دورية أكاديمية
Population rates of HIV, gonorrhoea and syphilis diagnoses by sexual orientation in New Zealand.
| العنوان: | Population rates of HIV, gonorrhoea and syphilis diagnoses by sexual orientation in New Zealand. |
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| المؤلفون: | Saxton PJW; School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand p.saxton@auckland.ac.nz., McAllister SM; Department of Preventive and Social Medicine, University of Otago Medical School, Dunedin, New Zealand., Thirkell CE; Institute of Environmental Science and Research Ltd, Porirua, New Zealand., Ludlam AH; School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand., Bateman JP; Department of Preventive and Social Medicine, University of Otago Medical School, Dunedin, New Zealand., Anglemyer AT; Department of Preventive and Social Medicine, University of Otago Medical School, Dunedin, New Zealand.; Institute of Environmental Science and Research Ltd, Porirua, New Zealand., Priest PC; Department of Preventive and Social Medicine, University of Otago Medical School, Dunedin, New Zealand., Sonder GJB; Institute of Environmental Science and Research Ltd, Porirua, New Zealand.; Department of Internal Medicine, University of Amsterdam, Amsterdam, The Netherlands. |
| المصدر: | Sexually transmitted infections [Sex Transm Infect] 2022 Aug; Vol. 98 (5), pp. 376-379. Date of Electronic Publication: 2021 Sep 03. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 9805554 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1472-3263 (Electronic) Linking ISSN: 13684973 NLM ISO Abbreviation: Sex Transm Infect Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BMJ Pub. Group, c1998- |
| مواضيع طبية MeSH: | Gonorrhea*/diagnosis , Gonorrhea*/epidemiology , HIV Infections*/diagnosis , HIV Infections*/epidemiology , Sexual and Gender Minorities* , Syphilis*/diagnosis , Syphilis*/epidemiology, Female ; Humans ; Male ; New Zealand/epidemiology ; Sexual Behavior |
| مستخلص: | Introduction: Globally, gay and bisexual men (GBM) are over-represented in HIV, syphilis and gonorrhoea cases. However, surveillance systems rarely provide meaningful measures of inequity, such as population-specific rates, due to a lack of sexual orientation denominators. HIV, gonorrhoea and syphilis are legally notifiable diseases in New Zealand (NZ); we calculate rates by sexual orientation for the first time. Methods: We analysed 2019 national surveillance data on HIV, syphilis and gonorrhoea notifications disaggregated by sexual orientation. Unique health records identified duplicate notifications and reinfections. Missing data were imputed from known cases. We used the NZ Health Survey 2014/2015 to estimate population sizes by sexual orientation, measured in two ways (current sexual identity, sexual contact in the previous 12 months with men, women or both). We calculated notification rates per 100 000 for each sexual orientation subgroup and rate ratios. Results: In 2019, GBM accounted for 76.3%, 65.7% and 39.4% of HIV, syphilis and gonorrhoea notifications, respectively. Population rates per 100 000 for HIV were 158.3 (gay/bisexual men) and 0.5 (heterosexuals); for syphilis, population rates per 100 000 were 1231.1 (gay/bisexual men), 5.0 (lesbian/bisexual women) and 7.6 (heterosexuals); for gonorrhoea (imputed), population rates per 100 000 were 6843.2 (gay/bisexual men), 225.1 (lesbian/bisexual women) and 120.9 (heterosexuals). The rate ratios for GBM compared with heterosexuals were: 348.3 (HIV); 162.7 (syphilis); and 56.6 (gonorrhoea). Inequities remained in sensitivity analysis (substituting sexual identity with sexual behaviour in the previous 12 months). Conclusion: GBM in NZ experience profound inequities in HIV, syphilis and gonorrhoea. Rate ratios by sexual orientation provide useful 'at-a-glance' measures of inequity in disease incidence. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.) |
| فهرسة مساهمة: | Keywords: HIV; gonorrhoea; public health; sexual and gender minorities; syphilis |
| تواريخ الأحداث: | Date Created: 20210904 Date Completed: 20220727 Latest Revision: 20220804 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1136/sextrans-2021-055186 |
| PMID: | 34479989 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1472-3263 |
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| DOI: | 10.1136/sextrans-2021-055186 |