Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/9013
HIV/STI co-infection among men who have sex with men in Spain
Diaz, Asunción ISCIII | Junquera, M L | Esteban, V | Martínez, B | Pueyo, I | Suarez, J | Ureña, José Manuel | Varela, J A | Vall, M | del Romero, J | Sanz, I | Belda, J | Boronat, J | 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, Mercedes ISCIII
Euro Surveill. 2009 Dec 3;14(48). pii: 19426.
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.
Adult | Disease Outbreaks | HIV Infections | Homosexuality, Male | Humans | Incidence | Male | Population Surveillance | Risk Assessment | Risk Factors | Spain
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