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Is Patient-Reported Exposure a Reliable Indicator for Anogenital Gonorrhea and Chlamydia Screening in Young Black Men Who Have Sex With Men?

Chamberlain, Nicholas MD*; Crosby, Richard A. PhD; Mena, Leandro MD, MPH*; Chan, Philip A. MD; Mayer, Kenneth H. MD§

Sexually Transmitted Diseases: July 2017 - Volume 44 - Issue 7 - p 390–392
doi: 10.1097/OLQ.0000000000000619

Abstract: Among 485 young black men who have sex with men recruited in Jackson, MS, 90-day anal sexual exposure significantly predicted rectal infection, but 19.4% of rectal infections would have been missed among men denying receptive anal sex. Reports of consistent condom use were associated with lower infection rates only in men reporting insertive anal sex.

This study of young black men who have sex with men in Jackson, MS, found that patient-reported receptive anal sex significantly predicted rectal infections; however, infection rates were high (19.4%) even among men denying receptive anal sex.

From the *Department of Medicine, University of Mississippi Medical Center, Jackson, MS; †College of Public Health at the University of Kentucky, Lexington, KY; ‡Division of Infectious Diseases, Brown University, Providence, RI; and §Fenway Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

Acknowledgements: The authors acknowledge the invaluable contributions made by the clinical and nursing staff at the Crossroads Clinic and the Open Arms Health Care Center and all the volunteers that participated in this study.

Conflicts of Interest: None declared.

This study was funded by a grant from the National Institute of Mental Health to the second author, R01MH092226.

Correspondence: Leandro Mena, MD, MPH, Department of Medicine, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216. E-mail:

Received for publication October 15, 2016, and accepted March 2, 2017.

© Copyright 2017 American Sexually Transmitted Diseases Association