Screening for syphilis among homosexual men in bars and saunas in Amsterdam.

Lumey, L. H.; Kok, J; Coutinho, R. A.

doi:10.1136/sti.58.6.402

Cited by 6 publications

(1 citation statement)

References 11 publications

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“…Gay bathhouses are critical venues where men who have sex with men (MSM) engage in anonymous sex (Binson et al, 2001;Bleeker, Coutinho, Bakker-Kok, Tio, & de Koning, 1981;Lister et al, 2003;Lumey, Kok, & Coutinho, 1982;Van Beneden et al, 2002). Gay bathhouse and sex club patrons are reported to have a higher prevalence of sexually transmitted infections (STIs; Ko et al, 2006;Lister et al, 2003) and possess the highest numbers of male sexual partners, as well as high rates of unprotected anal intercourse than gay bar/club attendees (Xia et al, 2006).…”

Section: Introductionmentioning

confidence: 98%

Effects of structural intervention on increasing condom availability and reducing risky sexual behaviours in gay bathhouse attendees

Lee

Hung

et al. 2009

AIDS Care

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The study purpose was to evaluate the effectiveness of a structural intervention in reducing unprotected sexual behaviours, increasing condom accessibility and their relationship to the prevalence of HIV infection and sexually transmitted infections (STIs) in gay bathhouse attendees. A quasi-experimental study with a non-equivalent control group for comparison was conducted at nine gay bathhouses in Taiwan from 2004 to 2006. A structural intervention designed to increase condom distribution and accessibility inside the bathhouses was implemented at one bathhouse in each city. Bathhouse attendees were invited to complete a questionnaire and to be screened for HIV infection and STIs. Of 632 study participants, 270 were surveyed six months after the intervention was conducted. At the time of follow-up after controlling for baseline data, patrons attending bathhouses for which intervention was performed were more likely to report accessing condoms inside bathhouses than those attending control bathhouses (92.6% versus 81.3%, P = 0.016), and condoms were more likely to be available at the reception desk of the bathhouse entrance (87.5% in intervention bathhouses versus 69.4% in control, P = 0.047). In a multivariate analysis adjusted for age, access to condoms inside bathhouses (adjusted odds ratio (AOR): 4.35; 95% confidence interval (CI): 1.48-12.78) and attendance at bathhouses with intervention (AOR: 2.07; 95% CI: 1.07-3.97) were independently associated with consistent condom use during anal intercourse. There were no significant differences in the prevalences of HIV infection and STIs at the six-month follow-up. Bathhouses with structural intervention were associated with consistent condom use during anal intercourse among bathhouse patrons. Our findings highlight the importance of extension of condom distribution inside the bathhouses to increase condom use among bathhouse patrons.

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Section: Introductionmentioning

confidence: 98%

Effects of structural intervention on increasing condom availability and reducing risky sexual behaviours in gay bathhouse attendees

Lee

Hung

et al. 2009

AIDS Care

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Behavioral characteristics and laboratory parameters in homo- and bisexual men in West Berlin: An evaluation of five years of testing and counselling on AIDS

Deininger¹,

Müller

Guggenmoos-Holzmann

et al. 1990

Klin Wochenschr

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Sera of 1980 homo- and bisexual men who visited the Landesinstitut für Tropenmedizin Berlin (West) between April 1983 and December 1987 were tested for HIV antibodies; 24.3% were positive. Of HIV-antibody-positive men, 78.9% reported both active and passive anal intercourse, 58.8%, rectal enemas, and 53.3%, use of butyl nitrite. There was a sexual partner with known positive HIV-antibody status or AIDS in 33.9%, and in 32.4% there was a history of sexual activity in the USA. In the year before the test, 18.8% had had more than 50 partners. All these behavioral characteristics were found to be significantly correlated to HIV antibodies. We noted a substantial reduction of high-risk behavior from 1983 to 1987. The most important behavioral factor for HIV infection in 1983 and 1984 was sexual activity in the USA, and from 1984 to 1987, the numbers of lifetime partners. Persons infected with HIV were significantly more often carriers of antibodies against HAV, HBV, CMV, EBV, and syphilis. Prevalence of antibodies against HIV, HAV, HBV, and syphilis increased with age, duration of homosexual practice, and the number of partners. Overall crude prevalence rates of HIV antibodies, anti-HBc, anti-HAV, and antibodies to syphilis declined during the observation period. Clinical findings such as fever, oral lesions, and lymphadenopathy syndrome (LAS) were found to be highly indicative of HIV infection. Lower hemoglobin values, a reduced white cell count, and hyperimmunoglobulinemia were significantly more frequent in subjects with HIV antibodies.

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Syphilis, hepatitis A and hepatitis B seromarkers in homosexual men

Coester

Bienzle²,

Hoffmann

et al. 1984

Klin Wochenschr

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Two hundred homosexual men were investigated for prevalence rates of syphilis, hepatitis A (HAV) and hepatitis B (HBV). A reactive Treponema pallidum haemagglutination test (TPHA) was found in 56.3% of the participants. In 81.7% HBV seromarkers were detected. Hepatitis B surface antigen (HBsAG) was present in 6.6%. Anti-HAV was found in 51.0%. Risk factors for acquisition of these infections are discussed.

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Screening for syphilis among homosexual men in bars and saunas in Amsterdam.

Cited by 6 publications

References 11 publications

Effects of structural intervention on increasing condom availability and reducing risky sexual behaviours in gay bathhouse attendees

Effects of structural intervention on increasing condom availability and reducing risky sexual behaviours in gay bathhouse attendees

Behavioral characteristics and laboratory parameters in homo- and bisexual men in West Berlin: An evaluation of five years of testing and counselling on AIDS

Syphilis, hepatitis A and hepatitis B seromarkers in homosexual men

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