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Sexually transmitted viral hepatitis and enteric pathogens.

The Urologic Clinics of North America

|February 1, 1984

Summary

Homosexual men face high risks for sexually transmitted infections like hepatitis B and various enteric and anorectal pathogens due to sexual practices. This review discusses transmission, diagnosis, and treatment of these infections.

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Area of Science:

Infectious Diseases
Public Health
Sexual Health

Background:

Hepatitis viruses, enteric pathogens, and anorectal infections are frequently transmitted through sexual contact.
Homosexual men exhibit a higher prevalence of certain sexual practices, increasing their risk for specific infections.

Purpose of the Study:

To review the evidence for sexual transmission of hepatitis viruses, enteric pathogens, and anorectal infections.
To highlight the heightened risk among homosexual men for these infections.
To discuss the diagnosis and treatment modalities for these conditions.

Main Methods:

Literature review of studies on sexual transmission of infectious diseases.
Analysis of risk factors associated with sexual practices in homosexual men.
Synthesis of current knowledge on diagnosis and treatment.

Main Results:

Homosexual men are at increased risk for hepatitis B, giardiasis, amebiasis, shigellosis, campylobacteriosis, and anorectal infections.
Specific sexual practices, including anilingus and anal intercourse, are key transmission routes.
Infections include Neisseria gonorrhoeae, Chlamydia trachomatis, Treponema pallidum, herpes simplex virus, and human papilloma viruses.

Conclusions:

Sexual practices are a significant route for transmitting various pathogens, including hepatitis viruses and enteric/anorectal infections.
Public health strategies should address the specific risks and needs of homosexual men regarding sexual health.
Effective diagnosis and treatment are crucial for managing these infections and preventing further spread.

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