医学
逻辑回归
和男人发生性关系的男人
人类免疫缺陷病毒(HIV)
内科学
沙眼衣原体
免疫学
梅毒
作者
Delphine Rahib,Béatrice Berçot,Heloise Delagreverie,Audrey Gabassi,Constance Delaugerre,Hélène Salord,Vinca Icard,Thanh-Thuy Le Thi,Benjamin Leveau,Hacène Khiri,Julien Digne,Marie-Noelle Didelot,Amandine Pisoni,Edouard Tuaillon,Nathalie Lydié,Stéphanie Vandentorren
标识
DOI:10.1177/09564624211066447
摘要
Men who have sex with men are increasingly diagnosed with sexually transmitted infections (STI) in France. To address this situation, quarterly screening for HIV combined with hepatitis B (HBV) and hepatitis C (HCV), as well as annual screening for C.trachomatis (CT) and N.gonorrhoeae (NG) are recommended. The MemoDepistages program offered an at-home screening solution for these infections. This study describes the feasibility of this screening process, the rate of positive test results, and the factors associated with positivity.Participants were recruited online. Laboratories verified the quantity and quality of the samples. Logistic regression was used to determine the associated factors for infection.Overall, 1556 out of 1908 (81.6%) blood samples were tested for at least HIV. A total of eight participants (0.5%) were newly diagnosed with HIV and four with HCV (0.3%). No new infection was confirmed for HBV. Overall positivity was 9.3% for CT and 9.6% for NG. The highest positivity was reported in rectal swabs for CT (7.3%) and in pharyngeal swabs for NG (7.2%). Factors associated with extragenital CT/NG were age under 30 years (for pharyngeal and rectal infections) and having at least 10 partners in the past 6 months (p<0.001) (for pharyngeal infections only).The self-sampling kit for multiple STIs can perform comprehensive tests and identify new infections in young people, especially in extragenital sites.
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