{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:54:09Z","timestamp":1790060049468,"version":"4.0.1"},"reference-count":20,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":2369,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,13]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Gonorrhoea notifications continue to rise among gay and bisexual men in Australia and around the world. More information is needed on infection trends, accounting for testing and complimented by demographics and risk practices. Methods: A retrospective cohort analysis was undertaken using repeat gonorrhoea testing data among gay and bisexual men from 2010 to 2017, which was extracted from a network of 47 sexual health clinics across Australia. Poisson and Cox regression analyses were used to determine temporal trends in gonorrhoea incidence rates, as well as associated demographic and behavioural factors. Results: The present analysis included 46\u00a0904 gay and bisexual men. Gonorrhoea incidence at any anatomical site increased from 14.1\/100 person years (PY) in 2010 to 24.6\/100 PY in 2017 (P\u00a0&amp;lt;\u00a00.001), with the greatest increase in infections of the pharynx (5.6-15.9\/100 PY, P\u00a0&amp;lt;\u00a00.001) and rectum (6.6\u201314.8\/100 PY, P\u00a0&amp;lt;\u00a00.001). After adjusting for symptomatic and contact-driven presentations, the strongest predictors of infection were having more than 20 sexual partners in a year (hazard ratio (HR)\u00a0=\u00a01.9, 95% confidence interval (CI): 1.7\u20132.2), using injecting drugs (HR\u00a0=\u00a01.7, 95%CI: 1.4\u20132.0), being HIV positive (HR\u00a0=\u00a01.4, 95%CI: 1.2\u20131.6) and being aged less than 30 years old (HR\u00a0=\u00a01.4, 95%CI: 1.2\u20131.6). Conclusions: Gonorrhoea has increased dramatically among gay and bisexual men in Australia. Enhanced prevention efforts, as well as more detailed, network-driven research are required to combat gonorrhoea among young men, those with HIV and those who use injecting drugs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1071\/sh18097","type":"journal-article","created":{"date-parts":[[2019,9,13]],"date-time":"2019-09-13T00:13:20Z","timestamp":1568333600000},"page":"457-463","source":"Crossref","is-referenced-by-count":34,"title":["Gonorrhoea gone wild: rising incidence of gonorrhoea and associated risk factors among gay and bisexual men attending Australian sexual health clinics"],"prefix":"10.1071","volume":"16","author":[{"given":"Denton","family":"Callander","sequence":"first","affiliation":[{"name":"AThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia."},{"name":"KCorresponding author. Email: d.callander@unsw.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Guy","sequence":"additional","affiliation":[{"name":"AThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher K.","family":"Fairley","sequence":"additional","affiliation":[{"name":"BMelbourne Sexual Health Centre, 580 Swanston Street, Melbourne, Vic. 3000, Australia."},{"name":"CCentral Clinical School, Monash University, Melbourne, Vic. 3800, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamish","family":"McManus","sequence":"additional","affiliation":[{"name":"AThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett","family":"Prestage","sequence":"additional","affiliation":[{"name":"AThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric P. F.","family":"Chow","sequence":"additional","affiliation":[{"name":"BMelbourne Sexual Health Centre, 580 Swanston Street, Melbourne, Vic. 3000, Australia."},{"name":"CCentral Clinical School, Monash University, Melbourne, Vic. 3800, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Chen","sequence":"additional","affiliation":[{"name":"BMelbourne Sexual Health Centre, 580 Swanston Street, Melbourne, Vic. 3000, Australia."},{"name":"DMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Vic. 3000, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine C. O","family":"Connor","sequence":"additional","affiliation":[{"name":"AThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia."},{"name":"ERPA Sexual Health Clinic, Sydney Local Health District, 16 Marsden Road, Sydney, NSW 2050, Australia."},{"name":"FCentral Clinical School, University of Sydney, Sydney, NSW 2006, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew E.","family":"Grulich","sequence":"additional","affiliation":[{"name":"AThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Bourne","sequence":"additional","affiliation":[{"name":"AThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia."},{"name":"GSTI Programs Unit, NSW Ministry of Health, 150 Albion Street, Sydney, NSW 2060, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Hellard","sequence":"additional","affiliation":[{"name":"HBurnet Institute, 85 Commercial Road, Melbourne, Vic. 3000, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Stoov\u00e9","sequence":"additional","affiliation":[{"name":"HBurnet Institute, 85 Commercial Road, Melbourne, Vic. 3000, Australia."},{"name":"ISchool of Public Health and Preventative Medicine, Monash University, Melbourne, Vic. 3800, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basil","family":"Donovan","sequence":"additional","affiliation":[{"name":"AThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia."},{"name":"JSydney Sexual Health Centre, Sydney Hospital, 8 Macquarie Street, Sydney, NSW 2000, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the ACCESS 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