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Use of gender distribution in routine surveillance data to detect potential transmission of gastrointestinal infections among men who have sex with men in England
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Mook, Piers, Gardiner, D., Kanagarajah, S., Kerac, M., Hughes, G., Field, N., McCarthy, Noel D., Rawlings, C., Simms, I., Lane, C. and Crook, P. D. (2018) Use of gender distribution in routine surveillance data to detect potential transmission of gastrointestinal infections among men who have sex with men in England. Epidemiology and Infection, 146 (11). pp. 1468-1477. doi:10.1017/S0950268818001681 ISSN 0950-2688.
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WRAP-gender-distribution-transmission-gastrointestinal-infections-men-sex-England-McCarthy-2018.pdf - Accepted Version - Requires a PDF viewer. Download (1488Kb) | Preview |
Official URL: http://dx.doi.org/10.1017/S0950268818001681
Abstract
Detecting gastrointestinal (GI) infection transmission among men who have sex with men (MSM) in England is complicated by a lack of routine sexual behavioural data. We investigated whether gender distributions might generate signals for increased transmission of GI pathogens among MSM. We examined the percentage male of laboratory-confirmed patient-episodes for patients with no known travel history for 10 GI infections of public health interest in England between 2003 and 2013, stratified by age and region. An adult male excess was observed for Shigella spp. (annual maximum 71% male); most pronounced for those aged 25–49 years and living in London, Brighton and Manchester. An adult male excess was observed every year for Entamoeba histolytica (range 59.8–76.1% male), Giardia (53.1–57.6%) and Campylobacter (52.1–53.5%) and for a minority of years for hepatitis A (max. 69.8%) and typhoidal salmonella (max. 65.7%). This approach generated a signal for excess male episodes for six GI pathogens, including a characterised outbreak of Shigella among MSM. Stratified analyses by geography and age group were consistent with MSM transmission for Shigella. Optimisation and routine application of this technique by public health authorities elsewhere might help identify potential GI infection outbreaks due to sexual transmission among MSM, for further investigation.
Item Type: | Journal Article | ||||||||
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Subjects: | H Social Sciences > HQ The family. Marriage. Woman R Medicine > RC Internal medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
Library of Congress Subject Headings (LCSH): | Gastrointestinal system -- Diseases -- England, Gay men -- Sexual behavior -- Health aspects -- England | ||||||||
Journal or Publication Title: | Epidemiology and Infection | ||||||||
Publisher: | Cambridge University Press | ||||||||
ISSN: | 0950-2688 | ||||||||
Official Date: | August 2018 | ||||||||
Dates: |
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Volume: | 146 | ||||||||
Number: | 11 | ||||||||
Page Range: | pp. 1468-1477 | ||||||||
DOI: | 10.1017/S0950268818001681 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Copyright Holders: | Copyright © Cambridge University Press 2018 | ||||||||
Date of first compliant deposit: | 12 July 2018 | ||||||||
Date of first compliant Open Access: | 20 December 2018 | ||||||||
RIOXX Funder/Project Grant: |
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