Open AccessPopulation-level Benefits of Extragenital Gonorrhea Screening Among Men Who Have Sex With Men: An Exploratory Modeling Analysis
Author(s) -
Rebecca Earnest,
Minttu M Rönn,
Meghan Bellerose,
Thomas L. Gift,
Andrés A. Berruti,
Katherine Hsu,
Christian Testa,
Lin Zhu,
Yelena Malyuta,
Nicolas A Menzies,
Joshua A. Salomon
Publication year - 2020
Publication title -
sexually transmitted diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.507
H-Index - 105
eISSN - 1537-4521
pISSN - 0148-5717
DOI - 10.1097/olq.0000000000001189
Subject(s) - medicine , gonorrhea , incidence (geometry) , men who have sex with men , rectum , population , asymptomatic , pharynx , gynecology , demography , obstetrics , surgery , environmental health , syphilis , immunology , physics , human immunodeficiency virus (hiv) , sociology , optics
Men who have sex with men (MSM) are disproportionately burdened by gonorrhea and face high rates of extragenital (rectal and pharyngeal) infection, which is mostly asymptomatic and often missed by urogenital-only screening. Extragenital screening likely remains below Centers for Disease Control and Prevention-recommended levels. Because increasing screening coverage is often resource-intensive, we assessed whether improved extragenital screening among men already presenting at clinics could lead to substantial reductions in prevalence and incidence.