Rates of gonorrhoea continue to rise among gay, bisexual and other men who have sex with men (MSM) in Australia 1 and worldwide. There is no association between engaging in oral sex practices and frequent mouthwash use among MSM. Conclusions: Younger MSM are less likely to use mouthwash. No significant association was found between frequent mouthwash use and tongue kissing, receptive fellatio with or without ejaculation, or insertive rimming with regular or casual male partners in the previous 3 months. The most common oral sex practice was tongue kissing ( n = 874 95.2%), followed by receptive fellatio without ejaculation ( n = 839 91.4%), receptive fellatio with ejaculation ( n = 610 66.5%), then insertive rimming ( n = 356 38.8%). Participants aged 24–34 years were 2.13-fold (95% CI 1.52–2.98) and those ≥35 years were 2.64-fold (95% CI 1.83–3.83) more likely to use mouthwash frequently than those aged ≤24 years. Results: Of the 918 MSM included in the final analysis, 490 men (53.4%) were frequent mouthwash users. daily or weekly mouthwash use) and four oral sex practices (tongue kissing, receptive fellatio with or without ejaculation, and insertive rimming) among MSM. Logistic regression was performed to examine the association between frequent mouthwash use (i.e. Methods: A questionnaire-based study was conducted among MSM attending the Melbourne Sexual Health Centre in Australia from March to September 2015. The objective of this study was to determine the association between specific oral sex practices and frequency of mouthwash use. Recently, it has been proposed that oropharyngeal gonorrhoea may play a role in its onward transmission and that mouthwash use may be an effective intervention for gonorrhoea prevention and control.
Published by BMJ.Background: Rates of gonorrhoea continue to rise among men who have sex with men (MSM) in Australia and worldwide. These data suggest that kissing may be associated with transmission of oropharyngeal gonorrhoea in MSM, irrespective of whether sex also occurs.Īcquisition gonorrhoea kissing men who have sex with men oropharynx saliva sexual behaviour sexually transmitted diseases sexually transmitted infection transmission.
The adjusted odds for having oropharyngeal gonorrhoea were 1.46-fold (95% CI 1.04 to 2.06) for men with ≥4 kissing-only partners and 1.81-fold (95% CI 1.17 to 2.79) for men with ≥4 kissing-with-sex partners. Kissing-only and kissing-with-sex were associated with oropharyngeal gonorrhoea, but sex-only was not. Men had a mean number of 4.3 kissing-only, 1.4 sex-only, and 5.0 kissing-with-sex partners in the last 3 months. Their median age was 30 (IQR 25-37) and 6.2% (n=229) had oropharyngeal gonorrhoea.
Univariable and multivariable logistic regression analyses were performed to examine associations between oropharyngeal gonorrhoea positivity by nucleic acid amplification tests and the three distinct partner categories.Ī total of 3677 men completed the survey and were tested for oropharyngeal gonorrhoea. MSM attending a public sexual health centre in Melbourne, Australia, between March 2016 and February 2017 were invited to participate in a brief survey that collected data on their number of male partners in the last 3 months, in three distinct categories: kissing-only (ie, no sex including no oral and/or anal sex), sex-only (ie, any sex without kissing), and kissing-with-sex (ie, kissing with any sex). This study aimed to examine the association between kissing and oropharyngeal gonorrhoea among gay and bisexual men who have sex with men (MSM). A mathematical model suggested that a significant proportion of oropharyngeal gonorrhoea cases are acquired via oropharynx-to-oropharynx transmission (ie, tongue-kissing), but to date, no empirical study has investigated this.