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Int J STD AIDS. 2017 Feb;28(2):138-144. doi: 10.1177/0956462416630909. Epub 2016 Jul 10.

High prevalence of extra-genital chlamydial or gonococcal infections among men who have sex with men and transgender women in Lima, Peru.

Author information

1
1 David Geffen School of Medicine, University of California Los Angeles, CA, USA.
2
2 Laboratory of Sexual Health, Unit of Health, Sexuality and Human Development, Universidad Peruana Cayetano Heredia, Lima, Peru.
3
3 Department of Global Health, University of Washington, Seattle, WA, USA.
4
4 Division of Global Public Health, Department of Medicine, University of California San Diego, La Jolla, CA, USA.
5
5 Department of Medicine, University of California Los Angeles, CA, USA.
6
6 Division of Clinical Sciences, Center for Healthy Communities, School of Medicine, University of California Riverside, CA, USA.

Abstract

Chlamydia trachomatis and Neisseria gonorrhoeae are among the most common sexually transmitted bacterial infections in the world. Data are limited, however, on the burden of extra-genital chlamydial and gonococcal infections among men who have sex with men and transgender women in Lima, Peru. Data were gathered from self-collected anal or pharyngeal swabs from participants in Lima, Peru, and analyzed via cross-sectional methods. Prevalence ratios for the association between extra-genital infection with socio-demographic and sexual behaviors were determined. Overall, 127 (32.8%) participants had anal or pharyngeal infections. On multivariate modeling, anal infection was positively associated with practicing both receptive and insertive anal sex, when compared to insertive alone (PR = 2.49; 95% CI = 1.32-4.71), and negatively associated with any antibiotic use in the prior three months (PR = 0.60; 95% CI = 0.39-0.91). Pharyngeal infection was negatively associated with age greater than 30 years compared to 18-30 years (PR = 0.54; 95% CI = 0.30-0.96), and positively associated with gender identity of transgender women (PR = 2.12; 95% CI = 1.20-3.73). This study demonstrates considerable burden of extra-genital chlamydial and gonococcal infections among men who have sex with men and transgender women in Lima, Peru.

KEYWORDS:

Chlamydia (Chlamydia trachomatis); Peru; Pharyngeal; Rectal; South America; epidemiology; gonorrhea (Neisseria gonorrhoeae); homosexual

PMID:
26846151
PMCID:
PMC4972692
DOI:
10.1177/0956462416630909
[Indexed for MEDLINE]
Free PMC Article

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