3 ms·

Of course a decrease in condom use would most likely yield an increase in STD rates in any community. I'm having trouble discerning which source supports this:

Of course a decrease in condom use would most likely yield an increase in STD rates in any community. I'm having trouble discerning which source supports this: >are prevalent in certain communities at higher rates. You then seem to switch your perspective in the comment I'm replying to: > total number of infected persons is probably not as meaningful a metric in terms of transmission risk Which I would agree with, but you're not even addressing it. And of course the obvious needs to be said, the total number of people effected is needed to to ascertain which STD's "are prevalent in certain communities at higher rates." I'm still trying to figure out which STD's (besides HIV in the Western hemisphere), you're talking about. Also if you're going to source stuff could you be bothered to not link to opinion pieces that are just a collection of cherry-picked quotes? There was no data or real scientific hypothesis involved. It was an opinion piece from an author who has quite the record on fighting LGBT+ rights. In fact there are two authors who clearly have a religious context to their arguments, a context that is detrimental to any rational conversation about this subject. It's well understood that such attitudes affect care and treatment, and the willingness to seek out care and treatment for young LGBT+ people. At best it's just non-sense, at worst such authors are actively helping the problem stay around.

rdl 8y ago
1) "About 10% of new Hepatitis A and 20% of all new Hepatitis B infections in the United States are among gay and bisexual men" (CDC, https://www.cdc.gov/msmhealth/viral-hepatitis.htm https://www.cdc.gov/msmhealth/viral-hepatitis.htm) -- that's a much higher number than the incidence of gay and bisexual men in the overall population of the US (2-5%?). 2) "Gay and bisexual men and other men who have sex with men have the highest prevalences of gonorrhea, chlamydia, and early syphilis." (SFDPH, https://www.sfdph.org/dph/files/reports/StudiesData/STD/SFSTDAnnlSum2014.pdf https://www.sfdph.org/dph/files/reports/StudiesData/STD/SFST...) 3) "Men who have anal sex with men (MSM) are more likely to get anal HPV than men who only have sex with women. Researchers estimate that the prevalence of anal HPV among men who only have sex with women is around 15% while anal HPV prevalence for MSM is around 60%." (https://betablog.org/anal-cancer-hpv-gay-men-need-know/ https://betablog.org/anal-cancer-hpv-gay-men-need-know/ which references http://jid.oxfordjournals.org/content/203/1/66.full.pdf+html http://jid.oxfordjournals.org/content/203/1/66.full.pdf+html)
- kadendogthing 8y ago
  >that's a much higher number than the incidence of gay and bisexual men in the overall population of the US (2-5%?) 1) A valid insight, but misdirected. The prevalence rate is still higher in heterosexuals. You'll find a common point in many medical texts that a lot of what happens in the homosexual community, disease wise, is due to how small it is. A smaller network makes it easier/faster for every node to get the message. >Gay and bisexual men and other men who have sex with men have the highest prevalences of gonorrhea, chlamydia, and early syphilis. 2) Right, in San Francisco. Not world wide. >Men who have anal sex with men (MSM) are more likely to get anal HPV than men who only have sex with women. 3) This isn't surprising, since homosexuals definitely have more anal sex than heterosexuals. You should compare this to general HPV rates. I am still awaiting support for your original claim about homosexual sex.

rdl 8y ago

1) "About 10% of new Hepatitis A and 20% of all new Hepatitis B infections in the United States are among gay and bisexual men" (CDC, https://www.cdc.gov/msmhealth/viral-hepatitis.htm https://www.cdc.gov/msmhealth/viral-hepatitis.htm) -- that's a much higher number than the incidence of gay and bisexual men in the overall population of the US (2-5%?). 2) "Gay and bisexual men and other men who have sex with men have the highest prevalences of gonorrhea, chlamydia, and early syphilis." (SFDPH, https://www.sfdph.org/dph/files/reports/StudiesData/STD/SFSTDAnnlSum2014.pdf https://www.sfdph.org/dph/files/reports/StudiesData/STD/SFST...) 3) "Men who have anal sex with men (MSM) are more likely to get anal HPV than men who only have sex with women. Researchers estimate that the prevalence of anal HPV among men who only have sex with women is around 15% while anal HPV prevalence for MSM is around 60%." (https://betablog.org/anal-cancer-hpv-gay-men-need-know/ https://betablog.org/anal-cancer-hpv-gay-men-need-know/ which references http://jid.oxfordjournals.org/content/203/1/66.full.pdf+html http://jid.oxfordjournals.org/content/203/1/66.full.pdf+html)

kadendogthing 8y ago
>that's a much higher number than the incidence of gay and bisexual men in the overall population of the US (2-5%?) 1) A valid insight, but misdirected. The prevalence rate is still higher in heterosexuals. You'll find a common point in many medical texts that a lot of what happens in the homosexual community, disease wise, is due to how small it is. A smaller network makes it easier/faster for every node to get the message. >Gay and bisexual men and other men who have sex with men have the highest prevalences of gonorrhea, chlamydia, and early syphilis. 2) Right, in San Francisco. Not world wide. >Men who have anal sex with men (MSM) are more likely to get anal HPV than men who only have sex with women. 3) This isn't surprising, since homosexuals definitely have more anal sex than heterosexuals. You should compare this to general HPV rates. I am still awaiting support for your original claim about homosexual sex.