daniel1212 : "As regards Gonorrhea...San Francisco had the highest proportion of cases estimated to be MSM (86.4%),
while Baltimore had the lowest proportion of MSM cases (20.1%).
In total, across all SSuN sites, 42.5% of gonorrhea cases were estimated to be among MSM, 25.1% among MSW, and 32.4% among women."
" Among six jurisdictions participating in SSuN [STD Surveillance Network] continuously from 2010 to 2018,..The estimated gonorrhea case rate among MSM increased 375.5%
during 2010–2018 from 1,368.6 cases per 100,000 MSM in 2010 to 6,508.0 cases per 100,000 MSM in 2018.
Over the same time period, case rates among MSW and women also increased by 69.3% and 95.2%, respectively."
"[Overall,] Rates of chlamydia have gone up by 19 percent since 2014.
For gonorrhea, there are 583,405 cases in the U.S., and rates have gone up 63 percent since 2014.
Rates of syphilis have increased 71 percent since 2014, and are highest in men and women 25-29 years old.
congenital syphilis — when an infected mother passes syphilis to her baby during pregnancy — which have shot up by 185 percent since 2014,
(https://www.cdc.gov/std/stats18/STDSurveillance2018-full-report.pdf) "
" Also reported, "People living with HIV in Canada had eight times the risk of Alzheimer’s disease and other non-AIDS-related dementia as their HIV-negative counterparts,
and they were diagnosed 12.5 years earlier [which in part may be due to more medical attention], according to an analysis published in BMJ Open.
They also had higher rates of several other age-related chronic conditions
....Antiretroviral treatment has been associated with kidney damage and cardiovascular disease, and viral hepatitis and alcohol use—both common among HIV-positive people—can cause liver disease."
(https://www.poz.com/article/people-hiv-diagnosed-dementia-13-years-earlier) "
More information available in the article, and in the postings.
There are lots of health issues that can be avoided but simply a little self-control.