1768. Screening for HCV Infection in a Population of Highly Sexually Active Men Who Have Sex with Men Attending Commercial Sex Venues, Events, and Parties in New York City
Session: Poster Abstract Session: Viral Infections; Pathogenesis and Epidemiology
Saturday, October 5, 2013
Room: The Moscone Center: Poster Hall C
Background:   

Field-based screening of men who have sex with men (MSM) attending commercial sex venues, events, and parties (CSVEP) has been an effective method for detecting new HIV cases in NYC.   Sexual transmission of HCV has been described and with increasing incidence in HIV-infected MSM in the United States and Europe.  Whether field screening of MSM at CSVEP would detect new HCV cases is uncertain.

Methods:

This study implemented screening for HCV using rapid serology (OrasureTM) through The Bellevue/NYU Langone Medical Center’s M*SHP program, an HIV and Sexually Transmitted Infection (STI) testing program servicing MSM attending CSVEP in NYC.     Demographics, behavioral data, and beliefs about HCV transmission were collected from study subjects.

Results:

Between July 2012 and April 2013, 301 subjects were tested for HCV at M*SHP venues.  All subjects that accepted HIV and STI testing also accepted HCV testing.  Subjects were: 100% MSM; 54% white non-Hispanic, 21% Hispanic, 10% black non-Hispanic; median age of 34 (range 20-75, interquartile range (IQR) 29-43).  Participants reported a median of 5 sex partners (0-150, IQR 2-10), with 42% reporting unprotected anal insertive and 31% unprotected anal receptive sex in the 90 days before their testing visit. 61% reported using drugs, most frequent amyl nitrate inhalants (poppers) at 37%.  Of subjects tested, 5 (1.6%) were newly diagnosed with HIV, 31 (10.3%) with STIs.  Only one tested positive for HCV antibody and subsequently disclosed prior awareness of diagnosis.  No new diagnoses of HCV were made.  While 83% of subjects believed HCV could be transmitted by anal sex or fisting, only 8.4% asked potential partners about HCV status.

Conclusion:

Field based testing for HCV was accepted by M*SHP clients, but no new diagnoses of HCV were made amongst these highly sexually active MSM CSVEP attendees, despite significant levels of incident HIV and other STI.

Kristen Marks, MD1, Lauren Link2, Edward Bottger2, Michael Cruz3, Leah Burke, MD4 and Demetre Daskalakis, MD2,5, (1)Medicine, Division of Infectious Diseases, Weill Medical College of Cornell University, New York, NY, (2)New York University School of Medicine, New York, NY, (3)New York University School of Medicine, new York, NY, (4)Weill Cornell Medical College, New York, NY, (5)Bellvue Hospital Center, New York, NY

Disclosures:

K. Marks, None

L. Link, None

E. Bottger, None

M. Cruz, None

L. Burke, None

D. Daskalakis, None

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