Trends in Hepatitis A, B, and Shigellosis Compared With Gonorrhea and Syphilis in Men Who Have Sex With Men in Amsterdam, 1992–2006

Abstract

Hepatitis A, B, and shigellosis do not follow the rising trends of conventional STI in MSM, which are believed to result from increased risky sexual behavior. This disparity in trends implies differences in transmission dynamics. Recent molecular epidemiologic studies suggest that clustered transmission in social MSM networks plays a major role.