HIV/STI co-infection among men who have sex with men in Spain

In Spain, neither the HIV nor the STI national surveillance systems collect information on HIV/STI co-infection. However, there are two networks based on HIV/STI clinics which gather this data. We describe HIV prevalence in men who have sex with men (MSM) diagnosed with infectious syphilis and/or go...

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Detalles Bibliográficos
Autores: Diaz Franco, Asuncion, Junquera, M L, Esteban, V, Martínez, B, Pueyo, I, Suarez, J, Ureña, José Manuel, Varela, J A, Vall, M, Del Romero, Jorge, Sanz, I, Belda, J, Boronat, Josep, Gomez, P, Gual, F, Colomo, C, López de Munain, J, Balaguer, J, Landa, M C, Lezaun, M E, Cámara, M C, Fernández, E, Bru, F J, Alastrue, I, Ordoñana, J R, de Armas, C, Azpiri, M A, Gomez, L, Trullén, J, Diez Ruiz-Navarro, Mercedes
Tipo de recurso: artículo
Fecha de publicación:2009
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/9013
Acceso en línea:http://hdl.handle.net/20.500.12105/9013
Access Level:acceso abierto
Palabra clave:Adult
Disease Outbreaks
HIV Infections
Homosexuality, Male
Humans
Incidence
Male
Population Surveillance
Risk Assessment
Risk Factors
Spain
Descripción
Sumario:In Spain, neither the HIV nor the STI national surveillance systems collect information on HIV/STI co-infection. However, there are two networks based on HIV/STI clinics which gather this data. We describe HIV prevalence in men who have sex with men (MSM) diagnosed with infectious syphilis and/or gonorrhoea in 15 STI clinics; and concurrent diagnoses of STI in MSM newly diagnosed with HIV in 19 HIV/STI clinics. In total, 572 MSM were diagnosed with infectious syphilis and 580 with gonorrhoea during 2005-2007. HIV prevalence among syphilis and gonorrhoea cases was 29.8% and 15.2% respectively. In the multivariate analysis, HIV/syphilis co-infection was associated with being Latin American; having a history of STI; reporting exclusively anal intercourse; and having sex with casual or several types of partners. HIV and gonorrhoea co-infection was associated with age older than 45 years; having no education or only primary education completed; and having a history of STI. In total, 1,462 HIV infections were newly diagnosed among MSM during 2003-2007. Of these, 31.0% were diagnosed with other STI at the same time. Factors associated with STI co-infection among new HIV cases in MSM were being Latin American; and having sex with casual partners or with both steady and casual partners. In Spain, a considerable proportion of MSM are co-infected with HIV and STI.

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