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Cited by 88Syphilis Diagnosis and TreatmentHIV, TB, and STIs EpidemiologyHIV/AIDS Research and Interventions

Repeat syphilis among men who have sex with men in California, 2002–2006: implications for syphilis elimination efforts.

Open access
Cohen, Stephanie E., Chew Ng, Rilene A., Katz, Kenneth A., Bernstein, Kyle T., Samuel, Michael C., Kerndt, Peter R., Bolan, Gail·2012·American Journal of Public Health
DOI 10.2105/ajph.2011.300383PMC PMC3490561
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Abstract

OBJECTIVES: We examined rates of and risk factors for repeat syphilis infection among men who have sex with men (MSM) in California. METHODS: We analyzed 2002 to 2006 California syphilis surveillance system data. RESULTS: During the study period, a mean of 5.9% (range: 4.9%-7.1% per year) of MSM had a repeat primary or secondary (PS) syphilis infection within 2 years of an initial infection. There was no significant increase in the annual proportion of MSM with a repeat syphilis infection (P = .42). In a multivariable model, factors associated with repeat syphilis infection were HIV infection (odds ratio [OR] = 1.65; 95% confidence interval [CI] = 1.14, 2.37), Black race (OR = 1.84; 95% CI = 1.12, 3.04), and 10 or more recent sex partners (OR = 1.99; 95% CI = 1.12, 3.50). CONCLUSIONS: Approximately 6% of MSM in California have a repeat PS syphilis infection within 2 years of an initial infection. HIV infection, Black race, and having multiple sex partners are associated with increased odds of repeat infection. Syphilis elimination efforts should include messages about the risk for repeat infection and the importance of follow-up testing. Public health attention to individuals repeatedly infected with syphilis may help reduce local disease burdens.

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  • Repeat syphilis infections are common and might be associated with HIV infection, substance use (e.g., methamphetamines), Black race, and multiple sex partners.

    “Repeat syphilis infections are common and might be associated with HIV infection, substance use (e.g., methamphetamines), Black race, and multiple sex partners (187).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [187]

    The Results report that repeat primary or secondary syphilis was associated with HIV infection, Black race, and 10 or more sex partners; methamphetamine use was associated in the univariable comparison. The Abstract reports repeat infection in approximately 6% of men who have sex with men in California within two years. The citing sentence omits that population and time frame, presenting the findings more generally than the study supports. (LLM, conf=0.84)

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Research works printed but not linked: 3

  1. [18]Ciesielski C Repeat syphilis infection in MSM, 2000–2005 2006 5 8–11 Jacksonville, FL Paper presented at: National STD Prevention Conference
  2. [19]Newbern EC Anschuetz G Salmon M Asbel L Syphilis again and again—syphilis re-infection in Philadelphia, 2002–2009 2010 3 8–11 Atlanta, GA Paper presented at: National STD Prevention Conference
  3. [23]California Gonorrhea Surveillance System Quarterly Summary Data Tables for Cases Diagnosed From January 1–December 31, 2008 2009 Richmond, CA California Dept of Public Health, STD Control Branch

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Authors
Cohen, S. E., Chew Ng, R. A., Katz, K. A., Bernstein, K. T., Samuel, M. C., Kerndt, P. R., & Bolan, G.
Affiliations
  • California Department of Public Health (US)
  • Stephanie E. Cohen is with the Center for AIDS Prevention Studies, San Francisco, CA, and the STD Control Branch, California Department of Public Health, Richmond. Rilene A. Chew Ng, Michael C. Samuel, and Gail Bolan are with the STD Control Branch, California Department of Public Health. Kenneth A. Katz is with the HIV, STD, and Hepatitis Branch, Public Health Services, Health and Human Services Agency, County of San Diego, San Diego, CA. Kyle T. Bernstein is with STD Prevention and Control Services,...
ORCID
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
2012-01
Volume
102
Issue
1
Pages
e1-e8
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.2011.300383
PMC
PMC3490561
OpenAlex
W1970769323
Cited by
88
References
39
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 8 · 2022: 6 · 2021: 7 · 2020: 3 · 2019: 6 · 2018: 10 · 2017: 4 · 2016: 4 · 2015: 16 · 2014: 9 · 2013: 7 · 2012: 2
FWCI
4.14
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
Funders
  • Centers for Disease Control and Prevention (H25PS001379, 1h25ps001379-01)
  • National Institute of Mental Health (T32 MH-19105-21, T32MH019105, P30MH062246)
Topics
  • Health Sciences › Medicine › Physiology › Syphilis Diagnosis and Treatment
  • Social Sciences › General Social Sciences › HIV, TB, and STIs Epidemiology
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
syphilis, men who have sex with men, HIV infection, Black race, multiple sexual partners, risk factors, syphilis elimination, follow-up testing, California
MeSH terms
Adult, California, Humans, Male, Retrospective Studies, Sexual Partners, Syphilis, Time Factors, HIV Infections, Multivariate Analysis, Logistic Models, Odds Ratio, Homosexuality, Male, Racial Groups, Secondary Prevention

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