{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:40:52Z","timestamp":1777927252896,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T00:00:00Z","timestamp":1546905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Syphilis rates have been increasing in men who have sex with men (MSM) in London. To describe risk behaviour and refine public health interventions, we conducted prospective enhanced surveillance of new syphilis cases in MSM attending selected London sexual health clinics (SHCs) between October 2016 and January 2017. Sexual health advisors (SHAs) completed 107 questionnaires. Eighteen per cent of respondents reported always using condoms, with lower use in HIV-positive (8%, 4\/53) than HIV-negative men (33%, 14\/52). Almost half of respondents reported condomless sero-discordant sex (46%, 33\/72). The most frequent means of meeting new partners reported were venues (80%, 76\/95), particularly bars or clubs (34%, 32\/95), and apps or websites (79%, 75\/95). Nearly a third of respondents reported engaging in group sex (32%, 30\/95). Almost half reported drug use during sex (47%, 46\/98), with HIV-positive men more likely to report use of the three main \u2018chemsex\u2019 drugs. The majority of respondents preferred health promotion information from SHAs (63%, 58\/92) compared to other sources such as Google\/Wikipedia and apps. Prevention activity should continue to focus on condomless sex, serosorting, multiple and overlapping partners, and chemsex. SHCs, particularly those serving HIV-positive men, are important sources for sexual health promotion advice.<\/jats:p>","DOI":"10.1177\/0956462418814998","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T08:18:05Z","timestamp":1547021885000},"page":"422-429","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Enhanced surveillance of syphilis cases among men who have sex with men in London, October 2016\u2013January 2017"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5083-1951","authenticated-orcid":false,"given":"Sangeeta","family":"Rana","sequence":"first","affiliation":[{"name":"Field Service, PHE, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Field Service, PHE, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"French","sequence":"additional","affiliation":[{"name":"Mortimer Market Centre, Central and North West London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Jarman","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheel","family":"Patel","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Healthcare NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mags","family":"Portman","sequence":"additional","affiliation":[{"name":"Mortimer Market Centre, Central and North West London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tara","family":"Suchak","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Healthcare NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Healthcare NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"White","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Crook","sequence":"additional","affiliation":[{"name":"Field Service, PHE, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,8]]},"reference":[{"key":"bibr1-0956462418814998","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES2014.19.24.20833"},{"key":"bibr2-0956462418814998","unstructured":"Public Health England. Syphilis epidemiology in London: sustained high numbers of cases in men who have sex with men, https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/547072\/london_syphilis_report.pdf (2016, accessed 17 November 2018)."},{"key":"bibr3-0956462418814998","unstructured":"Public Health England. HIV and STIs in MSM HIV and STIs in men who have sex with men in London, https:\/\/www.gov.uk\/government\/publications\/hiv-and-stis-in-men-who-have-sex-with-men-in-london (2014, accessed 17 November 2018)."},{"key":"bibr4-0956462418814998","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2008.008216"},{"key":"bibr5-0956462418814998","doi-asserted-by":"publisher","DOI":"10.2807\/esm.09.12.00497-en"},{"key":"bibr6-0956462418814998","unstructured":"Public Health England. Trends in new HIV diagnoses and people receiving HIV-related care in the United Kingdom: data to the end of December 2017. Health Protection Report Advanced Access report [v2]: Volume 12 Number 32, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/738222\/hpr3218_hiv17_v2.pdf (2018, accessed 18 November 2018)."},{"key":"bibr7-0956462418814998","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2017.22.25.30553"},{"key":"bibr8-0956462418814998","unstructured":"Public Health England. Fall in new HIV diagnoses among MSM at selected London sexual health clinics. Health Protection Report: Volume 11, Number 22, https:\/\/www.gov.uk\/government\/publications\/health-protection-report-volume-11-2017\/hpr-volume-11-issue-22-news-23-june (2017, accessed 18 November 2018.)."},{"key":"bibr9-0956462418814998","unstructured":"Public Health England. HIV in the United Kingdom: decline in new HIV diagnoses in gay and bisexual men in London. Health Protection Report Advanced Access report: Volume 11 Number 35, https:\/\/www.gov.uk\/government\/publications\/health-protection-report-volume-11-2017\/hpr-volume-11-issue-35-news-6-october. 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