Advances and challenges in sexually transmitted infections prevention among men who have sex with men in Asia

Ma, Wei; Chen, Zhixian; Niu, Shuyue

doi:10.1097/qco.0000000000000892

Cited by 10 publications

(10 citation statements)

References 38 publications

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“…Third, YMSM who had a history of STI perceived a higher susceptibility of mpox. The reason may be that YMSM who previously got STI may consider themselves to be more vulnerable to sexually‐associated diseases and be more cautious 34 . Fourth, the level of perceived severity of mpox was heterogeneous across different income levels.…”

Section: Discussionmentioning

confidence: 99%

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Mpox risk perception and associated factors among Chinese young men who have sex with men: Results from a large cross‐sectional survey

Jiao,

Xu,

Huang

et al. 2023

Journal of Medical Virology

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The mpox outbreak since 2022 had attacked the community of men who have sex with men (MSM) heavily. This large cross‐sectional study investigated the levels and associated factors of mpox risk perception among young MSM (YMSM) aged 18–29 years in six provincial regions of China in September 2022. The participants were recruited via facility‐based sampling. Mpox risk perception was measured by perceived susceptibility and perceived severity of mpox. Geodetector was used to measure stratified heterogeneity of mpox risk perception. Univariate and multivariable linear regressions were used to examine the factors associated with mpox risk perception. A total of 2493 participants were included with a mean age of 24.6 years. The proportion of perceiving a susceptibility of mpox under different scenarios ranged 3.7%–17.0% and that of perceiving a severity of mpox ranged 81.6%–83.2%. Stratified heterogeneity of perceived susceptibility, perceived severity, and overall perceived risk of mpox were observed in several characteristics such as study sites, monthly income, risk behaviors, and psychosocial factors. Multivariable regression showed the level of mpox risk perception was positively associated with having in‐person gathering activities (ba = 0.457, 95% CI: 0.208, 0.705), history of HIV infection (ba = 0.431, 95% CI: 0.028, 0.834), depressive symptoms (ba = 0.069, 95% CI: 0.049, 0.090), and self‐stigma to MSM identity (ba = 0.047, 95% CI: 0.024, 0.071). The Chinese YMSM showed a high level of perceived severity of mpox but a low level of perceived susceptibility. It is warranted to strengthen targeted risk communication of mpox, develop comprehensive and unstigmatized health messages, and provide mental health support for YMSM.

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Section: Discussionmentioning

confidence: 99%

“…The reason may be that YMSM who previously got STI may consider themselves to be more vulnerable sexually-associated diseases and be more cautious. 34 Fourth, the level of perceived severity of mpox was heterogeneous across different income levels. YMSM in a higher socioeconomic status perceived a more severe impact of mpox.…”

Section: Discussionmentioning

confidence: 99%

Mpox risk perception and associated factors among Chinese young men who have sex with men: Results from a large cross‐sectional survey

Jiao,

Xu,

Huang

et al. 2023

Journal of Medical Virology

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“…It is crucial to understand the epidemiology, clinical presentation and complications of STIs commonly tested for in order to not only achieve accurate diagnosis but also ensure proper management. In this part we consider some of the most common STIs and their influence on public health (1,14) .…”

Section: Commonly Tested Stismentioning

confidence: 99%

“…According to the WHO, one million STIs are contracted every day across the world and it is young adults who shoulder an unfair share of this burden as well. These infections do not only lead to high morbidity and the mortality rates but also contribute significantly towards chronic conditions such as infertility, pelvic inflammatory disease and increased risk of HIV infection (1,2) .…”

Section: Introduction Ijmsdh (2024)mentioning

confidence: 99%

Diagnostic Approaches for Sexually Transmitted Infections in Clinical Microbiology: A Comprehensive Review

Azeez,

Al-Saadi,

Masood

2024

ijmsdh

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Accurate and timely diagnostic methods for the management of sexually transmitted infections (STIs) are very esssential because such diseases pose a big threat to public health. This systematic review gives a detailed overview of the wide range of diagnostic approaches, technologies, challenges and future possible ways in the STI diagnosis. A review of the traditional laboratory methods, nucleic acid amplification tests (NAATs), point-of-care testing (POCT) and also new diagnostic technologies discuss their significant contributions to the revolution in STI diagnostics. Challenges including the antimicrobial resistance, evolving pathogens and also poor access to testing quality assurance have been identified which highlights the need for continued interventions aimed at addressing these challenges. Over the horizon, integrated syndromic approaches and further development of point-of-care testing technologies as well as precision medicine strategies based on novel biomarkers and technology present many exciting possibilities for improving the accuracy, accessibility, diagnoses usefulness. This review seeks to guide current and future practices in the clinical microbiology toward STI diagnosis, highlighting innovations and challenges that are key for patient welfare advancements in public health efforts against the STIs.

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“…Sexually transmitted infection (STI) is one of the most common communicable conditions and has a profound impact on people's sexual and reproductive health ( 1 , 2 ). More than 1 million new STI cases are reported each day worldwide, of which 50% occurred among young patients ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Characteristics of common pathogens of urogenital tract among outpatients in Shanghai, China from 2016 to 2021

Wang,

Ding,

Liu

et al. 2023

Front. Public Health

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BackgroundUreaplasma urealyticum, Chlamydia trachomatis, and Neisseria gonorrhoeae are the prevalent causes of several genital diseases worldwide; however, their characteristics in different genders have not been well documented in Shanghai. The aim of this study is to describe the prevalence of common pathogens among outpatients, considering variations by gender and age.MethodsFrom January 1, 2016, to December 31, 2021, the urogenital swabs of 16216 outpatients aged 3–95 years from two general hospitals in Shanghai were collected. All participants' swabs were investigated for U. urealyticum, C. trachomatis, and N. gonorrhoeae by isothermal RNA-based simultaneous amplification and testing. The basic information of all participants was also recorded, including age and gender. The chi-square test was used to compare the prevalence between different genders, age groups, and infection patterns.ResultsThere were 5,744 patients (35.42%) with positive samples whose ages ranged from 7 to 80 years (33.23 ± 8.63 years), and 62.14% of them were women. The most common pathogen detected was U. urealyticum (85.08%). The highest prevalence rate of all three pathogens was found in patients aged ≤ 20 years (40.53%, 95% confidence intervals [CI]: 33.80%-47.63%). The prevalent rate of U. urealyticum was higher in men (33.36%, 95% CI: 32.19%-34.55%). The overall prevalence rates of U. urealyticum, C. trachomatis, and N. gonorrhoeae were 30.14% (95% CI: 29.44%-30.85%), 6.00% (95% CI: 5.64%-6.38%), and 2.10% (95% CI: 1.89%-2.33%).ConclusionsUreaplasma urealyticum was the most prevalent pathogen in the population, and its prevalence decreased with age. Young men aged ≤ 20 years were more frequently infected. Regular screening for sexually transmitted pathogens in different genders and age groups are warranted, particularly in young men.

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Advances and challenges in sexually transmitted infections prevention among men who have sex with men in Asia

Cited by 10 publications

References 38 publications

Mpox risk perception and associated factors among Chinese young men who have sex with men: Results from a large cross‐sectional survey

Mpox risk perception and associated factors among Chinese young men who have sex with men: Results from a large cross‐sectional survey

Diagnostic Approaches for Sexually Transmitted Infections in Clinical Microbiology: A Comprehensive Review

Characteristics of common pathogens of urogenital tract among outpatients in Shanghai, China from 2016 to 2021

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