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Using Self-Reported Sexual Positioning as an Indicator for Rectal Chlamydia and Gonorrhea Screening Among Men Who Have Sex With Men in China: A Missed Opportunity.
Weng, Rong-Xing; Ning, Ning; Luo, Yi-Ting; Zhang, Chun-Lai; Wen, Li-Zhang; Ye, Jian-Bin; Li, Jing; Chen, Xiang-Sheng; Cai, Yu-Mao.
Afiliación
  • Ning N; From the Shenzhen Center for Chronic Disease Control, Shenzhen Institute of Dermatology, Shenzhen, Guangdong Province, China.
  • Luo YT; From the Shenzhen Center for Chronic Disease Control, Shenzhen Institute of Dermatology, Shenzhen, Guangdong Province, China.
  • Zhang CL; From the Shenzhen Center for Chronic Disease Control, Shenzhen Institute of Dermatology, Shenzhen, Guangdong Province, China.
  • Wen LZ; From the Shenzhen Center for Chronic Disease Control, Shenzhen Institute of Dermatology, Shenzhen, Guangdong Province, China.
  • Ye JB; From the Shenzhen Center for Chronic Disease Control, Shenzhen Institute of Dermatology, Shenzhen, Guangdong Province, China.
  • Li J; From the Shenzhen Center for Chronic Disease Control, Shenzhen Institute of Dermatology, Shenzhen, Guangdong Province, China.
  • Cai YM; From the Shenzhen Center for Chronic Disease Control, Shenzhen Institute of Dermatology, Shenzhen, Guangdong Province, China.
Sex Transm Dis ; 51(6): 400-406, 2024 Jun 01.
Article en En | MEDLINE | ID: mdl-38403298
ABSTRACT

BACKGROUND:

Rectal Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections among men who have sex with men (MSM) are escalating public health concerns. This study aimed to explore (1) the reliability of self-reported sexual positioning as an indicator for rectal CT and NG screening, and (2) factors associated with rectal CT and NG infections in Shenzhen, China.

METHODS:

A cross-sectional study was conducted in 2 settings in Shenzhen, China, from April 1, 2021, to March 31, 2022. Data on sociodemographic characteristics, sexual behaviors, and basic CT knowledge were collected. Urine and self-collected rectal swabs were collected for CT and NG testing.

RESULTS:

In total, 195 MSM participated in the study, and 5.1% tested positive for urogenital CT, 29.2% for rectal CT, 1.0% for urogenital NG, and 8.2% for rectal NG. Among those who reported exclusively insertive anal sex, 69.2% of CT infections and 85.7% of NG infections would have remained undetected with urine testing alone. Risk factors for rectal CT infection included engaging in both insertive and receptive anal sex, with a significant association found for coinfection with rectal NG.

CONCLUSIONS:

Self-reported sexual positioning was found to be an unreliable indicator for CT and NG screening, as a substantial proportion of infections would have remained undetected. The findings suggest that CT and NG screening in China should be offered to all MSM regardless of self-reported sexual positioning, and that the dual CT/NG testing is recommended.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Sexual / Infecciones por Chlamydia / Gonorrea / Chlamydia trachomatis / Homosexualidad Masculina / Autoinforme / Neisseria gonorrhoeae Límite: Adult / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Sex Transm Dis Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Sexual / Infecciones por Chlamydia / Gonorrea / Chlamydia trachomatis / Homosexualidad Masculina / Autoinforme / Neisseria gonorrhoeae Límite: Adult / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Sex Transm Dis Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos