RT Journal Article SR Electronic T1 High levels of undiagnosed rectal STIs suggest that screening remains inadequate among Black gay, bisexual and other men who have sex with men JF Sexually Transmitted Infections JO Sex Transm Infect FD BMJ Publishing Group Ltd SP 125 OP 127 DO 10.1136/sextrans-2020-054563 VO 98 IS 2 A1 Ryan J Watson A1 Charlene Collibee A1 Jessica L Maksut A1 Valerie A Earnshaw A1 Katherine Rucinski A1 Lisa Eaton YR 2022 UL http://sti.bmj.com/content/98/2/125.abstract AB 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.