HIV+ Men Are Not Receiving STD Testing, Prevention Services - Physician's Weekly
HIV+ Men Are Not Receiving STD Testing, Prevention Services - Physician's Weekly |
- HIV+ Men Are Not Receiving STD Testing, Prevention Services - Physician's Weekly
- HIV-positive men are not receiving STD testing, prevention services - Medical Xpress
- STD Testing Rates, Service Receipt Among HIV-Positive MSM Remain Low - AJMC.com Managed Markets Network
| HIV+ Men Are Not Receiving STD Testing, Prevention Services - Physician's Weekly Posted: 06 May 2020 09:01 PM PDT WEDNESDAY, May 6, 2020 (HealthDay News) — Many sexually active men who have sex with men (MSM) do not receive recommended prevention services and sexually transmitted disease (STD) testing when receiving care for HIV infection, according to a research letter published online May 5 in the Annals of Internal Medicine. John Weiser, M.D., from the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues estimated the prevalence of STD transmission risk behaviors and receipt of recommended prevention services and annual STD testing among MSM receiving care for HIV infection. The analysis included 1,269 MSM participating in the Medical Monitoring Project. The researchers found that 64.5 percent of MSM reported having condomless anal intercourse in the past 12 months. Before or during sex, 46.9 percent reported drinking alcohol, 35.8 percent used noninjection drugs, and 3.7 percent injected drugs. Six in 10 respondents (61.1 percent) received care at Ryan White HIV/AIDS Program (RWHAP)-funded facilities, although there were no clinically relevant differences in risk behaviors by facility funding status. Higher percentages of patients at RWHAP-funded facilities received all assessed prevention services during the past 12 months, including receiving informational materials, free condoms, and conversations with prevention workers, health care workers, and small groups. Similarly, the prevalence of STD testing during the previous 12 months was higher among patients seen at RWHAP-funded facilities. "Meeting public health goals for preventing STDs, and in turn ending the HIV epidemic, may require closer adherence to guidelines for delivering prevention services and STD testing to HIV-positive MSM, especially for those receiving care at non-RWHAP-funded facilities," the authors write. Abstract/Full Text (subscription or payment may be required) Copyright © 2020 HealthDay. All rights reserved.  |
| HIV-positive men are not receiving STD testing, prevention services - Medical Xpress Posted: 06 May 2020 09:40 AM PDT  (HealthDay)—Many sexually active men who have sex with men (MSM) do not receive recommended prevention services and sexually transmitted disease (STD) testing when receiving care for HIV infection, according to a research letter published online May 5 in the Annals of Internal Medicine. John Weiser, M.D., from the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues estimated the prevalence of STD transmission risk behaviors and receipt of recommended prevention services and annual STD testing among MSM receiving care for HIV infection. The analysis included 1,269 MSM participating in the Medical Monitoring Project. The researchers found that 64.5 percent of MSM reported having condomless anal intercourse in the past 12 months. Before or during sex, 46.9 percent reported drinking alcohol, 35.8 percent used noninjection drugs, and 3.7 percent injected drugs. Six in 10 respondents (61.1 percent) received care at Ryan White HIV/AIDS Program (RWHAP)-funded facilities, although there were no clinically relevant differences in risk behaviors by facility funding status. Higher percentages of patients at RWHAP-funded facilities received all assessed prevention services during the past 12 months, including receiving informational materials, free condoms, and conversations with prevention workers, health care workers, and small groups. Similarly, the prevalence of STD testing during the previous 12 months was higher among patients seen at RWHAP-funded facilities. "Meeting public health goals for preventing STDs, and in turn ending the HIV epidemic, may require closer adherence to guidelines for delivering prevention services and STD testing to HIV-positive MSM, especially for those receiving care at non-RWHAP-funded facilities," the authors write. More information: Abstract/Full Text (subscripti … ent may be required) Copyright © 2020 HealthDay. All rights reserved. Citation: HIV-positive men are not receiving STD testing, prevention services (2020, May 6) retrieved 7 May 2020 from https://medicalxpress.com/news/2020-05-hiv-positive-men-std.html This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.  |
| Posted: 04 May 2020 02:08 PM PDT Maggie L. Shaw The CDC recommends regular testing for bacterial sexually transmitted diseases (STDs) among all sexually active gay, bisexual, and other men who have sex with men (MSM). Chief among these STDs are gonorrhea, chlamydia, syphilis, and hepatitis C. The CDC recommends regular testing for bacterial sexually transmitted diseases (STDs) among all sexually active gay, bisexual, and other men who have sex with men (MSM) because they have a higher risk of infection. Chief among these STDs are gonorrhea, chlamydia, syphilis, and hepatitis C virus (HCV). Those most at risk also should be receiving recommended STD counseling services. "Having an STD (like gonorrhea) makes it easier to get HIV or give it to others, so it's important that you get tested to protect your health and the health of your partner," states the CDC. Despite these guidelines, there has been a constant uptick in STDs over the past decade, particularly among HIV-positive MSM, even though they are receiving care for their HIV, according to the authors who investigated the receipt of STD testing and associated services among these individuals and published their results online today in Annals of Internal Medicine. The primary outcome of their study was to determine both deficiencies in bacterial STD testing and what risky behaviors result in these deficiencies among HIV-positive MSM—especially because having an STD increases the risk of transmitting HIV. Data were gleaned from the Medical Monitoring Project (MMP), an annual 2-stage sample survey of HIV-positive US adults' clinical and behavioral characteristics, comparing receipt of STD services between healthcare facilities that were and were not funded by the Ryan White HIV/AIDS Program (RWHAP), "a federally funded program providing a comprehensive system of HIV primary medical care, essential support services, and medications for low-income persons with HIV who are uninsured and underserved." (Ryan White contracted HIV through a blood transfusion while receiving treatment for hemophilia.) The patient population consisted of 1269 HIV-positive MSM who self-reported on the following risk behaviors as they pertained to transmission of gonorrhea, chlamydia, syphilis, and HCV:
Broken down by STD, however, the numbers were worse, except for syphilis:
All sets of results leave much room for improvement, because they show that many of the survey respondents still "did not receive recommended prevention services and STD testing, particularly testing for extragenital gonorrhea and chlamydia, which is essential for reducing STDs in this population," the authors noted. "Meeting public health goals for preventing STDs, and in turn ending the HIV epidemic, may require closer adherence to guidelines for delivering prevention services and STD testing to HIV-positive MSM." To help adhere to the guidelines, they reiterate the importance of evidence-based strategies that include nurse-led programs, self-swabbing for gonorrhea and chlamydia, and monitoring provider performance. Reference Weiser J, Tie Y, Beer L, Pearson WS, Shouse RL. Receipt of prevention services and testing for sexually transmitted diseases among HIV-positive men who have sex with men, United States [published online May 4, 2020]. Ann Intern Med. doi: 10.7326/M19-4051. Related Articles |
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