Posted on 01/19/2020 1:14:42 PM PST by fwdude
Sexual risk behaviors appear to be a large driver of novel syphilis infections among men who have sex with men, or MSM, who are HIV-positive and have had prior episodes of syphilis infection. Experts say that access to sexual encounters and increased testing – and, therefore, greater awareness of those who are infected – may also be contributing to increases in repeat episodes.
“Syphilis is re-emerging globally in general and HIV-infected populations and repeated syphilis episodes may play a central role in syphilis transmission among core groups,” Manuel Battegay, MD, professor in the Division of Infectious Diseases and Hospital Epidemiology at University Hospital Basel, told Healio. “Besides sexual behavioral factors, before this study, we knew little about determinants of repeated syphilis episodes in HIV-infected individuals — including the potential impact of preceding syphilis episodes on subsequent syphilis risk.”
To learn more, Battegay and colleagues performed a prospective analysis of patients in the Swiss HIV Cohort Study, examining data from 2,513 HIV-infected MSM who initially had a negative syphilis test, with the goal of identifying first and repeated syphilis episodes and determining the associated risk factors.
There was no indication of decreased syphilis risk with repeated syphilis episodes, according to the researchers. In univariable and multivariable analyses, the number of prior syphilis episodes (adjusted HR per one-episode increase = 1.15; 95% CI, 1.01-1.31), having occasional sexual partners with or without condomless anal sex (aHR = 4.99; 95% CI, 4.08-6.11 and aHR = 2.54; 95% CI, 2.10-3.07) and currently being on antiretroviral therapy (aHR = 1.62; 95% CI, 1.21-2.16) were associated with incident syphilis.
“The most important fact is that repeated episodes of syphilis are not rare and that repeated testing and screening, also without symptoms, [are] essential to discover new episodes,” Jan A. Roth, MD, of the Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel at the University of Basel, told Healio. “It is crucial to recommend frequent testing for syphilis in MSM [and to] implement this knowledge into daily practice. This is done in the Swiss HIV Cohort Study.”
In the United States, Jason Halperin, MD, an infectious diseases physician at CrescentCare in New Orleans, has noticed a similar epidemic of syphilis, noting that patients come in repeatedly for testing and treatment. He says the drivers of this national and international epidemic need to be teased out to end it.
One primary driver of the increased rates of repeated syphilis cases is more frequent testing among users of pre-exposure prophylaxis (PrEP) and MSM, Halperin noted.
“We have patients who are coming in and are likely being tested more frequently than ever as we recognize this epidemic,” he told Healio. ”We may be capturing infections that were always there, but we’re actually seeing them now, especially in our PrEP population, who we used to see maybe once per year. We are now these patients seeing multiple times per year.” He added that greater accessibility to sexual experiences, through platforms like social media and dating apps, may also be driving the epidemic, noting that these make brief sexual encounters easier to access than ever before.
Regardless, Halperin says that stigma needs to be addressed and overcome in order to get ahead of the issue. Patient populations that are battling stigma are not engaging with the medical community and in care, which leads to higher odds of transmission.
“We have to think through how we can make coming into the health system as welcoming as possible and how we can become more proximate to the populations we serve,” Halperin told Healio. “We must get out of our clinic comfort zone by embracing mobile clinics or community partnerships, for example, and we have to recognize this epidemic and think more creatively to overcome it.” – by Caitlyn Stulpin
Clap and syphilis, they always have.
That’s because homosexual don’t want to grow old and become “unattractive” to other men. I had a friend who was gay and he told me that he didn’t want to get the point where was just an old sick man that no one would find sexually attractive. I asked if that was prevalent in the community and he said yes. He said that is why they don’t care about disease. They don’t mind the thought of dying young.
It’s a very selfish, hedonistic culture.
highlight need for increased awareness, novel strategies,”
Tell you this, I sure as hell don’t want to know what “novel strategies” might mean.
“Many even wear diapers as their rectums have been destroyed.”
Is that true ... that anal sex can damage the rectum?
“Is that true ... that anal sex can damage the rectum?”
Yes, it is. I mean, who knew, right??
“Sodomites are NOT mentally ill”
They’re nuts. The up to the DSM II, the psychiatric profession knew they have mental problems.
But we were told all homos wanted was to have their deep commitment to mutually monogamous relationships recognized.
Suicide by other means.
The Ravens got their butts kicked, but Balmer wins the STD National Championship!!!
Yeah, homosexuality does seem like a young man's game. I think they also see dying young as sort of romantic. I had a co-worker who died during the first wave of AIDS in the mid 80's. His lover had already died and he loved referring to himself as a "30 year old widow". A year after he became a "widow" his then current lover became a "widow".
Meh! Call me cold, but it seems like this is a self solving problem & will go away if ignored.
"There's no place like homo. There's no place like homo. There's no place like..."
The headline/title is nonsense... men can’t have sex with other men. They can only masturbate, pack the fudge in another mans butt-hole, get a hand/blow job.
You should, since part of your hard earned tax dollars are used to enable their hedonistic lifestyle under the guise of compassionate medical care .
STIs and their complications amount to about $16 billion annually in direct medical costs. HIV imposes the largest financial burden, costing $12.6 billion in direct medical costs, followed by HPV at $1.7 billion, chlamydia at $156.7 million, gonorrhea at $162.1 million, and syphilis at $39.9 million." - Ensuring Access to Sexually Transmitted Infection Care for All - Center for American Progress
"The estimated discounted lifetime cost for persons who become HIV infected at age 35 is $326,500 (60% for antiretroviral medications, 15% for other medications, 25% non-drug costs). [Undiscounted "mean lifetime costs are $597,300 ($4,200)" "Discounted costs are highlighted throughout because they represent economic costs that take into account time preferences of individuals and society and the opportunity cost of funds"] The Lifetime Medical Cost Savings from Preventing HIV in the United States
More: Negative effects of homosexual relations Older stats on Adultery, Fornication, and Sodomy can be seen here.
Many of them insert plugs up there to stem leakage after anal sphincter is unable to contract enough. I know of some GI surgeons who try and do surg to tighten it up. Self destructive behaviour. Moral or not. Enuf to send em to a shrink.....love or no love. Very sad to see and hear about.
There you go.
Somebody call the White House librarian, there's still an outside shot, so to speak, lil Butty Giggle might need the latest on fag love STD protection!
So if somebody just say-shaying through were to infect little butty with a lethal dose, would that be considered an assignation assassassination?
Seriously?
I did Cytology for 40 years. Toward the end of my career, we started getting anal ‘Pap Smears’ from gay men, looking for HPV which is the type of virus that is associated with cervical cancer in women. I had a ‘colleague’ who used to suggest that perhaps men shouldn’t be using their ‘poop-chutes’ for intercourse, as it was causing them to contract deadly diseases. The vagina is lined with squamous epithelial cells which are resilient and mainly for protection. The intestines and anus are lined with glandular cells, meant for secretion not protection. The sperm and the toughness of anal sex is destructive to that more delicate layer of cells. Anal sex is just a bad idea all around.
How about stop going in the out door?
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