Low Awareness of Mycoplasma genitalium in Men Who Have Sex With Men in Sydney, Australia. Issue 12 (December 2021)
- Record Type:
- Journal Article
- Title:
- Low Awareness of Mycoplasma genitalium in Men Who Have Sex With Men in Sydney, Australia. Issue 12 (December 2021)
- Main Title:
- Low Awareness of Mycoplasma genitalium in Men Who Have Sex With Men in Sydney, Australia
- Authors:
- Varma, Rick
Bradley, Isabella
Patel, Prital
McNulty, Anna - Abstract:
- Abstract : Objectives: Mycoplasma genitalium ( M. genitalium ) is a sexually transmitted infection of importance because of the high prevalence rates and antimicrobial resistance (AMR) among men who have sex with men (MSM). Methods: A prospective cross-sectional analysis was carried out on MSM who presented rectally asymptomatic at a central Sydney sexual health clinic or a community site for routine testing. Between March and May 2017, participants were asked to complete a questionnaire before testing. We used multivariable logistic regression to identify factors associated with awareness and concern toward M. genitalium and AMR. Results: Overall, 692 (92.5%) of 746 (95% confidence interval [CI], 90.7–94.5) MSM had no prior awareness of M. genitalium ; 512 (68.6%) of 746 (95% CI, 65.2–72.0) were not concerned or were neutral about the infection; and 234 (31.4%) of 746 (95% CI, 28.0–34.8) were a little, somewhat, or very concerned. High partner numbers (adjusted odds ratio [AOR], 4.2; 95% CI, 2.1–8.2) and inconsistent condom users (AOR, 3.1; 95% CI, 1.2–8.2) and no condoms used (AOR, 3.9; 95% CI, 1.2–12.6) were associated with awareness of the infection. Time since arrival in Australia of more than 10 years (AOR, 1.73; 95% CI, 1.09–2.75), more than 12 months (AOR, 1.91; 95% CI, 1.31–2.79), and recreational drug use (AOR, 1.95; 95% CI, 1.17–3.24) were associated with concern around having M. genitalium . Overall, 61.6% (458/744; 95% CI, 58.2–65.3) MSM reported that they wouldAbstract : Objectives: Mycoplasma genitalium ( M. genitalium ) is a sexually transmitted infection of importance because of the high prevalence rates and antimicrobial resistance (AMR) among men who have sex with men (MSM). Methods: A prospective cross-sectional analysis was carried out on MSM who presented rectally asymptomatic at a central Sydney sexual health clinic or a community site for routine testing. Between March and May 2017, participants were asked to complete a questionnaire before testing. We used multivariable logistic regression to identify factors associated with awareness and concern toward M. genitalium and AMR. Results: Overall, 692 (92.5%) of 746 (95% confidence interval [CI], 90.7–94.5) MSM had no prior awareness of M. genitalium ; 512 (68.6%) of 746 (95% CI, 65.2–72.0) were not concerned or were neutral about the infection; and 234 (31.4%) of 746 (95% CI, 28.0–34.8) were a little, somewhat, or very concerned. High partner numbers (adjusted odds ratio [AOR], 4.2; 95% CI, 2.1–8.2) and inconsistent condom users (AOR, 3.1; 95% CI, 1.2–8.2) and no condoms used (AOR, 3.9; 95% CI, 1.2–12.6) were associated with awareness of the infection. Time since arrival in Australia of more than 10 years (AOR, 1.73; 95% CI, 1.09–2.75), more than 12 months (AOR, 1.91; 95% CI, 1.31–2.79), and recreational drug use (AOR, 1.95; 95% CI, 1.17–3.24) were associated with concern around having M. genitalium . Overall, 61.6% (458/744; 95% CI, 58.2–65.3) MSM reported that they would increase condom use (38.6% agreed and 23.1% strongly agreed) after reading about AMR. Among the remaining 38.4% (286/744), 28.4% indicated a neutral response to increasing their condom use. Relative to MSM born in Australia, Latin American (AOR, 7.3; 95% CI, 2.9–18.4) or Asian MSM (AOR, 2.3; 95% CI, 1.4–3.3), were significantly more likely to increase condom use after reading a statement on AMR. Conclusions: Knowledge of M. genitalium remains low among MSM. Targeted messages using AMR and treatment difficulties with M. genitalium is unlikely to change behavior for a large proportion of MSM. Abstract : Mycoplasma genitalium is affected by antimicrobial resistance. Knowledge remains low, targeted messages using antimicrobial resistance and treatment difficulties are unlikely to change behavior for a large proportion of men who have sex with men.Supplemental digital content is available in the text. … (more)
- Is Part Of:
- Sexually transmitted diseases. Volume 48:Issue 12(2021)
- Journal:
- Sexually transmitted diseases
- Issue:
- Volume 48:Issue 12(2021)
- Issue Display:
- Volume 48, Issue 12 (2021)
- Year:
- 2021
- Volume:
- 48
- Issue:
- 12
- Issue Sort Value:
- 2021-0048-0012-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-12
- Subjects:
- Sexually transmitted diseases -- Periodicals
Sexual health -- Periodicals
616.951005 - Journal URLs:
- http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=toc&D=ovft&AN=00007435-000000000-00000 ↗
http://www.stdjournal.com ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/OLQ.0000000000001487 ↗
- Languages:
- English
- ISSNs:
- 0148-5717
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 8254.486500
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 25750.xml