Overlapping Transmission Networks of Early Syphilis and/or Newly HIV Diagnosed Gay, Bisexual and Other Men Who Have Sex with Men (MSM): Opportunities for Optimizing Public Health Interventions

Syphilis and HIV among gay, bisexual and other men who have sex with men (MSM) are syndemic suggesting current prevention strategies are not effective. Sex partner meeting places and their networks may yield effective and optimal interventions. From 2009 to 2017, 57 unique venues were reported by &g...

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Vydané v:	AIDS and behavior Ročník 24; číslo 10; s. 2895 - 2905
Hlavní autori:	Jennings, Jacky M., Tilchin, Carla, Meza, Benjamin, Schumacher, Christina, Fields, Errol, Latkin, Carl, Rompalo, Anne, Greenbaum, Adena, Ghanem, Khalil G.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	New York Springer US 01.10.2020 Springer Nature B.V
Predmet:	Bisexuality Disease transmission Eigenvectors Epidemics Gays & lesbians Health education Health promotion Health Psychology HIV HIV Infections - diagnosis HIV Infections - epidemiology HIV Infections - transmission Homosexuality Homosexuality, Male Human immunodeficiency virus Humans Infectious Diseases Internet Intervention LGBTQ people Male Medical diagnosis Medicine Medicine & Public Health Men Men who have sex with men Mens health Network analysis Networks Optimization Original Paper Prevention Public Facilities Public Health Risk Factors Segmentation Sexual and Gender Minorities - psychology Sexual Behavior Sexual Partners Sexually transmitted diseases Social Environment Social Networking STD Syphilis Syphilis - diagnosis Syphilis - epidemiology Syphilis - transmission Sex partner meeting places HIV MSM Syphilis Venue co-affiliation networks
ISSN:	1090-7165, 1573-3254, 1573-3254
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Shrnutí:	Syphilis and HIV among gay, bisexual and other men who have sex with men (MSM) are syndemic suggesting current prevention strategies are not effective. Sex partner meeting places and their networks may yield effective and optimal interventions. From 2009 to 2017, 57 unique venues were reported by > 1 MSM and 7.0% (n = 4), 21.1% (n = 12) and 71.9% (n = 41) were classified as syphilis, HIV or co-diagnosed venues, respectively. Forty-nine venues were connected in one main network component with four online, co-diagnosis venues representing 51.6% of reports and the highest degree and eigenvector centralities. In a sub-analysis during a local syphilis epidemic, the proportion of venues connected in the main component increased 38.7% (61.5% to 86.4%); suggesting increasing overlap in syphilis and HIV transmission and density of the venue network structure over time. This network analysis may identify the optimal set of venues for tailored interventions. It also suggests increasing difficulty of interrupting network transmission through fragmentation.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	1090-7165 1573-3254 1573-3254
DOI:	10.1007/s10461-020-02840-2