The known: The prevalence of syphilis in Australia is higher among men who have sex with men and non‐urban Aboriginal and Torres Strait Islander people. ![]() People who attend reproductive health or alcohol and drug services should be routinely screened for syphilis. The positive test rate was higher for heterosexual men aged 40–49 years (aRR, 2.11 95% CI, 1.42–3.12) or more than 50 years (aRR, 2.36 95% CI, 1.53–3.65) than for those aged 15–29 years.Ĭonclusion: The positive test rate among both urban women and heterosexual men tested was higher in 2019 than in 2011. It was also higher for Indigenous women (aRR, 2.39 95% CI, 1.22–4.70) and for women who reported recent injection drug use (aRR, 4.87 95% CI, 2.18–10.9) than for other women it was lower for bisexual than heterosexual women (aRR, 0.48 95% CI, 0.29–0.81) and for women who reported recent sex work (aRR, 0.35 95% CI, 0.29–0.44). In multivariable analyses, the positive test rate was higher for women (adjusted RR, 1.85 95% CI, 1.34–2.55) and heterosexual men (aRR, 2.39 95% CI, 1.53–3.74) in areas of greatest socio‐economic disadvantage than for those in areas of least socio‐economic disadvantage. Results: 180 of 52 221 tested women (0.34%) and 239 of 36 341 heterosexual men (0.66%) were diagnosed with infectious syphilis. Main outcome measures: Positive infectious syphilis test rate change in annual positive test rate. ![]() Participants: First tests during calendar year for women and heterosexual men aged 15 years or more in major cities who attended ACCESS sexual health clinics during 2011–2019. Objectives: To examine changes in the positive infectious syphilis test rate among women and heterosexual men in major Australian cities, and rate differences by social, biomedical, and behavioural determinants of health.ĭesign, setting: Analysis of data extracted from de‐identified patient records from 34 sexual health clinics participating in the Australian Collaboration for Coordinated Enhanced Sentinel Surveillance of Sexually Transmissible Infections and Blood Borne Viruses (ACCESS).
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