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Incidence and spontaneous clearance of gonorrhea and chlamydia infections among men who have sex with men: a prospective cohort study in Zhuhai, China.
Lyu, Hang; Tang, Haotong; Feng, Yunlong; Hu, Shuyan; Wang, Yuyu; Zhou, Lanlan; Huang, Shanzi; Li, Jiarun; Zhu, Huamei; He, Xi; Tang, Weiming; Zhou, Yi; Zhang, Lei.
Afiliación
  • Lyu H; Zhuhai Center for Disease Control and Prevention, Zhuhai, China.
  • Tang H; Jieyang Center for Disease Control and Prevention, Jieyang, China.
  • Feng Y; Longhua District Center for Disease Control and Prevention, Shenzhen, China.
  • Hu S; Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai, China.
  • Wang Y; Longhua District Center for Disease Control and Prevention, Shenzhen, China.
  • Zhou L; Zhuhai Center for Disease Control and Prevention, Zhuhai, China.
  • Huang S; Zhuhai Center for Disease Control and Prevention, Zhuhai, China.
  • Li J; Zhuhai Center for Disease Control and Prevention, Zhuhai, China.
  • Zhu H; Zhuhai Center for Disease Control and Prevention, Zhuhai, China.
  • He X; Zhuhai Xutong Voluntary Services Center, Zhuhai, China.
  • Tang W; University of North Carolina Project-China, Guangzhou, China.
  • Zhou Y; Dermatology Hospital of Southern Medical University, Guangzhou, China.
  • Zhang L; Zhuhai Center for Disease Control and Prevention, Zhuhai, China.
Front Public Health ; 12: 1348686, 2024.
Article en En | MEDLINE | ID: mdl-38770362
ABSTRACT

Background:

Men who have sex with men (MSM) face significant risks of Chlamydia trachomatis (CT) and/or Neisseria gonorrhoeae (NG) infection. Nevertheless, only limited studies have looked into the site-specific infection and clearance of CT/NG. In order to prevent transmission, it is essential to understand the underlying factors that drive infection and spontaneous clearance.

Methods:

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:

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:

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:

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Sexual / Infecciones por Chlamydia / Gonorrea / Homosexualidad Masculina Límite: Adult / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Sexual / Infecciones por Chlamydia / Gonorrea / Homosexualidad Masculina Límite: Adult / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza