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For: Ovens KJ, Reynolds-Wright JJ, Cross ELA, Rickwood L, Hassan-Ibrahim MO, Soni S. High rates of treatment failure for Mycoplasma genitalium among men and women attending a sexual health clinic. BMJ Sex Reprod Health 2020;46:132-138. [PMID: 31722934 DOI: 10.1136/bmjsrh-2019-200384] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 10/13/2019] [Accepted: 10/22/2019] [Indexed: 06/10/2023]

For:	Ovens KJ, Reynolds-Wright JJ, Cross ELA, Rickwood L, Hassan-Ibrahim MO, Soni S. High rates of treatment failure for Mycoplasma genitalium among men and women attending a sexual health clinic. BMJ Sex Reprod Health 2020;46:132-138. [PMID: 31722934 DOI: 10.1136/bmjsrh-2019-200384] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 10/13/2019] [Accepted: 10/22/2019] [Indexed: 06/10/2023]

Number	Cited by Other Article(s)
1	Low Awareness of Mycoplasma genitalium in men who have sex with men (MSM) in Sydney, Australia. Sex Transm Dis 2021;48:955-958. [PMID: 34110730 DOI: 10.1097/olq.0000000000001487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Abstract OBJECTIVES Mycoplasma genitalium (M.genitalium) is a sexually transmitted infection of importance due to high prevalence rates and antimicrobial resistance (AMR) among men who have sex with men (MSM). METHODS A prospective cross-sectional analysis was carried out on MSM who presented rectally asymptomatic at a central Sydney sexual health clinic or a community site for routine testing. Between March and May 2017, participants were asked to complete a questionnaire prior to testing. We used multivariable logistic regression to identify factors associated with awareness and concern towards M.genitalium and AMR. RESULTS Overall 692/746 (92.5 %, 95%CI 90.7-94.5) MSM had no prior awareness of M.genitalium, 512/746 (68.6%, 95% CI 65.2-72.0) were not concerned or were neutral about the infection, 234/746 (31.4%, 95% CI: 28.0-34.8) were a little, somewhat, or very concerned. High partner numbers (AOR 4.2, 95% CI 2.1-8.2) and inconsistent condom users (AOR 3.1, 95% CI 1.2-8.2) and no condoms used (AOR 3.9, 95% CI 1.2-12.6) were associated with awareness of the infection. Time since arrival in Australia of more than 10 years (AOR 1.73, 95% CI 1.09-2.75), more than 12 months (AOR 1.91, 95%CI 1.31-2.79), and recreational drug use (AOR 1.95, 1.17-3.24) were associated with concern around having M.genitalium. Overall 61.6% (458/744 CI: 58.2-65.3) MSM reported that they would increase condom use (38.6% agreed and 23.1% strongly agreed) after reading about AMR. Among the remaining 38.4% (286/744), 28.4% indicated a neutral response to increasing their condom use. Relative to MSM born in Australia, Latin American (AOR 7.3, 95% CI 2.9-18.4) or Asian MSM (AOR 2.3, 95%CI 1.4-3.3), were significantly more likely to increase condom use after reading a statement on AMR. CONCLUSIONS Knowledge of M.genitalium remains low amongst MSM. Targeted messages using AMR and treatment difficulties with M.genitalium is unlikely to change behaviour for a large proportion of MSM. Collapse Key Words Collapse MESH Headings Collapse Grants Collapse Affiliation(s) Collapse

Number

Cited by Other Article(s)

Low Awareness of Mycoplasma genitalium in men who have sex with men (MSM) in Sydney, Australia. Sex Transm Dis 2021;48:955-958. [PMID: 34110730 DOI: 10.1097/olq.0000000000001487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]

Abstract

OBJECTIVES

Mycoplasma genitalium (M.genitalium) is a sexually transmitted infection of importance due to high prevalence rates and antimicrobial resistance (AMR) among men who have sex with men (MSM).

METHODS

A prospective cross-sectional analysis was carried out on MSM who presented rectally asymptomatic at a central Sydney sexual health clinic or a community site for routine testing. Between March and May 2017, participants were asked to complete a questionnaire prior to testing. We used multivariable logistic regression to identify factors associated with awareness and concern towards M.genitalium and AMR.

RESULTS

Overall 692/746 (92.5 %, 95%CI 90.7-94.5) MSM had no prior awareness of M.genitalium, 512/746 (68.6%, 95% CI 65.2-72.0) were not concerned or were neutral about the infection, 234/746 (31.4%, 95% CI: 28.0-34.8) were a little, somewhat, or very concerned. High partner numbers (AOR 4.2, 95% CI 2.1-8.2) and inconsistent condom users (AOR 3.1, 95% CI 1.2-8.2) and no condoms used (AOR 3.9, 95% CI 1.2-12.6) were associated with awareness of the infection. Time since arrival in Australia of more than 10 years (AOR 1.73, 95% CI 1.09-2.75), more than 12 months (AOR 1.91, 95%CI 1.31-2.79), and recreational drug use (AOR 1.95, 1.17-3.24) were associated with concern around having M.genitalium. Overall 61.6% (458/744 CI: 58.2-65.3) MSM reported that they would increase condom use (38.6% agreed and 23.1% strongly agreed) after reading about AMR. Among the remaining 38.4% (286/744), 28.4% indicated a neutral response to increasing their condom use. Relative to MSM born in Australia, Latin American (AOR 7.3, 95% CI 2.9-18.4) or Asian MSM (AOR 2.3, 95%CI 1.4-3.3), were significantly more likely to increase condom use after reading a statement on AMR.

CONCLUSIONS

Knowledge of M.genitalium remains low amongst MSM. Targeted messages using AMR and treatment difficulties with M.genitalium is unlikely to change behaviour for a large proportion of MSM.

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