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Repeat syphilis among men who have sex with men in California 2002-2006: Implications for syphilis elimination efforts

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Listed:
  • Cohen, S.E.
  • Ng, R.A.C.
  • Katz, K.A.
  • Bernstein, K.T.
  • Samuel, M.C.
  • Kerndt, P.R.
  • Bolan, G.

Abstract

Objectives. We examined rates of and risk factors for repeat syphilis infection among men who have sex with men (MSM) in California. Methods. We analyzed 2002 to 2006 California syphilis surveillance system data. Results. During the study period, a mean of 5.9% (range: 4.9%-7.1% per year) of MSM had a repeat primary or secondary (PS) syphilis infection within 2 years of an initial infection. There was no significant increase in the annual proportion of MSM with a repeat syphilis infection (P=.42). In a multivariable model, factors associated with repeat syphilis infection were HIV infection (odds ratio [OR]= 1.65; 95% confidence interval [CI]=1.14, 2.37), Black race (OR=1.84; 95% CI=1.12, 3.04), and 10 or more recent sex partners (OR=1.99; 95% CI=1.12, 3.50). Conclusions. Approximately 6% ofMSMin California have a repeat PS syphilis infection within 2 years of an initial infection. HIV infection, Black race, and having multiple sex partners are associated with increased odds of repeat infection. Syphilis elimination efforts should include messages about the risk for repeat infection and the importance of follow-up testing. Public health attention to individuals repeatedly infected with syphilis may help reduce local disease burdens.

Suggested Citation

  • Cohen, S.E. & Ng, R.A.C. & Katz, K.A. & Bernstein, K.T. & Samuel, M.C. & Kerndt, P.R. & Bolan, G., 2012. "Repeat syphilis among men who have sex with men in California 2002-2006: Implications for syphilis elimination efforts," American Journal of Public Health, American Public Health Association, vol. 102(1), pages 1-8.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300383_4
    DOI: 10.2105/AJPH.2011.300383
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    1. Carmen Cantisani & Federica Rega & Luca Ambrosio & Teresa Grieco & Norbert Kiss & Fanni Adél Meznerics & András Bánvölgyi & Giordano Vespasiani & Francesca Arienzo & Giovanni Rossi & Giuseppe Soda & G, 2023. "Syphilis, the Great Imitator—Clinical and Dermoscopic Features of a Rare Presentation of Secondary Syphilis," IJERPH, MDPI, vol. 20(2), pages 1-10, January.

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