That has to be discerned based upon the lifestyle of the infected. And note the use PreP has led to increased syphilis rates.
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As regards STD's and other conditions, as well as as well as suicides in the US among MSM and lesbians and "transgendered" persons:
Overall, the practice pf sodomy has (historically) resulted in a greatly increased incidence of other infectious diseases and effects besides HIV, from Meningitis to premature death. Which diseases includes Chlamydia, Gonorrhea, Hepatitis A and B, HPV, Syphilis, HIV to Meningitis and body dysmorphia and eating disorders and recently Monkey pox. Gay, bisexual, and other men who have sex with men have accounted for 83% of primary and secondary syphilis cases where sex of sex partner was known in the United States. Gay, bisexual, and other men who have sex with men have been found to be 17 times more likely to get anal cancer than heterosexual men. (https://www.cdc.gov/mmwr/volumes/71/wr/mm7138a1.htm)
Syphilis (all stages) has increased 447 percent in the last two decades. Cases of P&S syphilis—the most infectious stages of the disease—have increased a staggering 781 percent since 2001.
African Americans accounted for nearly a third of chlamydia, gonorrhea, and primary and secondary syphilis (P&S) cases while only accounting for 12.1 percent of the US population.
Meanwhile, gay, bisexual, and other men who have sex with men were severely impacted by gonorrhea and syphilis in 2021. (https://www.naccho.org/blog/articles/new-cdc-report-more-than-2-5-million-u-s-cases-of-chlamydia-gonorrhea-and-syphilis-were-reported-in-2021)
The incidence of many STDs in gay, bisexual, and other men who have sex with men (MSM)—including primary and secondary (P&S) syphilis and antimicrobial-resistant gonorrhea—is greater than that reported in women and men who have sex with women only (MSW).
Since 2000, rates of P&S syphilis have increased among men, primarily attributable to increases in cases among MSM. Similar to past years, in 2018, MSM accounted for the majority (53.5%) of all reported cases of P&S syphilis and, of these, 41.6% were known to be living with diagnosed HIV. Although rates of P&S syphilis are lower among women, rates have increased substantially in recent years, increasing 30.4% during 2017–2018 and 172.7% during 2014–2018, suggesting a rapidly growing heterosexual epidemic.
In 2000 and 2001, the national rate of reported primary and secondary (P&S) syphilis cases was 2.1 cases per 100,000 population, the lowest rate since reporting began in 1941 (Figure 35, Table 1).
However, the P&S syphilis rate has increased almost every year since 2001. This rise in the rate of reported P&S syphilis has been primarily attributable to increased cases among men and, specifically, among gay, bisexual, and other men who have sex with men (MSM). MSM account for the majority of P&S syphilis cases and estimated rates are substantially higher among MSM compared with women or men who have sex with women only (MSW). 5
The number of cases among MSM has continued to increase, but within the last five years, cases among MSW and women have increased substantially as well. The increase in syphilis among women is of particular concern because it is associated with a striking and concurrent increase in congenital syphilis.
Centers for Disease Control and Prevention: STD Surveillance 2018 National Profile 27 West, and 7.2% in the Northeast (Table 29). Among women, the largest increases were observed in the West (41.2%), followed by the Northeast (40.0%), the South (30.8%) and the Midwest (30.8%) (Table 28). MSM continued to account for the majority of P&S syphilis cases in 2018 (Figures 39 and 41).
Of 35,063 reported P&S syphilis cases in 2018, 18,760 (53.5%) were among MSM, including 16,905 (48.2%) cases among men who had sex with men only and 1,855 (5.3%) cases among men who had sex with both men and women (Figure 39)....
Among the 24,176 male cases with information on sex of sex partners, 77.6% occurred among MSM. A total of 36 states were able to classify at least 70.0% of reported P&S syphilis cases as MSM, MSW, Centers for Disease Control and Prevention: STD Surveillance 2018 National Profile 27 West, and 7.2% in the Northeast (Table 29)
Among women, the largest increases were observed in the West (41.2%), followed by the Northeast (40.0%), the South (30.8%) and the Midwest (30.8%) (Table 28). MSM continued to account for the majority of P&S syphilis cases in 2018 (Figures 39 and 41). Of 35,063 reported P&S syphilis cases in 2018, 18,760 (53.5%) were among MSM, including 16,905 (48.2%) cases among men who had sex with men only and 1,855 (5.3%) cases among men who had sex with both men and women (Figure 39).
Overall, 5,416 (15.4%) cases were among MSW, 4,995 (14.2%) were among women, 5,858 (16.7%) were among men without information about sex of sex partners, and 34 (0.1%) were cases reported with unknown sex. Among the 24,176 male cases with information on sex of sex partners, 77.6% occurred among MSM. A total of 36 states were able to classify at least 70.0% of reported P&S syphilis cases as MSM, MSW, or women each year during 2014– 2018 (Figure 41). In these states, during 2017–2018, the number of cases increased 5.3% among MSM, 16.3% among MSW, and 32.9% among women.
Among 2018 P&S syphilis cases with known HIV status, 41.6% of cases among MSM were HIV-positive, compared with 7.9% of cases among MSW, and 4.0% of cases among women.
When examining reported P+S syphilis cases over time, 36 states were able to classify at least 70% of reported P+S syphilis cases as MSM, MSW, or women each year during 2014–2018. In these states, cases among MSM increased 5.3% during 2017–2018 and 51.5% during 2014– 2018 (Figure 41).
[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)
Men who have sex with men accounted for 56.7% of all male P&S syphilis cases in 2019. Also, estimated rates of reported gonorrhea among MSM are 42 times the estimated rate among men who have sex with women. (https://www.cdc.gov/std/statistics/2019/overview.htm)
The CDC study Sexually Transmitted Disease Surveillance 2014 found that among male cases for whom the sex of the partner was known, 83% of syphilis cases were MSM. 75.53% of syphilis cases in 2014 were among homosexual men. 51% of the homosexual men diagnosed with syphilis in 2014 were also HIV-positive. (https://www.cnsnews.com/news/article/michael-w-chapman/cdc-83-syphilis-cases-2014-among-gay-men-where-sex-sex-partner-was)
Among women, studies have shown that viral STD rates among bisexual-identifying women aged 15 to 44 years were almost three times higher than women who have sex with women exclusively. (https://www.stdcheck.com/blog/lgbt-std-statistics)
2021 saw a 26% rise in new syphilis cases, with the rate of syphilis cases reaching its highest since 1991, and with the total number of cases achieving its highest number since 1948, while HIV cases were up 16% in 2021. (https://www.theguardian.com/society/2022/sep/19/sexually-transmitted-disease-rise-syphilis-us?CMP=oth_b-aplnews_d-1)
And a new CDC report provides final surveillance data for 2021, and shows that overall in a single year (2020-2021) syphilis rates increased nearly 32% for combined stages of the infection. Cases of congenital syphilis rose by an alarming 32% and resulted in 220 stillbirths and infant deaths.
In 2017, in the first survey to look at the prevalence of the virus in the adult population, the CDC reported that over 42 percent of Americans between the ages of 18 and 59 were infected with genital human papillomavirus. (https://www.cdc.gov/nchs/data/databriefs/db280.pdf)
