Syphilis among Homosexual Men Analytical Essay by scribbler

Syphilis among Homosexual Men
Looks at primary and secondary syphilis among men who have sex with men (MSM) especially within the Chelsea area of New York City.
# 153384 | 2,595 words | 12 sources | APA | 2013 | US

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This paper explains that, in recent years, the explosion in the rate of primary and secondary (P&S) syphilis among men who have sex with men (MSM), within Chelsea, the homosexual heartland of New York City, is being considered an epidemic. Next, the author reviews the causes of syphilis especially as related to MSM, risk factors and complications, screening, treatment and management. The paper underscores the importance of education and prevention programs that enlist the participation of the MSM community.

Table of Contents:
Overview of Syphilis
Syphilis among MSM Worldwide
Syphilis among MSM Nationwide
MSM in Chelsea, NYC
Risk Factors
Screening, Treatment, and Management
Syphilis Complications
Syphilis Education and Prevention

From the Paper:

"As CDC recommends, the safest course of action for preventing the spread of syphilis is "to abstain from sexual contact or to be in a long-term mutually monogamous relationship with a partner who has been tested and is known to be uninfected."
"But Heffelfinger (2007) makes clear that "interventions that have been relied on in previous epidemics, such as notification and treatment of partners, have not proved as effective in preventing syphilis among MSM." Like Fenton, Heffelfinger observes that MSM are not heeding conventional wisdom. Indeed, the rise of oral sex as "safe sex," practiced as an alternative to anal sex, is in fact not safe without prophylactic protection. Encouraging condom usage in oral sex has not seen effective results in diminishing the number of cases of P&S syphilis among MSM.
"Australian researchers may have found a better way to encourage testing: "Most Australian men who have sex with men who underwent rapid testing for syphilis using the Determine Syphilis TP immunoassay indicated a preference for rapid testing over conventional serology. Most also indicated that they would test for syphilis more frequently if rapid syphilis testing was available in a clinic setting" (Lee, 2010). But New York/Chelsea researchers such as David Siegel are not finding any effective way to communicate issues of safety to at-risk MSM."

Sample of Sources Used:

  • CDC Analysis Provides New Look at Disproportionate Impact of HIV and Syphilis Among U.S. Gay and Bisexual Men. (2010). Centers for Disease Control and Prevention. Retrieved from
  • Goldman, Bonnie. (2008). Growing Syphilis Epidemic Among HIV-Infected MSM in New York City. The Body: The Complete HIV/AIDS Resource. Retrieved from
  • Heffelfinger, J.D., Swint, E.B., Berman, S., Weinstock, H. (2007). Trends in Primary and Secondary Syphilis Among Men Who Have Sex With Men in the United States. PubMed Central. American Journal of Public Health 97(6), 1076-1083. Retrieved from
  • Lee, D., Fairley, C., et al. (2010). Men who have sex with men prefer rapid testing for syphilis and may test more frequently using it. [Abstract]. Sex Transm Dis 37(9), 557-8. Retrieved from
  • MMWR. (2008). Syphilis Testing Algorithms Using Treponemal Tests for Initial Screening --- Four Laboratories, New York City, 2005--2006. Centers for Disease Control and Prevention. Retrieved from

Cite this Analytical Essay:

APA Format

Syphilis among Homosexual Men (2013, May 27) Retrieved June 03, 2023, from

MLA Format

"Syphilis among Homosexual Men" 27 May 2013. Web. 03 June. 2023. <>