Document Detail

Gonorrhea in the HIV era: a reversal in trends among men who have sex with men.
MedLine Citation:
PMID:  11392941     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Gonorrhea cases among men who have sex with men (MSM) declined in the early years of the HIV epidemic. We evaluated more recent trends in gonorrhea among MSM through the Centers for Disease Control and Prevention's Gonococcal Isolate Surveillance Project. METHODS: Isolates and case information were collected from 29 US sexually transmitted disease (STD) clinics. Gonococcal urethritis cases among MSM were compared with those among heterosexual men, and cases among MSM in 1995 to 1999 were compared with earlier MSM cases. RESULTS: Of 34,942 cases, the proportion represented by MSM increased from 4.5% in 1992 to 13.2% in 1999 (P < .001). Compared with heterosexuals, MSM were older, more often White, and more often had had gonorrhea previously, although fewer had had gonorrhea in the past year. MSM with gonorrhea in 1995 to 1999 were slightly older than those with gonorrhea in 1992 to 1994, and a higher proportion had had gonorrhea in the past year. CONCLUSIONS: MSM account for an increasing proportion of gonococcal urethritis cases in STD clinics. Given recent evidence that gonorrhea may facilitate HIV transmission, these trends demand increased attention to safe sexual behaviors and reducing STDs among MSM.
K K Fox; C del Rio; K K Holmes; E W Hook; F N Judson; J S Knapp; G W Procop; S A Wang; W L Whittington; W C Levine
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of public health     Volume:  91     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-06-06     Completed Date:  2001-06-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  959-64     Citation Subset:  AIM; IM    
Division of STD Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, MS E-02, Atlanta, GA 30333, USA.
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MeSH Terms
Community Health Centers / utilization
Episode of Care
Erythromycin / analysis
Gonorrhea / complications,  epidemiology*,  virology
Heterosexuality / statistics & numerical data
Homosexuality, Male / statistics & numerical data*
Hospitals, Military / utilization
Microbial Sensitivity Tests
Neisseria gonorrhoeae / drug effects,  isolation & purification*
Safe Sex
Sentinel Surveillance*
Sexual Behavior
United States / epidemiology
Urethritis / etiology
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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