea and chlamydia infections among men who have sex with men: a prospective cohort study in Zhuhai, China.
Humans
Male
Gonorrhea
/ epidemiology
Chlamydia Infections
/ epidemiology
China
/ epidemiology
Homosexuality, Male
/ statistics & numerical data
Adult
Prospective Studies
Incidence
Risk Factors
Sexual Behavior
/ statistics & numerical data
Chlamydia trachomatis
/ isolation & purification
Surveys and Questionnaires
Neisseria gonorrhoeae
/ isolation & purification
Young Adult
Middle Aged
Chlamydia trachomatis
Neisseria gonorrhoeae
men who have sex with men
sexual behaviors
spontaneous clearance
Journal
Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579
Informations de publication
Date de publication:
2024
2024
Historique:
received:
03
12
2023
accepted:
22
04
2024
medline:
21
5
2024
pubmed:
21
5
2024
entrez:
21
5
2024
Statut:
epublish
Résumé
Men who have sex with men (MSM) face significant risks of A 12-week cohort study examined the association between CT/NG infection, self-clearance, and sexual behaviors among MSM. The Willingness Service recruited participants who completed weekly questionnaires and provided urine, throat, and rectal swab samples. The study involved 151 men, in which 51 (33.8%) were diagnosed with CT/NG infection during the study period. HIV (OR = 11.31), kissing (OR = 1.59), receptive oral sex (OR = 36.64), and insertive anal sex (OR = 19.73) constituted significant risk factors. 100% condom use (OR = 5.78) and antibiotic (OR = 7.53) were more likely to cause spontaneous clearance. MSM may engage in riskier sexual behaviors due to insufficient knowledge and awareness of STI prevention, leading to increased susceptibility to NG/CT. It is crucial to concentrate on enhancing health education for MSM. This study found that the rectum was the most prevalent site of CT/NG and sexual behavior can influence the infection. Additionally, the appropriate use of antibiotics and consistent condom use may contribute to clear spontaneously.
Sections du résumé
Background
UNASSIGNED
Men who have sex with men (MSM) face significant risks of
Methods
UNASSIGNED
A 12-week cohort study examined the association between CT/NG infection, self-clearance, and sexual behaviors among MSM. The Willingness Service recruited participants who completed weekly questionnaires and provided urine, throat, and rectal swab samples.
Results
UNASSIGNED
The study involved 151 men, in which 51 (33.8%) were diagnosed with CT/NG infection during the study period. HIV (OR = 11.31), kissing (OR = 1.59), receptive oral sex (OR = 36.64), and insertive anal sex (OR = 19.73) constituted significant risk factors. 100% condom use (OR = 5.78) and antibiotic (OR = 7.53) were more likely to cause spontaneous clearance.
Discussion
UNASSIGNED
MSM may engage in riskier sexual behaviors due to insufficient knowledge and awareness of STI prevention, leading to increased susceptibility to NG/CT. It is crucial to concentrate on enhancing health education for MSM.
Conclusion
UNASSIGNED
This study found that the rectum was the most prevalent site of CT/NG and sexual behavior can influence the infection. Additionally, the appropriate use of antibiotics and consistent condom use may contribute to clear spontaneously.
Identifiants
pubmed: 38770362
doi: 10.3389/fpubh.2024.1348686
pmc: PMC11102956
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1348686Informations de copyright
Copyright © 2024 Lyu, Tang, Feng, Hu, Wang, Zhou, Huang, Li, Zhu, He, Tang, Zhou and Zhang.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer PZ declared a shared affiliation with the author WT to the handling editor at the time of review.