Increase in Sexually Transmitted Infections among Men Who Have Sex with Men, England, 2014

Mohammed, Hamish; Mitchell, Helen S.; Sile, Bersabeh; Duffell, Stephen; Nardone, Anthony; Hughes, Gwenda

doi:10.3201/eid2201.151331

Cited by 62 publications

(56 citation statements)

References 13 publications

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“…103 Gonorrhoea and chlamydial infections are also increasing significantly in numerous settings. 85, 87, 90, 98 Though the data are less universally available to fully characterise gonorrhoea and chlamydia incidence among MSM, it is informative to note that guidelines for screening MSM for gonorrhoea and chlamydial infection at non-genital anatomic sites have been recently issued in numerous countries. 104–107 …”

Section: Current Epidemiology Of Stis In Msm For 2011–2016mentioning

confidence: 99%

As through a glass, darkly: the future of sexually transmissible infections among gay, bisexual and other men who have sex with men

et al. 2017

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The trajectory of sexually transmissible infection (STI) incidence among gay and other men who have sex with men (MSM) suggests that incidence will likely remain high in the near future. STIs were hyperendemic globally among MSM in the decades preceding the HIV epidemic. Significant changes among MSM as a response to the HIV epidemic, caused STI incidence to decline, reaching historical nadirs in the mid-1990s. With the advent of antiretroviral treatment (ART), HIV-related mortality and morbidity declined significantly in that decade. Concurrently, STI incidence resurged among MSM and increased in scope and geographic magnitude. By 2000, bacterial STIs were universally resurgent among MSM, reaching or exceeding pre-HIV levels. While the evidence base necessary for assessing the burden STIs among MSM, both across time and across regions, continues to be lacking, recent progress has been made in this respect. Current epidemiology indicates a continuing and increasing trajectory of STI incidence among MSM. Yet increased reported case incidence of gonorrhoea is likely confounded by additional screening and identification of an existing burden of infection. Conversely, more MSM may be diagnosed and treated in the context of HIV care or as part of routine management of pre-exposure prophylaxis (PrEP), potentially reducing transmission. Optimistically, uptake of human papillomavirus (HPV) vaccination may lead to a near-elimination of genital warts and reductions in HPV-related cancers. Moreover, structural changes are occurring with respect to sexual minorities in social and civic life that may offer new opportunities, as well as exacerbate existing challenges, for STI prevention among MSM.

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Section: Current Epidemiology Of Stis In Msm For 2011–2016mentioning

confidence: 99%

As through a glass, darkly: the future of sexually transmissible infections among gay, bisexual and other men who have sex with men

et al. 2017

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“…Many STIs are known to disproportionately affect men who have sex with men (MSM) in the UK 1. BASHH's2 2014 guidance recommends that all sexually active MSM are tested at least annually for STIs, and those at high risk (including those having condomless sex with a new partner, a positive diagnosis of a new STI and using illicit drugs) tested every 3 months.…”

Section: Introductionmentioning

confidence: 99%

How to do it: setting up an asymptomatic screening pathway for men who have sex with men

Cook

Lomax

2017

Sex Transm Infect

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Many STIs are known to disproportionately affect men who have sex with men (MSM) in the UK; therefore, regular asymptomatic screening that is easy to access is vital among this group. Asymptomatic screening pathways can reduce long clinic waits, which may encourage more people to attend for screening. We therefore developed and trialled an asymptomatic pathway for MSM within our service. This extended our previous pathway, which allowed asymptomatic service users to fill in a questionnaire and see a healthcare support worker, to include MSM, as it previously had not. The service has been implemented and rolled out successfully. We believe that this model for asymptomatic screening among MSM can reduce clinic visit duration. This should increase accessibility and also allow trained staff to manage more complex patients, while allowing for risk identification and health promotion among those MSM who may be at higher risk.

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“…Men who have sex with men (MSM) bear a disproportionate burden of STIs 1. In England, MSM are more likely to be diagnosed with gonorrhoea or syphilis than heterosexual men 1.…”

Section: Introductionmentioning

confidence: 99%

“…In England, MSM are more likely to be diagnosed with gonorrhoea or syphilis than heterosexual men 1. Additionally, while an estimated 2.6% of men in the UK are MSM,2 they accounted for over half of all new HIV diagnoses in 2014 3…”

Section: Introductionmentioning

confidence: 99%

“…Non-specialist services perform STI testing and treatment of uncomplicated infections 6. In England, there is a long-standing evidence of utilisation of specialist services by MSM,1 but the extent to which MSM attend non-specialist services is unclear. Furthermore, little is known about the characteristics and health needs of MSM who access SHSs outside of traditional specialist settings; we investigated the degree to which MSM attend non-specialist setting for sexual healthcare and whether their needs differ from those attending specialist settings.…”

Section: Introductionmentioning

confidence: 99%

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Access of non-specialist sexual health services by men who have sex with men: do they differ from those attending specialist services?

et al. 2016

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Increase in Sexually Transmitted Infections among Men Who Have Sex with Men, England, 2014

Cited by 62 publications

References 13 publications

As through a glass, darkly: the future of sexually transmissible infections among gay, bisexual and other men who have sex with men

As through a glass, darkly: the future of sexually transmissible infections among gay, bisexual and other men who have sex with men

How to do it: setting up an asymptomatic screening pathway for men who have sex with men

Access of non-specialist sexual health services by men who have sex with men: do they differ from those attending specialist services?

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