Niccolai Linda M, Livingston Kara A, Richardson Wanda, Jenkins Heidi
Yale University Department of Epidemiology and Public Health and Center for Interdisciplinary Research on AIDS, New Haven, CT, USA.
Sex Transm Dis. 2007 Nov;34(11):887-91. doi: 10.1097/OLQ.0b013e3180646422.
To examine sex partner meeting venues and out-of-state sex partners among men who have sex with men (MSM) with syphilis in Connecticut, a state with moderate syphilis prevalence.
To better understand transmission dynamics in the current syphilis epidemic.
Review of health department records.
A total of 185 MSM were diagnosed with early syphilis in Connecticut from 2000 to 2005 (mean age, 36 years; 56% white, 37% HIV-positive). Fifty-two percent of cases reported meeting sex partners at venues that facilitate multiple and/or anonymous sexual encounters including gay clubs or bars (22%), Internet (18%), and adult bookstores (12%). Meeting sex partners in venues increased over time and was associated with nonmetropolitan residence of the case. Forty-three percent of cases had an out-of-state sex partner during the time in which they likely acquired their infection. Having out-of-state sex partners decreased during the study period. Throughout 2000-2005, having out-of-state sex partners was positively associated with bathhouse use and negatively associated with use of adult bookstores.
The observed pattern of increased meeting sex partners in venues located within the state and decreased out-of-state sex partners over time is suggestive of increasing transmission within the state of Connecticut.
在梅毒患病率中等的康涅狄格州，调查男男性行为者（MSM）中梅毒患者的性伴侣结识场所及州外性伴侣情况。
更好地了解当前梅毒流行中的传播动态。
查阅卫生部门记录。
2000年至2005年期间，康涅狄格州共有185名男男性行为者被诊断为早期梅毒（平均年龄36岁；56%为白人，37%为艾滋病毒阳性）。52%的病例报告在促进多次和/或匿名性接触的场所结识性伴侣，包括同性恋俱乐部或酒吧（22%）、互联网（18%）和成人书店（12%）。在这些场所结识性伴侣的情况随时间增加，且与病例的非大都市居住地有关。43%的病例在可能感染梅毒期间有州外性伴侣。在研究期间，有州外性伴侣的情况有所减少。在2000 - 2005年期间，有州外性伴侣与使用澡堂呈正相关，与使用成人书店呈负相关。
观察到的州内场所结识性伴侣增加而州外性伴侣随时间减少的模式表明康涅狄格州内的传播在增加。
