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Cited by 113HIV/AIDS Research and InterventionsReproductive tract infections researchHIV, Drug Use, Sexual Risk

Sexually Transmitted Diseases in Men Who Have Sex With Men: Acquisition of Gonorrhea and Nongonococcal Urethritis by Fellatio and Implications for STD/HIV Prevention

LAFFERTY, WILLIAM E., HUGHES, JAMES P., HANDSFIELD, H. HUNTER·1997·Sexually Transmitted Diseases
DOI 10.1097/00007435-199705000-00007
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Abstract

BACKGROUND AND OBJECTIVES: Despite trends toward safer sex practices in homosexually active men, some such people remain at high risk for acquiring sexually transmitted diseases (STD). This study was designed to assess behavioral and demographic determinants of STD acquisition in men who have sex with men (MSM), to guide prevention interventions. STUDY DESIGN: A cross-sectional medical record review was undertaken of MSM who attended an urban STD clinic from January, 1993 through December, 1994. Gonorrhea, chlamydial infection, Chlamydia-negative nongonococcal urethritis (NGU), and newly documented human immunodeficiency virus (HIV) infection were analyzed in relation to demographic and behavioral variables. RESULTS: Among 1,253 MSM, 196 (15.6%) had nonchlamydial NGU, 105 (8.4%) had gonorrhea, 31 (2.5%) had chlamydial infection, and 162 (12.9%) had known or newly documented HIV infection. Known HIV infection was an independent predictor of urethral gonorrhea (odds ratio [OR] 2.3, 95% confidence interval [CI95] 1.2-4.8). Oral insertive intercourse was independently associated with urethral gonorrhea (OR 4.4, CI95 1.4-13.4) and nonchlamydial NGU (OR 2.2, CI95 1.3-3.7), and receptive anal intercourse was associated with newly documented HIV infection (OR 2.6, CI95 1.3-4.9). Neither number of sex partners nor condom use was associated with any incident STD outcome, including new HIV infection. CONCLUSIONS: MSM who attend STD clinics represent a subgroup of homosexually active men who remain at high risk for STDs, including HIV infection. Fellatio, commonly thought to be a "safe" sexual practice, is an independent risk factor for urethral gonorrhea and nonchlamydial NGU. A history of consistent condom use or of few sex partners should not dissuade clinicians from performing screening tests for HIV and other STDs. Repeated STD screening and counseling about safer sex are indicated for many HIV-infected MSM.

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Crossref · 10.1097/00007435-199705000-00007

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  • Pharyngeal infections with gonorrhea or chlamydia might be a principal source of urethral infections.

    “Pharyngeal infections with gonorrhea or chlamydia might be a principal source of urethral infections (209–211).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [210]

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Authors
LAFFERTY, W. E., HUGHES, J. P., & HANDSFIELD, H. H.
Affiliations
  • Public Health – Seattle & King County (US)
  • University of Washington (US)
Corresponding author
HANDSFIELD, H. HUNTER
ORCID
Venue
Sexually Transmitted Diseases
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1997-05
Volume
24
Issue
5
Pages
272-278
ISSN
0148-5717 (ISSN-L)
DOI
10.1097/00007435-199705000-00007
OpenAlex
W2052267860
Cited by
113
References
24
Citations by year
2024: 2 · 2023: 2 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 6 · 2017: 5 · 2016: 9 · 2015: 8 · 2014: 1 · 2013: 3 · 2012: 3
FWCI
2.92
Type
journal article
Language
en
Open access
closed
Locations
  • Sexually Transmitted Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
men who have sex with men, HIV infection, gonorrhea, chlamydia, non-gonococcal urethritis, oral sex, receptive anal intercourse, condom use, number of sexual partners, STI screening, risk factors
MeSH terms
Adult, Aged, Bisexuality, Chlamydia Infections, Cross-Sectional Studies, Demography, Gonorrhea, Humans, Male, Middle Aged, Risk Factors, Sexual Behavior, Sexually Transmitted Diseases, Urban Population, Urethritis, Washington, HIV Infections, Prevalence, Multivariate Analysis, Homosexuality, Male

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