%0 Journal Article %1 morris_prevalence_2006 %A Morris, Sheldon R %A Klausner, Jeffrey D %A Buchbinder, Susan P %A Wheeler, Sarah L %A Koblin, Beryl %A Coates, Thomas %A Chesney, Margaret %A Colfax, Grant N %D 2006 %J Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America %K Behavior, Diseases Diseases, Gonorrhea, Homosexuality, Humans, Incidence, Male, Neisseria Pharyngeal Prevalence, Prospective Sex, Sexual Sexually Studies, Transmitted gonorrhoeae, %N 10 %P 1284--1289 %R 10.1086/508460 %T Prevalence and incidence of pharyngeal gonorrhea in a longitudinal sample of men who have sex with men: the EXPLORE study %U http://www.ncbi.nlm.nih.gov/pubmed/17051493 %V 43 %X BACKGROUND: The prevalence of gonorrhea of the pharynx among select samples of men who have sex with men (MSM) ranges from 9\% to 15\%. To our knowledge, there have been no longitudinal studies in a prospective MSM cohort to estimate pharyngeal gonorrhea incidence or predictors of infection. We examined the prevalence, incidence, and sociodemographic and behavioral predictors of pharyngeal gonorrhea in a cohort of sexually active, human immunodeficiency virus-negative MSM. METHODS: We conducted a prospective study of pharyngeal gonorrhea among MSM who were enrolled in a behavioral intervention study to prevent human immunodeficiency virus infection (Project EXPLORE). Participants were enrolled in this ancillary study from March 2001 through July 2003. At baseline and every 6 months thereafter until 31 July 2003, participants were tested for pharyngeal gonorrhea and were administered a questionnaire regarding their oral sex practices. Rectal and urethral gonorrhea testing were also performed. RESULTS: Prevalence of pharyngeal gonorrhea was 5.5\% (136 cases diagnosed from 2475 tests). The incidence rate was 11.2 cases per 100 person-years. Pharyngeal gonorrhea was positively associated with younger age and the number of insertive oral sex partners in the past 3 months. Ejaculation did not increase the risk of pharyngeal gonorrhea. Gonorrhea of the pharynx was asymptomatic in 92\% of cases. CONCLUSIONS: The pharynx is a common, asymptomatic reservoir for gonorrhea in sexually active MSM.

@article{morris_prevalence_2006, abstract = {{BACKGROUND:} The prevalence of gonorrhea of the pharynx among select samples of men who have sex with men {(MSM)} ranges from 9\% to 15\%. To our knowledge, there have been no longitudinal studies in a prospective {MSM} cohort to estimate pharyngeal gonorrhea incidence or predictors of infection. We examined the prevalence, incidence, and sociodemographic and behavioral predictors of pharyngeal gonorrhea in a cohort of sexually active, human immunodeficiency virus-negative {MSM.} {METHODS:} We conducted a prospective study of pharyngeal gonorrhea among {MSM} who were enrolled in a behavioral intervention study to prevent human immunodeficiency virus infection {(Project} {EXPLORE).} Participants were enrolled in this ancillary study from March 2001 through July 2003. At baseline and every 6 months thereafter until 31 July 2003, participants were tested for pharyngeal gonorrhea and were administered a questionnaire regarding their oral sex practices. Rectal and urethral gonorrhea testing were also performed. {RESULTS:} Prevalence of pharyngeal gonorrhea was 5.5\% (136 cases diagnosed from 2475 tests). The incidence rate was 11.2 cases per 100 person-years. Pharyngeal gonorrhea was positively associated with younger age and the number of insertive oral sex partners in the past 3 months. Ejaculation did not increase the risk of pharyngeal gonorrhea. Gonorrhea of the pharynx was asymptomatic in 92\% of cases. {CONCLUSIONS:} The pharynx is a common, asymptomatic reservoir for gonorrhea in sexually active {MSM.}}, added-at = {2011-03-11T10:05:34.000+0100}, author = {Morris, Sheldon R and Klausner, Jeffrey D and Buchbinder, Susan P and Wheeler, Sarah L and Koblin, Beryl and Coates, Thomas and Chesney, Margaret and Colfax, Grant N}, biburl = {https://www.bibsonomy.org/bibtex/2aaad812c91d5a707a82d9a802f53b2f0/jelias}, doi = {10.1086/508460}, interhash = {db01398f278847b597c4c47417490a90}, intrahash = {aaad812c91d5a707a82d9a802f53b2f0}, issn = {1537-6591}, journal = {Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America}, keywords = {Behavior, Diseases Diseases, Gonorrhea, Homosexuality, Humans, Incidence, Male, Neisseria Pharyngeal Prevalence, Prospective Sex, Sexual Sexually Studies, Transmitted gonorrhoeae,}, month = nov, note = {{PMID:} 17051493}, number = 10, pages = {1284--1289}, shorttitle = {Prevalence and incidence of pharyngeal gonorrhea in a longitudinal sample of men who have sex with men}, timestamp = {2011-03-11T10:06:34.000+0100}, title = {Prevalence and incidence of pharyngeal gonorrhea in a longitudinal sample of men who have sex with men: the {EXPLORE} study}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17051493}, volume = 43, year = 2006 }