Objective To better understand rectal STI screening practices for Black gay, bisexual and other men who have sex with men (BGBMSM).
Findings Although 15% of BGBMSM lab tested positive for a rectal STI, the majority of these (94%) were asymptomatic. Though all participants reported their status as HIV negative/unknown, 31 of 331 (9.4%) tested positive on HIV rapid tests. Neither condomless anal intercourse nor the number of male sex partners was associated with rectal STI or HIV diagnosis, although rectal STI diagnosis was positively related to testing HIV positive.
Conclusions Findings suggest that substantial numbers of BGBMSM have asymptomatic STIs but are not tested—an outcome that is likely a strong driver of onward HIV acquisition. Therefore, we must address the asymptomatic STI epidemic among GBMSM in order to reduce HIV transmission, as well as temper STI transmission, among this key population.
- sexual health
Statistics from Altmetric.com
Handling editor Jamie Scott Frankis
Contributors LE designed and carried out original study by selecting study participants and designing/employing surveys. RW, CC and LE analysed and interpreted the data. RW, CC, LE, VE, KR and JLM wrote and edited the manuscript.
Funding We acknowledge funding from the National Institutes of Health: LE (R01MH109409, P30AI050409, R34MH115798), JLM and KR (T32AI102623), CC (K01HD097218), VE (K01DA042881) and RW (K01DA047918).
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.