• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of straninfSexually Transmitted InfectionsCurrent TOCInstructions for authors
Sex Transm Infect. Dec 2004; 80(6): 492–497.
PMCID: PMC1744921

Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales among men who have sex with men

Abstract

Objectives: To examine trends in rates of diagnoses of HIV and other sexually transmitted infections (STIs) in men who have sex with men (MSM) in England and Wales between 1997 and 2002.

Methods: Estimates of the MSM population living in England and Wales, London and the rest of England and Wales were applied to surveillance data, providing rates of diagnoses of HIV and STIs and age group specific rates for HIV and uncomplicated gonorrhoea.

Results: Between 1997 and 2002, rates of diagnoses of HIV and acute STIs in MSM increased substantially. Rates in London were higher than elsewhere. Rises in acute STIs were similar throughout England and Wales, except for uncomplicated gonorrhoea and infectious syphilis, with greater increases outside London. Rates of gonorrhoea diagnoses doubled between 1999 and 2001 (661/100 000, 1271/100 000, p<0.001) in England and Wales followed by a slight decline to 1210/100 000 (p = 0.03) in 2002—primarily the result of a decline in diagnoses among men aged 25–34 (1340/100 000, 1128/100 000, p<0.001) and 35–44 (924/100 000, 863/100 000, p = 0.03) in London. HIV was the third most common STI diagnosed in MSM in England and Wales and the second in London, with the highest rate (1286/100 000) found among men aged 35–44 in London in 2002.

Conclusions: Rates of diagnosis of HIV and other STIs have increased substantially among MSM in England and Wales. Increases show heterogeneity by infection, geography, and age over time. Rates in London were twice those seen elsewhere, with greatest changes over time. The observed changes reflect concomitant increases in high risk behaviour documented in behavioural surveillance survey programmes.

Full Text

The Full Text of this article is available as a PDF (85K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Dukers Nicole H T M, Spaargaren Joke, Geskus Ronald B, Beijnen Jos, Coutinho Roel A, Fennema Han S A. HIV incidence on the increase among homosexual men attending an Amsterdam sexually transmitted disease clinic: using a novel approach for detecting recent infections. AIDS. 2002 Jul 5;16(10):F19–F24. [PubMed]
  • Van de Ven P, Prestage G, French J, Knox S, Kippax S. Increase in unprotected anal intercourse with casual partners among Sydney gay men in 1996-98. Aust N Z J Public Health. 1998 Dec;22(7):814–818. [PubMed]
  • Ostrow David E, Fox Kelly J, Chmiel Joan S, Silvestre Anthony, Visscher Barbara R, Vanable Peter A, Jacobson Lisa P, Strathdee Steffanie A. Attitudes towards highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men. AIDS. 2002 Mar 29;16(5):775–780. [PubMed]
  • Stolte Ineke G, Dukers Nicole H T M, Geskus Ronald B, Coutinho Roel A, de Wit John B F. Homosexual men change to risky sex when perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: a longitudinal study. AIDS. 2004 Jan 23;18(2):303–309. [PubMed]
  • Elford Jonathan, Bolding Graham, Sherr Lorraine. High-risk sexual behaviour increases among London gay men between 1998 and 2001: what is the role of HIV optimism? AIDS. 2002 Jul 26;16(11):1537–1544. [PubMed]
  • Johnson AM, Mercer CH, Erens B, Copas AJ, McManus S, Wellings K, Fenton KA, Korovessis C, Macdowall W, Nanchahal K, et al. Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours. Lancet. 2001 Dec 1;358(9296):1835–1842. [PubMed]
  • Mortimer JY, Salathiel JA. 'Soundex' codes of surnames provide confidentiality and accuracy in a national HIV database. Commun Dis Rep CDR Rev. 1995 Nov 10;5(12):R183–R186. [PubMed]
  • McHenry A, Macdonald N, Sinka K, Mortimer J, Evans B. National assessment of prevalent diagnosed HIV infections. Commun Dis Public Health. 2000 Dec;3(4):277–281. [PubMed]
  • Paine TC, Fenton KA, Herring A, Turner A, Ison C, Martin I, Robinson A, Kinghorn G. GRASP: a new national sentinel surveillance initiative for monitoring gonococcal antimicrobial resistance in England and Wales. Sex Transm Infect. 2001 Dec;77(6):398–401. [PMC free article] [PubMed]
  • Fenton Kevin A, Ison Catherine, Johnson Alan P, Rudd Elizabeth, Soltani Mehnam, Martin Iona, Nichols Tom, Livermore David M. Ciprofloxacin resistance in Neisseria gonorrhoeae in England and Wales in 2002. Lancet. 2003 May 31;361(9372):1867–1869. [PubMed]
  • Murphy Gary, Charlett Andre, Jordan Laura F, Osner Natasha, Gill O Noel, Parry John V. HIV incidence appears constant in men who have sex with men despite widespread use of effective antiretroviral therapy. AIDS. 2004 Jan 23;18(2):265–272. [PubMed]
  • Fenton KA. Sexual health and HIV positive individuals: emerging lessons from the recent outbreaks of infectious syphilis in England. Commun Dis Public Health. 2002 Mar;5(1):4–6. [PubMed]
  • Johansen Jeanne Duus, Smith Else. Gonorrhoea in Denmark: high incidence among HIV-infected men who have sex with men. Acta Derm Venereol. 2002;82(5):365–368. [PubMed]

Articles from Sexually Transmitted Infections are provided here courtesy of BMJ Group

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...