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Prevalence of gonorrhea and chlamydia in a community clinic for men who have sex with men in Lisbon, Portugal

dc.contributor.authorRibeiro, S.
dc.contributor.authorde Sousa, D.
dc.contributor.authorMedina, D.
dc.contributor.authorCastro, R.
dc.contributor.authorLopes, Â.
dc.contributor.authorRocha, Miguel
dc.contributor.authorRibeiro, S
dc.contributor.authoret al.
dc.date.accessioned2024-06-18T13:48:41Z
dc.date.available2024-06-18T13:48:41Z
dc.date.issued2019-09
dc.date.updated2024-06-10T13:14:33Z
dc.description.abstractMen who have sex with men (MSM) are at greater risk for sexually transmitted infections (STIs). Data on MSM chlamydia and gonorrhea prevalence estimates and associated risk factors are scarce. To our knowledge, this is the first study to describe the prevalence and the determinants of both chlamydia and gonorrhea infections in MSM in Portugal. We conducted a cross-sectional study using data from 1832 visits to CheckpointLX, a community-based center for screening blood-borne viruses and other STIs in MSM. Overall prevalence of chlamydia or gonorrhea in our sample was 16.05%, with 14.23% coinfection and 40.73% asymptomatic presentation among those testing positive. Anorectal infection was most common for chlamydia (67.26%), followed by urethral (24.78%) and oral (19.47%) infection. Oral infection was most common for gonorrhea (55.63%), followed by anal (51.25%) and urethral (17.50%) infection. In multivariate analyses, young age (U = 94684, p = 0.014), being foreign-born (χ2 = 11.724, p = 0.003), reporting STI symptoms (χ2 = 5.316, p = 0.021), inhaled drug use (χ2 = 4.278, p = 0.039) and having a higher number of concurrent (χ2 = 18.769, p < 0.001) or total (χ2 = 5.988, p = 0.050) sexual partners were each associated with higher rates of chlamydia or gonorrhea infection. Young and migrant MSM are a vulnerable population to STIs, as are those who use inhaled drugs and those with a higher number of concurrent or total sexual partners. Although Portugal has no guidelines on chlamydia and gonorrhea screening, our results point toward a need for greater awareness about the importance of high-frequency screening for those at increased risk (i.e., every three to six months).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.authenticusidP-00R-KSP
dc.identifier.authenticusidP-00R-KTK
dc.identifier.authenticusidP-00Q-VC4
dc.identifier.doi10.1177/0956462419855484pt_PT
dc.identifier.eid2-s2.0-85068854684
dc.identifier.issn17581052 09564624
dc.identifier.issn1101-1262
dc.identifier.issn1464-360X
dc.identifier.slugcv-prod-3268243
dc.identifier.urihttp://hdl.handle.net/10400.26/51068
dc.identifier.wosWOS:000476024900001
dc.identifier.wosWOS:000506895301046
dc.identifier.wosWOS:000506895305186
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectMen who have sex with menpt_PT
dc.subjectSexually transmitted infectionspt_PT
dc.subjectChlamydiapt_PT
dc.subjectGonorrheapt_PT
dc.titlePrevalence of gonorrhea and chlamydia in a community clinic for men who have sex with men in Lisbon, Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage959pt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPage951pt_PT
oaire.citation.titleInternational Journal of STD and AIDSpt_PT
oaire.citation.volume30pt_PT
person.familyNameRocha
person.givenNameMiguel
person.identifier999820
person.identifier.ciencia-id5F19-66C4-5F80
person.identifier.orcid0000-0003-1057-2419
person.identifier.ridAAL-7984-2020
person.identifier.scopus-author-id57204739884
rcaap.cv.cienciaid5F19-66C4-5F80 | Luís Miguel Carvalho Rocha
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf47c1e01-1192-4946-89a8-66594bb7364e
relation.isAuthorOfPublication.latestForDiscoveryf47c1e01-1192-4946-89a8-66594bb7364e

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