An Qian, Wejnert Cyprian, Bernstein Kyle, Paz-Bailey Gabriela
Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
J Acquir Immune Defic Syndr. 2017 Jul 1;75 Suppl 3:S363-S369. doi: 10.1097/QAI.0000000000001412.
Annual screening for syphilis is indicated for all sexually active men who have sex with men (MSM).
Using National HIV Behavioral Surveillance data from 2008, 2011, and 2014, we assessed trends in self-reported syphilis testing and diagnoses in the past 12 months among MSM. We calculated percentages of syphilis screening and diagnosis by selected characteristics for each year. Trends were assessed using Poisson regression models with generalized estimation equations. Analysis of syphilis diagnosis was limited to participants who reported syphilis screening.
Analysis included data from 28,295 sexually active MSM. Overall, 49% of MSM interviewed in 2014 reported syphilis screening, a significant increase from 40% in 2011 and 38% in 2008. In 2014, syphilis screening was most commonly reported by MSM who were aged 25-29 years (56%), HIV positive (68%), and had >10 sexual partners in the past 12 months (65%). The largest increases in syphilis screening between 2008 and 2014 were among MSM aged 30-39 years (37%-52%) and MSM who reported >10 sex partners (48%-65%). Among MSM who reported syphilis screening, the diagnoses of syphilis increased from 9% in 2008 to 11% in 2014. Increases in syphilis diagnosis were observed among MSM who were aged 25-29 years (6%-10%), black (9%-14%), HIV positive (15%-21%), and reported >10 sexual partners (11%-17%).
Although syphilis screening among MSM increased during 2008-2014, less than half of MSM reported recent syphilis screening in 2014. Given continued increases in syphilis among MSM, innovative interventions are needed to improve compliance with screening recommendations.
对于所有有性行为的男男性行为者（MSM），建议每年进行梅毒筛查。
利用2008年、2011年和2014年的全国艾滋病毒行为监测数据，我们评估了MSM在过去12个月中自我报告的梅毒检测和诊断趋势。我们计算了每年按选定特征划分的梅毒筛查和诊断百分比。使用带有广义估计方程的泊松回归模型评估趋势。梅毒诊断分析仅限于报告进行过梅毒筛查的参与者。
分析纳入了28295名有性行为的MSM的数据。总体而言，2014年接受访谈的MSM中有49%报告进行了梅毒筛查，显著高于2011年的40%和2008年的38%。2014年，年龄在25 - 29岁的MSM（56%）、艾滋病毒呈阳性的MSM（68%）以及在过去12个月中有超过10个性伴侣的MSM（65%）报告梅毒筛查的比例最高。2008年至2014年期间，梅毒筛查增幅最大的是年龄在30 - 39岁的MSM（从37%增至52%）以及报告有超过10个性伴侣的MSM（从48%增至65%）。在报告进行过梅毒筛查的MSM中，梅毒诊断率从2008年的9%增至2014年的1
