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dc.contributor.authorMarcus, Ulrich
dc.contributor.authorJonas, Kai
dc.contributor.authorBerg, Rigmor
dc.contributor.authorVeras, Maria Amelia
dc.contributor.authorCaceres, Carlos F.
dc.contributor.authorCasabona, Jordi
dc.contributor.authorSchink, Susanne B.
dc.contributor.authorSchmidt, Axel J.
dc.date.accessioned2023-02-08T08:16:25Z
dc.date.available2023-02-08T08:16:25Z
dc.date.issued2023-01-03
dc.description.abstractBackground: Partner notifcation (PN) after a sexually transmitted infection (STI) diagnosis is being promoted as a means to interrupt transmission chains. We investigated whether Internalised Homonegativity (IH) is associated with PN among men having sex with men (MSM).<p> <p>Methods: PN, defned as notifying at least one partner after diagnosis of syphilis and gonorrhoea, was queried in two internet-based self-completion surveys conducted between Oct 2017 and May 2018 in 68 countries in Europe, Latin America, Canada, and the Philippines. IH is defned by a man’s level of agreement or disagreement with negative social beliefs about male homosexuality. Covariates included in a multivariate regression model with a random intercept at country level were age, HIV diagnosis, partnership status, sexual self-efcacy, HIV serostatus communication during last sex with a non-steady partner, place where this partner was met, and PN-related socio-historical background of the country of residence. We grouped countries in three areas: North- and Central-Western European countries plus Canada, former socialist countries, and Latin-American/Mediterranean countries plus the Philippines. In each of the three areas individuals were assigned to 4 subgroups based on IH quartiles and PN rates were determined for each subgroup. <p>Results: PN rates were calculated for 49 countries (excluding countries with less than 10 diagnoses). Mean proportions of MSM notifying their partners were 68.1% and 72.9% after syphilis and gonorrhoea diagnoses, respectively. PN rates were lower in Latin American countries and the Philippines compared to European countries. Within Europe, a North–South divide with lower PN rates in Mediterranean countries was observed. In each of the three regions we mostly observed a stepwise increase of PN rates with decreasing IH. Regression analysis showed lower IH scores associated with higher PN rates. Higher perceived self-efcacy, living in a partnership, and HIV status communication were positively associated with PN. Men who had met their last partner in a gay social venue were more likely to have notifed their partners of a syphilis diagnosis compared to men who had met this partner online. Men with diagnosed HIV were less likely to report PN. <p>Conclusions: We could demonstrate that IH was associated with PN among MSM across all countries included in our analysis. Reducing cultural homophobia and ensuring inclusive policies may contribute to STI prevention and control.en_US
dc.identifier.citationMarcus, Jonas, Berg, Veras, Caceres, Casabona, Schink, Schmidt. Association of internalised homonegativity with partner notifcation after diagnosis of syphilis or gonorrhoea among men having sex with men in 49 countries across four continents. BMC Public Health. 2023;23(8):1-12en_US
dc.identifier.cristinIDFRIDAID 2123298
dc.identifier.doi10.1186/s12889-022-14891-2
dc.identifier.issn1471-2458
dc.identifier.urihttps://hdl.handle.net/10037/28510
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Public Health
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleAssociation of internalised homonegativity with partner notifcation after diagnosis of syphilis or gonorrhoea among men having sex with men in 49 countries across four continentsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)