Is rectal gonorrhoea a lead indicator of HIV transmission among men who have sex with men in Victoria, Australia?Anna L. Wilkinson A B E , Megan S. C. Lim A B , Mark Stoové A , Christopher K. Fairley C D , Marcus Chen C D , Carol El-Hayek A , Ian Denham C and Margaret Hellard A
A Centre for Population Health, Burnet Institute, 85 Commercial Road, Melbourne, Vic. 3004, Australia.
B Department of Epidemiolgy and Preventative Medicine, Monash University, Melbourne, Vic. 3004, Australia.
C Melbourne Sexual Health Centre, Carlton, Vic. 3053, Australia.
D School of Population Health, University of Melbourne, Melbourne, Vic. 3052, Australia.
E Corresponding author. Email: email@example.com
Sexual Health 10(2) 188-189 http://dx.doi.org/10.1071/SH12145
Submitted: 27 August 2012 Accepted: 31 August 2012 Published: 21 December 2012
Objectives: To examine whether rectal gonorrhoea (RG; Neisseria gonorrhoeae) can be used as a lead indicator of trends in HIV diagnosis in men who have sex with men (MSM). Methods: Data from a metropolitan sexual health centre in Victoria, Australia, on RG and HIV tests in HIV-negative MSM from January 2006 to December 2011 were examined. Results: Allowing RG a 12-month lead over HIV showed no concordance in proportion positive (r = 0.27; P-value = 0.28). Conclusions: The data do not support use of RG trends as a lead indicator of trends in HIV among MSM.
Additional keywords: gay men, surveillance, trends.
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