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Erschienen in: Current HIV/AIDS Reports 3/2019

10.06.2019 | The Science of Prevention (JD Stekler and JM Baeten, Section Editors)

Confronting Rising STIs in the Era of PrEP and Treatment as Prevention

verfasst von: Meena S. Ramchandani, Matthew R. Golden

Erschienen in: Current HIV/AIDS Reports | Ausgabe 3/2019

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Abstract

Purpose of Review

This study aims to review the epidemiology of sexually transmitted infections (STIs) among men who have sex with men (MSM) and suggest control measures.

Recent Findings

Despite declines in new HIV diagnosis, bacterial STIs among MSM have dramatically risen since the late 1990s. This increase occurred concurrent with introduction of effective antiretroviral therapy, the advent of electronic mechanisms for meeting sex partners and population-level changes in sexual behavior, including decreased condom use. HIV pre-exposure prophylaxis (PrEP) is now further diminishing condom use, though its impact on STIs is uncertain. A plan to confront the MSM STI epidemic should include increased HIV/STI testing promoted through expanded public health clinical infrastructure, health care system reform to improve the care of gender and sexual minorities and promote low-barrier care, re-invigorated condom promotion, and scientific innovation.

Summary

There is an urgent need to implement new STI control measures while continuing to expand PrEP use.
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Zurück zum Zitat •• Golden MR, Dombrowski JC. Syphilis control in the post-elimination era: implications of a new syphilis control initiative for STD/HIV programs. Sex Transm Dis. 2017. An article that highlights the need for control of syphilis as case rates continue to rise. This article presents intervention strategies which are needed at local and national levels. •• Golden MR, Dombrowski JC. Syphilis control in the post-elimination era: implications of a new syphilis control initiative for STD/HIV programs. Sex Transm Dis. 2017. An article that highlights the need for control of syphilis as case rates continue to rise. This article presents intervention strategies which are needed at local and national levels.
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Metadaten
Titel
Confronting Rising STIs in the Era of PrEP and Treatment as Prevention
verfasst von
Meena S. Ramchandani
Matthew R. Golden
Publikationsdatum
10.06.2019
Verlag
Springer US
Erschienen in
Current HIV/AIDS Reports / Ausgabe 3/2019
Print ISSN: 1548-3568
Elektronische ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-019-00446-5

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