Amsterdam 2015
Menu
AIDSImpact.com
Conference Details
Authors
International Committee
Plenary Speakers
Presenting Speakers
Programme
Sessions
Scientific Committee
Acknowledgements
| Abstract #2319 - Men and Sex | ||||
|
Session: 31.4: Men and Sex (Oral Poster discussion) on Thursday @ 13.30-14.30 in Poster room 2 Chaired by Dana Rosenfeld, Jack Tocco Authors: Presenting Author: Mr Roeland Achterbergh - AIDS, Netherlands |
||||
| Additional Authors: | ||||
| Aim: Issues: Men who have sex with men (MSM) form an important risk group for sexual transmitted infections (STI’s) and HIV. The STI positivity rate among MSM attending the STD clinic in Amsterdam is around 18% among HIV-negative MSM and 30% among HIV-positive MSM. Besides this high positivity rate, there is a high recurrence of infections in this group. More then 10% of the men who were diagnosed with an STI had new infection within 1 year. The hazard ratio of HIV seroconversion in MSM diagnosed with 2 anorectal STI in the past 2 years is 8.85 (95% CI: 2.57 to 30.40).[Bernstein et all. JAIDS 2012]. | ||||
| Method / Issue: Project: In January 2014 we started a cohort of high-risk MSM. Inclusion criteria were: HIV-negative MSM with 2 STI’s or an indication for PEP-treatment in the last 12 months, or HIV-positive men with one STI in the last 6 months. Instead of offering screening at the client initiative (case finding) , we routinely screened participants 4 times yearly upon agreed appointments (case holding). At the initiative of the participant (e.g. in case of STI related complaints) interval screening was available. Participants were tested for syphilis, hepatitis B (if not documented vaccinated), HIV (if not positive) and anal, urethral, and pharyngeal chlamydia and gonorrhea. At least once a year men receive a physical examination including anoscopy. During the other visits men are screened using a fast track procedure (no physical examination and self-sampling). Motivational interviewing and risk behavior questionnaires (drug use, safe sex) are part of each visit. | ||||
| Results / Comments: Results: From January 2014 to February 2015 70 HIV positive men and 60 HIV negative men were included. Participants completed up to 6 visits, 3 HIV-positive and 2 HIV-negative MSM stopped participating. Median age was significantly higher among HIV-positive MSM (45 years [IQR 37-51]) compared to HIV-negative MSM (37 years [IQR 30.5-46.75] (P=0.008). In the total of 337 visits 31 chlamydia, 36 gonorrhea, 11 syphilis, 7 LGV and 3 new HIV infections were diagnosed. In this cohort 70% (N=91) reported using recreational hard drugs of which 91% used hard drugs during sex (median 1.5 [0-4] types of hard drugs). The median number of different recreational drugs used in the six months prior to first visit was 5 [IQR 2-7], and 51% (N=66) used 4 or more drugs during sex. Drug use was comparable among HIV-positive and HIV-negative men (p=0.373). | ||||
| Discussion: Lessons learned: 1. We routinely screened participants 4 times a year (case holding). 2. Recreational drug use during sex is common. 3. In the future we plan to invite participants for biomedical and/or behavioral intervention studies. | ||||
| Go Back | ||||