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Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales among men who have sex with men.
Sex Transm Infect. 2004 Dec; 80(6):492-7.ST

Abstract

OBJECTIVES

To examine trends in rates of diagnoses of HIV and other sexually transmitted infections (STIs) in men who have sex with men (MSM) in England and Wales between 1997 and 2002.

METHODS

Estimates of the MSM population living in England and Wales, London and the rest of England and Wales were applied to surveillance data, providing rates of diagnoses of HIV and STIs and age group specific rates for HIV and uncomplicated gonorrhoea.

RESULTS

Between 1997 and 2002, rates of diagnoses of HIV and acute STIs in MSM increased substantially. Rates in London were higher than elsewhere. Rises in acute STIs were similar throughout England and Wales, except for uncomplicated gonorrhoea and infectious syphilis, with greater increases outside London. Rates of gonorrhoea diagnoses doubled between 1999 and 2001 (661/100,000, 1271/100,000, p<0.001) in England and Wales followed by a slight decline to 1210/100,000 (p=0.03) in 2002-primarily the result of a decline in diagnoses among men aged 25-34 (1340/100,000, 1128/100,000, p<0.001) and 35-44 (924/100,000, 863/100,000, p=0.03) in London. HIV was the third most common STI diagnosed in MSM in England and Wales and the second in London, with the highest rate (1286/100,000) found among men aged 35-44 in London in 2002.

CONCLUSIONS

Rates of diagnosis of HIV and other STIs have increased substantially among MSM in England and Wales. Increases show heterogeneity by infection, geography, and age over time. Rates in London were twice those seen elsewhere, with greatest changes over time. The observed changes reflect concomitant increases in high risk behaviour documented in behavioural surveillance survey programmes.

Authors+Show Affiliations

HIV and Sexually Transmitted Infections Department, Health Protection Agency, Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ, UK. neil.macdonald@hpa.org.uk.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15572622

Citation

Macdonald, N, et al. "Recent Trends in Diagnoses of HIV and Other Sexually Transmitted Infections in England and Wales Among Men Who Have Sex With Men." Sexually Transmitted Infections, vol. 80, no. 6, 2004, pp. 492-7.
Macdonald N, Dougan S, McGarrigle CA, et al. Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales among men who have sex with men. Sex Transm Infect. 2004;80(6):492-7.
Macdonald, N., Dougan, S., McGarrigle, C. A., Baster, K., Rice, B. D., Evans, B. G., & Fenton, K. A. (2004). Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales among men who have sex with men. Sexually Transmitted Infections, 80(6), 492-7.
Macdonald N, et al. Recent Trends in Diagnoses of HIV and Other Sexually Transmitted Infections in England and Wales Among Men Who Have Sex With Men. Sex Transm Infect. 2004;80(6):492-7. PubMed PMID: 15572622.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales among men who have sex with men. AU - Macdonald,N, AU - Dougan,S, AU - McGarrigle,C A, AU - Baster,K, AU - Rice,B D, AU - Evans,B G, AU - Fenton,K A, PY - 2004/12/2/pubmed PY - 2004/12/24/medline PY - 2004/12/2/entrez SP - 492 EP - 7 JF - Sexually transmitted infections JO - Sex Transm Infect VL - 80 IS - 6 N2 - OBJECTIVES: To examine trends in rates of diagnoses of HIV and other sexually transmitted infections (STIs) in men who have sex with men (MSM) in England and Wales between 1997 and 2002. METHODS: Estimates of the MSM population living in England and Wales, London and the rest of England and Wales were applied to surveillance data, providing rates of diagnoses of HIV and STIs and age group specific rates for HIV and uncomplicated gonorrhoea. RESULTS: Between 1997 and 2002, rates of diagnoses of HIV and acute STIs in MSM increased substantially. Rates in London were higher than elsewhere. Rises in acute STIs were similar throughout England and Wales, except for uncomplicated gonorrhoea and infectious syphilis, with greater increases outside London. Rates of gonorrhoea diagnoses doubled between 1999 and 2001 (661/100,000, 1271/100,000, p<0.001) in England and Wales followed by a slight decline to 1210/100,000 (p=0.03) in 2002-primarily the result of a decline in diagnoses among men aged 25-34 (1340/100,000, 1128/100,000, p<0.001) and 35-44 (924/100,000, 863/100,000, p=0.03) in London. HIV was the third most common STI diagnosed in MSM in England and Wales and the second in London, with the highest rate (1286/100,000) found among men aged 35-44 in London in 2002. CONCLUSIONS: Rates of diagnosis of HIV and other STIs have increased substantially among MSM in England and Wales. Increases show heterogeneity by infection, geography, and age over time. Rates in London were twice those seen elsewhere, with greatest changes over time. The observed changes reflect concomitant increases in high risk behaviour documented in behavioural surveillance survey programmes. SN - 1368-4973 UR - https://www.unboundmedicine.com/medline/citation/15572622/Recent_trends_in_diagnoses_of_HIV_and_other_sexually_transmitted_infections_in_England_and_Wales_among_men_who_have_sex_with_men_ L2 - https://sti.bmj.com/lookup/pmidlookup?view=long&amp;pmid=15572622 DB - PRIME DP - Unbound Medicine ER -