Young Male Sex Workers Are at High Risk for Sexually Transmitted Infections, A Cross-Sectional Study from Dutch STI Clinics, The Netherlands, 2006-2012
BACKGROUND:
Male
sex workers (MSW) are particularly exposed to sexually transmitted infections
(STI) including HIV. In the Netherlands, data about STI among MSW are scarce.
We estimated chlamydia, gonorrhoea, syphilis and HIV diagnoses among MSW
attending STI clinics and determined associated factors to guide prevention
policies.
METHODS:
Using
2006-2012 cross-sectional national surveillance data from Dutch STI clinics, we
calculated the proportion of consultations with a positive test for any of
three bacterial STI or HIV among MSW. Associated factors were determined by
using Poisson logistic regression with robust variance.
RESULTS:
We
identified 3,053 consultations involving MSW, of which 18.1 % included at
least one positive bacterial STI test and 2.5 % a positive HIV test.
Factors associated with bacterial STI and/or HIV diagnoses were respectively
age groups < 35 y.o. and self-reporting homo- or bisexual preferences
(aRR = 1.6; 95 % CI: 1.3-2.1), and age group 25-34 y.o. (aRR = 2.7;
95 % CI: 1.2-6.5) and self-reporting homo- or bisexual preferences
(aRR = 24.4; 95 % CI: 3.4-176.9). Newly diagnosed and pre-existing HIV
infection were associated with an increased risk for bacterial STI (aRR = 2.7,
95 % CI: 1.7-2.6 and aRR = 2.1, 95 % CI: 2.2-3.4 respectively). MSW
with no history of HIV screening were more likely to be tested positive for HIV
compared to those with a previous HIV-negative test (aRR = 2.6, 95 % CI:
1.6-4.3).
CONCLUSION:
Health
promotion activities should target MSW who are young, homo- or bisexual, those
who are HIV-infected or who have never been tested for HIV, to increase early
diagnosis, prevention and treatment.
Below: Percentage of consultations with a positive bacterial STI test or positive HIV test among MSW at STI clinics in the Netherlands, 2006–2012
- 1Epidemiology and Surveillance Unit, Centre for Infectious Diseases Control, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. nellyfournet@yahoo.fr.
- 2European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden. nellyfournet@yahoo.fr.
- 3Epidemiology and Surveillance Unit, Centre for Infectious Diseases Control, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. f.koedijk@ggdtwente.nl.
- 4Public Health Service Twente, Enschede, The Netherlands. f.koedijk@ggdtwente.nl.
- 5Public Health Service Amsterdam, Amsterdam, The Netherlands. petravanleeuwenap@gmail.com.
- 6Public Health Service Amsterdam, Amsterdam, The Netherlands. mvrooijen@ggd.amsterdam.nl.
- 7Epidemiology and Surveillance Unit, Centre for Infectious Diseases Control, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. marianne.van.der.sande@rivm.nl.
- 8Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands. marianne.van.der.sande@rivm.nl.
- 9Public Health Service Amsterdam, Amsterdam, The Netherlands. MvVeen@ggd.amsterdam.nl.
- BMC Infect Dis. 2016 Feb 4;16(1):63. doi: 10.1186/s12879-016-1388-3.
No comments:
Post a Comment