A tale of two gonorrhea epidemics: results from the STD Surveillance Network.

Newman, Lori Marie; Dowell, Deborah; Bernstein, Kyle; Donnelly, Jennifer; Martins, Summer; Stenger, Mark; Stover, Jeffrey; Weinstock, Hillard

doi:10.1177/003335491212700308

Cited by 34Reproductive tract infections researchHIV/AIDS Research and InterventionsHIV, TB, and STIs Epidemiology

A tale of two gonorrhea epidemics: results from the STD Surveillance Network.

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Newman, Lori Marie, Dowell, Deborah, Bernstein, Kyle, Donnelly, Jennifer, Martins, Summer, Stenger, Mark, Stover, Jeffrey, Weinstock, Hillard·2012·Public Health Reports

DOI 10.1177/003335491212700308PMC PMC3314072

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Abstract

OBJECTIVE: An increasing proportion of gonorrhea in the United States is diagnosed in the private sector, posing a challenge to existing national surveillance systems. We described gonorrhea epidemiology outside sexually transmitted disease (STD) clinic settings. METHODS: Through the STD Surveillance Network (SSuN), health departments in the San Francisco, Seattle, Denver, Minneapolis, and Richmond, Virginia, metropolitan areas interviewed systematic samples of men and women reported with gonorrhea by non-STD clinic providers from 2006 through 2008. RESULTS: Of 2,138 interviews, 10.0% were from San Francisco, 26.4% were from Seattle, 25.2% were from Denver, 22.9% were from Minneapolis, and 15.5% were from Richmond. A total of 1,165 women were interviewed; 70.1% (815/1,163) were ≤24 years of age, 51.3% (598/1,165) were non-Hispanic black, and 19.0% (213/1,121) reported recent incarceration of self or sex partner. Among 610 men who have sex with only women, 50.9% were ≤24 years of age, 65.1% were non-Hispanic black, 14.1% reported incarceration of self or sex partner, and 16.7% reported anonymous sex. Among 363 men who have sex with men (MSM), 20.9% were ≤24 years of age, 61.6% were non-Hispanic white, 39.8% reported anonymous sex, 35.7% reported using the Internet to meet sex partners, and 12.1% reported methamphetamine use. CONCLUSIONS: These data identified two concurrent gonorrhea epidemics in minority populations: a young, black, heterosexual epidemic with frequently reported recent incarceration, and an older, mostly white MSM epidemic with more frequently reported anonymous sex, Internet use to meet sex partners, and methamphetamine use.

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Gonococcal infection among MSM has been associated with similar risk factors to syphilis, including having multiple anonymous partners and substance use, especially methamphetamines.
“Gonococcal infection among MSM has been associated with similar risk factors to syphilis, including having multiple anonymous partners and substance use, especially methamphetamines (190).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [190]

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Authors: Newman, L. M., Dowell, D., Bernstein, K., Donnelly, J., Martins, S., Stenger, M., Stover, J., & Weinstock, H.
Affiliations: Centers for Disease Control and Prevention (US)
San Francisco Department of Public Health (US)
Colorado Department of Public Health and Environment (US)
Minnesota Department of Health (US)
Corresponding author: Newman, Lori Marie
ORCID: Newman, Lori Marie
Dowell, Deborah
Bernstein, Kyle
Donnelly, Jennifer
Martins, Summer
Stover, Jeffrey
Venue: Public Health Reports
Publisher: SAGE Publications
Published: 2012-05
Volume: 127
Issue: 3
Pages: 282-292
ISSN: 0033-3549 (ISSN-L)
1468-2877
DOI: 10.1177/003335491212700308
PMC: PMC3314072
OpenAlex: W2181907161
Cited by: 34
References: 14
Citations by year: 2026: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2018: 6 · 2017: 3 · 2016: 1 · 2015: 5 · 2014: 4 · 2013: 3 · 2012: 1
FWCI: 3.61
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Public Health Reports (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (AA-055)
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Social Sciences › General Social Sciences › HIV, TB, and STIs Epidemiology
Keywords: gonorrhea, sexually transmitted infections, men who have sex with men, heterosexual women, incarceration, anonymous sex, online dating, methamphetamine use, racial disparities, young Black women
MeSH terms: Adult, Ethnicity, Female, Gonorrhea, Humans, Male, Minority Groups, Population Surveillance, United States, Sexually Transmitted Diseases, Bacterial, Sexuality, Substance-Related Disorders, Young Adult

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A tale of two gonorrhea epidemics: results from the STD Surveillance Network.

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