Syphilis testing among sexually active men who have sex with men and who are receiving medical care for human immunodeficiency virus in the United States: Medical Monitoring Project, 2013–2014.
Open accessAbstract
BACKGROUND: Guidelines recommend that sexually active men who have sex with men (MSM) including human immunodeficiency virus (HIV)-positive MSM be tested at least annually for syphilis, with testing every 3-6 months for MSM at elevated risk. We examined the proportion of HIV-positive MSM tested for syphilis in the past 3, 6, and 12 months by their HIV care provider during 2013-2014. METHODS: Using data from the Medical Monitoring Project, a population-based HIV surveillance system, we evaluated the proportion of MSM who had documentation of being tested for syphilis by their HIV care provider in the past 3, 6, and 12 months. RESULTS: During 2013-2014, 71% (95% confidence interval [CI]: 69%-73%) of sexually active HIV-positive MSM were tested for syphilis in the past year. This proportion was higher among MSM reporting condomless sex: (75%; 95% CI: 72%-78%), and among MSM reporting ≥ 2 sex partners (77%; 95% CI: 74%-79%), in the past 12 months. Among MSM reporting condomless sex, 49% (95% CI: 45%-53%) were tested in the past 6 months, and 26% (95% CI: 22%-30%) in the past 3 months. Among MSM reporting ≥ 2 sex partners, 49% (95% CI: 44%-54%) were tested in the past 6 months and 26% (95% CI: 22%-29%) in the past 3 months. CONCLUSIONS: Nearly one-third of sexually active HIV-positive MSM were not tested annually, and many at increased risk were not tested at recommended frequencies. Efforts to improve compliance with screening guidelines for high-risk HIV-positive MSM are warranted.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
MSM living with HIV infection and engaged in care also experience suboptimal rates of STI testing.
“MSM living with HIV infection and engaged in care also experience suboptimal rates of STI testing (222,223).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [223]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Sexually transmitted diseases treatment guidelines (2015)
Workowski, K., & BOLAN, G. A. (2015) · The Scientific Issues of Ternopil Volodymyr Hnatiuk National Pedagogical University Series pedagogy · doi:10.18370/2309-4117.2015.24.51-56 · Cited by 2,684 · see citing works
Fleming, D. T., & Wasserheit, J. N. (1999) · Sexually Transmitted Infections · doi:10.1136/sti.75.1.3 · Cited by 2,271 · see citing works
Sexually Transmitted Diseases Treatment Guidelines, 2010
Workowski, K., & BOLAN, G. A. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.04.006 · Cited by 2,074 · see citing works
Sexually transmitted disease surveillance.
Schofield, C. B. S. (1982) · BMJ · doi:10.1136/bmj.284.6318.825-c · Cited by 1,874 · see citing works
Heeringa, S. G., West, B. T., & Berglund, P. A. (2010) · Chapman & Hall/CRC eBooks · doi:10.1201/9781420080674 · Cited by 896 · see citing works
Estimation in Surveys with Nonresponse
Särndal, C., & Lundström, S. (2005) · Wiley eBooks · doi:10.1002/0470011351 · Cited by 499 · see citing works
Aberg, J. A., Gallant, J. E., Ghanem, K. G., Emmanuel, P. J., Zingman, B. S., & Horberg, M. A. (2013) · Clinical Infectious Diseases · doi:10.1093/cid/cit665 · Cited by 497 · see citing works
Buchacz, K. A., Patel, P., Taylor, M. M., Kerndt, P. R., Byers, R. H., Holmberg, S. D., & Klausner, J. D. (2004) · AIDS · doi:10.1097/00002030-200410210-00012 · Cited by 445 · see citing works
Zanoni, B. C., & Mayer, K. H. (2014) · AIDS Patient Care and STDs · doi:10.1089/apc.2013.0345 · Cited by 395 · see citing works
Syphilis and HIV Infection: An Update
Zetola, N. M., & Klausner, J. D. (2007) · Clinical Infectious Diseases · doi:10.1086/513427 · Cited by 369 · see citing works
Primary and Secondary Syphilis in the United States
Axnick, N. W., & Brown, W. J. (1961) · Public Health Reports (1896-1970) · doi:10.2307/4591347 · Cited by 289 · see citing works
Primary and Secondary Syphilis— United States, 1998
Patton, M. E., Su, J. R., Nelson, R., & Weinstock, H. (2000) · Archives of Dermatology · doi:10.1001/archderm.136.4.565 · Cited by 238 · see citing works
(1973) · Educational Researcher · doi:10.2307/1175176 · Cited by 150 · see citing works
Weiser, J. K., Beer, L., Frazier, E. L., Patel, R., Dempsey, A., Hauck, H., & Skarbinski, J. (2015) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2015.4095 · Cited by 136 · see citing works
Chow, E. P. F., Callander, D., Fairley, C. K., Zhang, L., Donovan, B. J., Guy, R., Lewis, D. A., Hellard, M. E., Read, P. J., Ward, A., et al. (2017) · Clinical Infectious Diseases · doi:10.1093/cid/cix326 · Cited by 94 · see citing works
Increasing detection of asymptomatic syphilis in HIV patients
Cohen, C. E. (2005) · Sexually Transmitted Infections · doi:10.1136/sti.2004.012187 · Cited by 83 · see citing works
HIV Care Outcomes Among Men Who Have Sex With Men With Diagnosed HIV Infection — United States, 2015
Singh, S., Mitsch, A., & Wu, B. (2017) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6637a2 · Cited by 81 · see citing works
Interventions to Improve Sexually Transmitted Disease Screening in Clinic-Based Settings
Taylor, M. M., Frasure-Williams, J., Burnett, P., & Park, I. U. (2015) · Sexually Transmitted Diseases · doi:10.1097/olq.0000000000000294 · Cited by 73 · see citing works
Screen more or screen more often? Using mathematical models to inform syphilis control strategies.
Tuite, A. R., Fisman, D. N., & Mishra, S. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-606 · Cited by 70 · see citing works
Bissessor, M., Fairley, C. K., Leslie, D., & Chen, M. Y. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/cir271 · Cited by 48 · see citing works
Syphilis Screening and Diagnosis Among Men Who Have Sex With Men, 2008–2014, 20 U.S. Cities
An, Q., Wejnert, C., Bernstein, K. T., Paz‐Bailey, G., & for the NHBS Study Group (2017) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000001412 · Cited by 40 · see citing works
Self-citationTuite, A. R., Burchell, A. N., & Fisman, D. N. (2014) · PLoS ONE · doi:10.1371/journal.pone.0101240 · Cited by 38 · see citing works
Bacterial Sexually Transmitted Infections Among HIV-Infected Patients in the United States
Flagg, E. W., Weinstock, H., Frazier, E. L., Valverde, E. E., Heffelfinger, J. D., & Skarbinski, J. (2015) · Sexually Transmitted Diseases · doi:10.1097/olq.0000000000000260 · Cited by 37 · see citing works
Mizuno, Y., Zhu, J., Crepaz, N., et al. (2013) · AIDS · doi:10.1097/qad.0000000000000057 · Cited by 35 · see citing works
Iachan, R., Johnson, C. H., Harding, R. L., Kyle, T. M., Saavedra, P., Frazier, E. L., Beer, L., Mattson, C. L., & Skarbinski, J. (2016) · The Open AIDS Journal · doi:10.2174/1874613601610010164 · Cited by 28 · see citing works
Grey, J. A., Bernstein, K. T., Sullivan, P. S., Kidd, S. E., Gift, T. L., Hall, E. W., Hankin-Wei, A., Weinstock, H., & Rosenberg, E. S. (2017) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000001508 · Cited by 25 · see citing works
Self-citationSullivan, P. S., Denniston, M. M., Mokotoff, E. D., et al. (2008) · PLoS ONE · doi:10.1371/journal.pone.0003250 · Cited by 24 · see citing works
Mattson, C. L., Bradley, H. M., Beer, L., Johnson, C. N., Pearson, W. S., & Shouse, R. L. (2016) · Clinical Infectious Diseases · doi:10.1093/cid/ciw834 · Cited by 21 · see citing works
Self-citationHotton, A., Gratzer, B., Pohl, D. J., et al. (2010) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e3181f41dc0 · Cited by 16 · see citing works
Engagement in Outpatient Care for Persons Living with HIV in the United States
Oramasionwu, C. U., Bailey, S. C., Johnson, T. L., et al. (2014) · AIDS Research and Human Retroviruses · doi:10.1089/aid.2014.0049 · Cited by 10 · see citing works
Hughes, A. J., & Scheer, S. (2017) · Clinical Infectious Diseases · doi:10.1093/cid/cix795 · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 2,759 · see citing works
- Authors
- de Voux, A., Bernstein, K. T., Bradley, H., Kirkcaldy, R. D., Tie, Y., Shouse, R. L., & Medical Monitoring Project
- Affiliations
- Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
- Centers for Disease Control and Prevention (US)
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-07-07
- Volume
- 68
- Issue
- 6
- Pages
- 934-939
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- PMC
- PMC6563935
- OpenAlex
- W2830122610
- Cited by
- 17
- References
- 31
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 4
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Infectious Diseases (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Physiology › Syphilis Diagnosis and Treatment
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- syphilis screening, men who have sex with men, HIV-positive MSM, syphilis testing, unprotected sex, multiple sexual partners, screening guideline compliance, HIV care providers, Medical Monitoring Project
- MeSH terms
- Adolescent, Adult, Female, HIV Seropositivity, Humans, Male, Mass Screening, Middle Aged, Population Surveillance, Syphilis, Syphilis Serodiagnosis, United States, HIV Infections, Prevalence, Homosexuality, Male, Young Adult, Coinfection
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
