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STI testing outcomes and sexual risk practices among men who have sex with men who self-identify as commercial sex workers.

STI testing outcomes and sexual risk practices among men who have sex with men who self-identify as commercial sex workers.

Of the 58,943 STI tests conducted among MSM, 2,203 (3.7%) of those tested indicated recent sex work. The proportion of positive tests among MSW for HIV (1.9%), chlamydia (5.2%) and syphilis (1.7%) were not significantly different from other MSM (1.4%, 6.8% and 1.8%, respectively). MSW had a higher mean number of annual HIV (1.5), chlamydia (3.1) and syphilis (2.0) tests compared to other MSM (1.2, 1.4 and 1.4, respectively) (p<0.01). MSW were less likely to report STI symptoms as their reason for a HIV (7.5%), chlamydia (6.1%) or syphilis (6.9%) test than other MSM (17.1% , 24.1% and 18.9%, respectively) (p<0.01). Compared to other MSM, MSW were more likely to report six or more oral (63.7% vs. 45.0%) and anal sex partners (56.9% vs. 26.4%) in the past six months. More than half of MSW reported always using a condom with partners (54.7%) compared to 40.5% of MSM (p<0.01).

MSW more frequently tested for STIs compared to other MSM, with similar rates of STI diagnoses. Although reporting higher rates of sexual activity, a combination of more regular STI testing and more frequent condom use among MSW is likely to have contributed to STI diagnosis rates comparable with other MSM. These data provide information to inform health promotion targeting MSW and support the important role of regular STI testing in this population.

Speakers: Alyce Vella
Areas of Interest / Categories: Australian Society for HIV 2013

Australian Society for HIV 2013

Delayed HIV diagnoses among gay and bisexual men in Australia

The majority of HIV diagnoses including delayed diagnoses in Australia occur among men who report homosexual contact – hereafter called gay and bisexual men (GBM). Delayed diagnosis is strongly associated with increased HIV-related mortality and morbidity. People who are unaware of their HIV-positive status may also be unwittingly transmitting HIV. We assessed trends in delayed HIV diagnoses among GBM in Australia.

Complex case report that illustrates the paucity of data for long term management of Visceral Leishmania-HIV co-infection.

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