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Repeat Syphilis Among Men Who Have Sex With Men in California, 2002-2006: Implications for Syphilis Elimination Efforts.
- Source :
- American Journal of Public Health; Jan2012, Vol. 102 Issue 1, pe1-e8, 8p, 3 Charts
- Publication Year :
- 2012
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- SYPHILIS
DISEASE relapse
PREVENTIVE health services
ALGORITHMS
ANALYSIS of variance
BLACK people
COMPARATIVE studies
CONFIDENCE intervals
EPIDEMIOLOGY
FISHER exact test
GAY people
HIV infections
PUBLIC health laws
PUBLIC health surveillance
RESEARCH funding
RISK-taking behavior
STATISTICAL hypothesis testing
TIME
DATA analysis
MULTIPLE regression analysis
DISEASE incidence
SEXUAL partners
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 00900036
- Volume :
- 102
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- American Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 70465960
- Full Text :
- https://doi.org/10.2105/AJPH.2011.300383