Characteristics associated with urine and rectal STI diagnoses in a U.S. representative sample of gay and bisexual men: Results from the One Thousand Strong panel
METHOD. A nationally representative sample of 1,071 GBM completed urethral and rectal GC/CT testing and an online survey.
RESULTS. In total, 6.2% were GC/CT positive (5.3% rectal, 1.7% urethral). Men diagnosed with GC/CT (urethral, p<.01; rectal, p<.001) were significantly younger. Single men had 1.8 higher odds than men in relationships of being diagnosed with rectal (p=.034), but not urethral (p=.914), GC/CT. Race/ethnicity was associated with rectal GC/CT (p=.046)—men of color being at greater risk for diagnosis—but not urethral (p=.924). Having health insurance (p=.229, p=.406) and a primary care provider (p=.290, p=.136) were not associated with rectal or urethral GC/CT; however, rectal (p=.028) and urethral (p=.029) diagnoses were associated with lower income. Reporting a greater number of anal receptive acts and receptive condomless anal sex (CAS) acts were associated with both rectal (p<.001, p<.001) and urethral (p=.010, p=.006) GC/CT diagnosis. Reporting a greater number of anal insertive (p=.050) and insertive CAS acts (p=.003) were associated only with rectal GC/CT diagnosis.
CONCLUSION. Rectal GC/CT was more common than urethral and associated with several demographic and behavioral characteristics. Our finding that insertive CAS acts was associated with rectal GC/CT highlights the importance for providers to screen patients for GC/CT via a full range of transmission routes, lest GC/CT go undiagnosed.
Learning Areas:Assessment of individual and community needs for health education
Public health or related research
Social and behavioral sciences
Describe the prevalence of rectal and urethral gonorrhea and chlamydia in a U.S. national sample of gay and bisexual men Discuss demographic and behavioral factors associated with rectal and urethral gonorrhea and chlamydia diagnosis among gay and bisexual men
Keyword(s): Sexual Risk Behavior, STDs/STI
Qualified on the content I am responsible for because: Dr. Grov (PhD, MPH) is one of the principal investigators on this study. He has been doing research on HIV prevention with gay and bisexual men for more than a decade. This has included research addressing the sexual health needs of varied populations.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.