Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Clin Infect Dis. 2019 Mar 5;68(6):934-939. doi: 10.1093/cid/ciy571.
Guidelines recommend that sexually active men who have sex with men (MSM) including human immunodeficiency virus (HIV)-positive MSM be tested at least annually for syphilis, with testing every 3-6 months for MSM at elevated risk. We examined the proportion of HIV-positive MSM tested for syphilis in the past 3, 6, and 12 months by their HIV care provider during 2013-2014.
Using data from the Medical Monitoring Project, a population-based HIV surveillance system, we evaluated the proportion of MSM who had documentation of being tested for syphilis by their HIV care provider in the past 3, 6, and 12 months.
During 2013-2014, 71% (95% confidence interval [CI]: 69%-73%) of sexually active HIV-positive MSM were tested for syphilis in the past year. This proportion was higher among MSM reporting condomless sex: (75%; 95% CI: 72%-78%), and among MSM reporting ≥ 2 sex partners (77%; 95% CI: 74%-79%), in the past 12 months. Among MSM reporting condomless sex, 49% (95% CI: 45%-53%) were tested in the past 6 months, and 26% (95% CI: 22%-30%) in the past 3 months. Among MSM reporting ≥ 2 sex partners, 49% (95% CI: 44%-54%) were tested in the past 6 months and 26% (95% CI: 22%-29%) in the past 3 months.
Nearly one-third of sexually active HIV-positive MSM were not tested annually, and many at increased risk were not tested at recommended frequencies. Efforts to improve compliance with screening guidelines for high-risk HIV-positive MSM are warranted.
指南建议，包括 HIV 阳性的男男性接触者（MSM）在内的性活跃男性应至少每年进行一次梅毒检测，对于风险较高的 MSM 应每 3-6 个月进行一次检测。我们在 2013-2014 年期间，通过 HIV 护理提供者检查了过去 3、6 和 12 个月内接受梅毒检测的 HIV 阳性 MSM 的比例。
利用基于人群的 HIV 监测系统——医学监测项目的数据，我们评估了过去 3、6 和 12 个月内，HIV 护理提供者对 MSM 进行梅毒检测的记录比例。
在 2013-2014 年期间，71%（95%置信区间[CI]：69%-73%）的性活跃 HIV 阳性 MSM 在过去一年中接受了梅毒检测。在过去 12 个月中报告有过无保护性行为的 MSM 中（75%；95% CI：72%-78%）和报告有≥2 个性伴侣的 MSM 中（77%；95% CI：74%-79%），这一比例更高。在报告有过无保护性行为的 MSM 中，49%（95% CI：45%-53%）在过去 6 个月内接受了检测，26%（95% CI：22%-30%）在过去 3 个月内接受了检测。在报告有≥2 个性伴侣的 MSM 中，49%（95% CI：44%-54%）在过去 6 个月内接受了检测，26%（95% CI：22%-29%）在过去 3 个月内接受了检测。
近三分之一的性活跃 HIV 阳性 MSM 未每年接受检测，许多处于较高风险的 MSM 也未按建议的频率接受检测。有必要努力提高高风险 HIV 阳性 MSM 对筛查指南的依从性。
