eprintid: 6748
rev_number: 76
eprint_status: archive
userid: 598
dir: disk0/00/00/67/48
datestamp: 2008-09-19 06:49:35
lastmod: 2020-02-13 01:29:36
status_changed: 2008-09-19 06:49:35
type: article
metadata_visibility: show
item_issues_count: 0
creators_name: Dodds, JP
creators_name: Johnson, AM
creators_name: Parry, JV
creators_name: Mercey, DE
title: A tale of three cities: persisting high HIV prevalence, risk behaviour and undiagnosed infection in community samples of men who have sex with men
subjects: 6830
subjects: 6800
divisions: UCL
divisions: A01
divisions: B02
divisions: C09
divisions: D01
divisions: G16
keywords: HOMOSEXUAL-MEN, LONDON, INCREASES, GONORRHEA, SYPHILIS, ENGLAND, SALIVA, WALES, UK
abstract: Objectives: To examine the geographical variations in HIV prevalence (diagnosed and undiagnosed), use of sexual health services, sexually transmitted infections and sexual behaviour in a community sample of men who have sex with men in three cities in England, specifically London, Brighton and Manchester.Methods: Cross-sectional surveys of men visiting gay community venues in three large cities in England. Men self-completed a questionnaire and provided an anonymous oral fluid sample for HIV antibody testing.Results: HIV prevalence ranged from 8.6% to 13.7% in the three cities. Over one-third of HIV infection remained undiagnosed in all sites despite 69% of HIV-positive men reporting attending a genitourinary medicine clinic in the last year. Similar and high levels of risk behaviour were reported in all three cities. 18% of HIV-negative men and 37% of HIV-positive men reported unprotected anal intercourse with more than one partner in the last year. 20% of negative men and 41% of positive men reported an STI in the last year.Conclusions: Across all cities, despite widespread availability of anti-retroviral treatment and national policy to promote HIV testing, many HIV infections remain undiagnosed. Data from this community sample demonstrate high levels of risk behaviour and STI incidence, especially among those who are HIV positive. Renewed efforts are needed to increase diagnosis and to reduce risk behaviour to stem the continuing transmission of HIV.
date: 2007-08-01
date_type: published
publisher: B M J PUBLISHING GROUP
official_url: http://www.ncbi.nlm.nih.gov/pmc/
articles/PMC2659037/?tool=pubmed
vfaculties: VFPHS
vfaculties: VFPHS
rae2008: 6
oa_status: green
pmcid: PMC2659037
primo: open
primo_central: open_green
article_type_text: Article
verified: verified_batch
elements_source: Web of Science
elements_id: 88967
doi: 10.1136/sti.2006.021782
lyricists_name: Dodds, Julie
lyricists_name: Johnson, Anne
lyricists_name: Mercey, Danielle
lyricists_id: JPDOD39
lyricists_id: AMJOH29
lyricists_id: DEMER20
full_text_status: public
publication: SEX TRANSM INFECT
volume: 83
number: 5
pagerange: 392 - 396
refereed: TRUE
issn: 1368-4973
citation:        Dodds, JP;    Johnson, AM;    Parry, JV;    Mercey, DE;      (2007)    A tale of three cities: persisting high HIV prevalence, risk behaviour and undiagnosed infection in community samples of men who have sex with men.                   SEX TRANSM INFECT , 83  (5)   392 - 396.    10.1136/sti.2006.021782 <https://doi.org/10.1136/sti.2006.021782>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/6748/1/6748.pdf