| Gonorrhea in the HIV era: a reversal in trends among men who have sex with men. | |
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MedLine Citation:
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PMID: 11392941 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American journal of public health Volume: 91 ISSN: 0090-0036 ISO Abbreviation: Am J Public Health Publication Date: 2001 Jun |
Date Detail:
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Created Date: 2001-06-06 Completed Date: 2001-06-14 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: United States |
Other Details:
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Languages: eng Pagination: 959-64 Citation Subset: AIM; IM |
Affiliation:
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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. kfox@cdc.gov |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult 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 Humans Male Microbial Sensitivity Tests Neisseria gonorrhoeae / drug effects, isolation & purification* Safe Sex Sentinel Surveillance* Sexual Behavior United States / epidemiology Urethritis / etiology |
| Chemical | |
Reg. No./Substance:
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114-07-8/Erythromycin |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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