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Though all participants reported their status as HIV negative\/unknown, 31 of 331 (9.4%) tested positive on HIV rapid tests. Neither condomless anal intercourse nor the number of male sex partners was associated with rectal STI or HIV diagnosis, although rectal STI diagnosis was positively related to testing HIV positive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings suggest that substantial numbers of BGBMSM have asymptomatic STIs but are not tested\u2014an outcome that is likely a strong driver of onward HIV acquisition. Therefore, we must address the asymptomatic STI epidemic among GBMSM in order to reduce HIV transmission, as well as temper STI transmission, among this key population.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2020-054563","type":"journal-article","created":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T17:32:01Z","timestamp":1617211921000},"page":"125-127","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["High levels of undiagnosed rectal STIs suggest that screening remains inadequate among Black gay, bisexual and other men who have sex with men"],"prefix":"10.1136","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7824-7714","authenticated-orcid":false,"given":"Ryan J","family":"Watson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlene","family":"Collibee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L","family":"Maksut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie A","family":"Earnshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9858-5953","authenticated-orcid":false,"given":"Katherine","family":"Rucinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Eaton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"key":"2024092104100596000_98.2.125.1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1158-z"},{"key":"2024092104100596000_98.2.125.2","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2015.0013"},{"key":"2024092104100596000_98.2.125.3","unstructured":"Centers for Disease Control and Prevention . Screening recommendations and considerations referenced in treatment guidelines and original sources. Available: https:\/\/www.cdc.gov\/std\/tg2015\/screening-recommendations.htm [Accessed 29 Jan 2020]."},{"key":"2024092104100596000_98.2.125.4","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181e50058"},{"key":"2024092104100596000_98.2.125.5","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2014.0056"},{"key":"2024092104100596000_98.2.125.6","unstructured":"U.S. Food & Drug Administration . Fda clears first diagnostic tests for extragenital testing for Chlamydia and gonorrhea. Available: https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-clears-first-diagnostic-tests-extragenital-testing-chlamydia-and-gonorrhea [Accessed 29 Jan 2020]."},{"key":"2024092104100596000_98.2.125.7","unstructured":"Centers for Disease Control and Prevention . A guide to taking a sexual history. Available: https:\/\/www.cdc.gov\/std\/treatment\/sexualhistory.pdf [Accessed 29 Jan 2020]."},{"key":"2024092104100596000_98.2.125.8","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02696-1"},{"key":"2024092104100596000_98.2.125.9","doi-asserted-by":"publisher","DOI":"10.1086\/430704"},{"key":"2024092104100596000_98.2.125.10","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i41.15262"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2020-054563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T11:11:00Z","timestamp":1726917060000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2020-054563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,31]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,2,17]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/sextrans-2020-054563"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2020-054563","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,31]]}}}