Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014

BMC Public Health

Agathe Goubard¹  Pervenche Martinet²  Sébastien Fouere³  François Lassau⁴  Beatrice Bercot⁵  Nicolas Dupin⁶  William Tosini⁷  Annie Velter⁸  Ndeindo Ndeikoundam Ngangro⁸  Lucie Leon⁸  Oche Adam Itodo⁸  Delphine Viriot⁸  Florence Lot⁸  Sophie Florence⁹ 

[1] Alfred Fournier Institute, Paris, France;Departmental Committee of Bouches-du-Rhônes, Marseille, France;Dermatology Department, AP-HP, Saint-Louis Hospital, Paris, France;Dermatology Department, AP-HP, Saint-Louis Hospital, Paris, France;Departmental Committee of Seine Saint Denis, Bobigny, France;French National Reference Centre for Bacterial STI (Gonorhoae), APHP, Saint Louis University Hospital, Paris, France;French National Reference Centre for Bacterial STI (Syphilis), APHP, Cochin University Hospital, Paris, France;STI Clinic (CeGIDD), Alfred Fournier Institute, Paris, France;Santé Publique France (The French National Public Health Agency), Saint Maurice, France;Sexual Health Centre Figuier, Paris, France;

关键词: Gonorrhoea;    France;    MSM;    Surveillance;    Sexual behaviour;   

DOI  :  10.1186/s12889-020-09703-4

来源: Springer

【 摘 要 】

BackgroundGonorrhoea is increasing in France since its resurgence in the late 1990’s. Understanding trends of condomless sex is a requirement to tailor prevention toward most exposed individuals. This study aims to analyse trends and determinants of condomless penetrative sex (PS) in MSM and heterosexuals diagnosed with gonorrhoea in France.MethodsA standardized self-administered questionnaire filled by 3453 patients was used to monitor condomless sex through the sentinel surveillance network ResIST between 2005 and 2014. Trends were used to describe consistent condom use for penetrative sex (PS). A logistic regression model analysed patients’ characteristics associated with condomless PS.ResultsBetween 2005 and 2014, condomless PS increased regardless of sexual orientation. Condomless PS was particularly common among HIV positive men who have sex with men (MSM (65%)). People living in metropolitan regions outside Paris area (adjusted odds-ratio (AOR) [95% CI] =1.33[1.12–1.58]) were more likely to engage in condomless PS. Conversely, MSM (AOR [95% CI] =0.21 [0.16–0.29]), HIV seronegative patients (AOR [95% CI] =0.68 [0.51–0.89]), patients diagnosed in hospital (AOR [95% CI] = 0.66 [0.45–0.97]) and multi-partners (≥ 10 partners, AOR [95% CI] = 0.54 [0.40–0.74]) were more likely to use condoms.ConclusionsThese findings highlight a decreasing use of condom in MSM and heterosexuals diagnosed with gonorrhoea. Prevention strategies should take in account drivers of condomless sex in a context of uncontrolled STI epidemics.

【 授权许可】

CC BY