HIV/STI co-infection among men who have sex with men in Spain.

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Autor/Urheber	Diaz, Asunción; Junquera, M L; Esteban, V; Martínez, B; Pueyo, I; Suarez, J; Ureña, J M; Varela, J A; Vall, M; del Romero, J; Sanz, I; Belda, J; Boronat, J; Gomez, P; Gual, F; Colomo, C; López de Munain, J; Balaguer, J; Landa, M C; Lezaun, M E; Cámara, M
Institution	European Centre for Disease Prevention and Control
Titel	HIV/STI co-infection among men who have sex with men in Spain.
Quelle	In: Publisher's version; Euro Surveill. 2009 Dec 3;14(48). pii: 19426.; 1560-7917; 20003899; doi:10.2807/ese.14.48.19426-en; Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin(2009) PDF als Volltext kostenfreie Datei
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
DOI	10.2807/ese.14.48.19426-en
Schlagwörter	Adult; Disease Outbreaks; HIV Infections; Homosexuality; Male; Humans; Incidence; Population Surveillance; Spain
Abstract	In Spain, neither the HIV nor the STI national surveillance systems collect information on HIV/STI co-infection. However, there are two networks based on HIV/STI clinics which gather this data. We describe HIV prevalence in men who have sex with men (MSM) diagnosed with infectious syphilis and/or gonorrhoea in 15 STI clinics; and concurrent diagnoses of STI in MSM newly diagnosed with HIV in 19 HIV/STI clinics. In total, 572 MSM were diagnosed with infectious syphilis and 580 with gonorrhoea during 2005-2007. HIV prevalence among syphilis and gonorrhoea cases was 29.8% and 15.2% respectively. In the multivariate analysis, HIV/syphilis co-infection was associated with being Latin American; having a history of STI; reporting exclusively anal intercourse; and having sex with casual or several types of partners. HIV and gonorrhoea co-infection was associated with age older than 45 years; having no education or only primary education completed; and having a history of STI. In total, 1,462 HIV infections were newly diagnosed among MSM during 2003-2007. Of these, 31.0% were diagnosed with other STI at the same time. Factors associated with STI co-infection among new HIV cases in MSM were being Latin American; and having sex with casual partners or with both steady and casual partners. In Spain, a considerable proportion of MSM are co-infected with HIV and STI. ; This work was funded by two grants (36646/07; 36794/08) from the Foundation for Research and Prevention of AIDS in Spain (Fundación para la Investigación y la Prevención del SIDA en España–FIPSE). ; Sí
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