Details:

Alternative Title:
Am J Public Health
Publisher's site:
http://dx.doi.org/10.2105/AJPH.2011.300383
Personal Author:
Cohen, Stephanie E. ; Ng, Rilene A. Chew ; Katz, Kenneth A. ; Bernstein, Kyle T. ; Samuel, Michael C. ; ... More +
Cohen, Stephanie E. ; Ng, Rilene A. Chew ; Katz, Kenneth A. ; Bernstein, Kyle T. ; Samuel, Michael C. ; Kerndt, Peter R. ; Bolan, Gail Less -
Description:
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.


Subject:
[+]
Adult
HIV Infections
Homosexuality, Male
Humans
Logistic Models
Male
Multivariate Analysis
Odds Ratio
Racial Groups
Retrospective Studies
Secondary Prevention
Sexual Partners
Syphilis
Time Factors

Source:
Am J Public Health. 102(1):e1-e8.
Pubmed ID:
22095364
Pubmed Central ID:
PMC3490561
Document Type:
Journal Article
Funding:
1H25PS001379-01/PS/NCHHSTP CDC HHS/United States ; P30 MH062246/MH/NIMH NIH HHS/United States ; T32 MH-19105-21/MH/NIMH NIH HHS/United States ; T32 MH019105/MH/NIMH NIH HHS/United States
1H25PS001379-01/PS/NCHHSTP CDC HHS/United States ; P30 MH062246/MH/NIMH NIH HHS/United States ; T32 MH-19105-21/MH/NIMH NIH HHS/United States ; T32 MH019105/MH/NIMH NIH HHS/United States Less -
Place as Subject:
California
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:33ea4a4c594ac8295138be884721e8864c48e839400fe3f70863fd97e541c53e
File Type:

Supporting Files

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