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Member Research and Reports

Member Research and Reports

Rutgers: Study Examines Extragenital Chlamydia and Gonorrhea Among Men Who Have Sex with Men

Rutgers School of Public Health associate professor, Dr. Henry F. Raymond, and his colleagues found the asymptomatic nature of extragenital sexually transmitted diseases (STDs) and high prevalences found in studied population further support the need for regular screening of all sexually active men who have sex with men (MSM) at all anatomic sites of exposure.

The team in partnership with the National HIV (human immunodeficiency virus) Behavioral Surveillance Sexually Transmitted Infection Study Group (NHBS) examined extragenital chlamydia and gonorrhea among community venue-attending MSM within five U.S. cities. Extragenital (rectal and pharyngeal) chlamydia and gonorrhea screening was offered to MSM recruited to participate in NHBS at MSM-frequented venues in five U.S. cities (Houston, TX; Miami, FL; New York City, NY; San Francisco, CA; and Washington, DC).

Overall, 2,075 MSM provided specimens with valid results, and 13.3 percent of participants were infected with at least one of the two pathogens in at least one of these two extragenital anatomic sites. Approximately one in eight had an extragenital chlamydial or gonococcal infection.

NHBS assessed adherence to current screening recommendations using the question “In the past 12 months, were you tested by a doctor or other health care provider for a sexually transmitted disease like gonorrhea, chlamydia, or syphilis? Do not include tests for HIV or hepatitis.” Overall, 698 (33.6 percent) MSM participants reported that they had not been tested for an STD in the previous 12 months.

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