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Volume 29, Number 10—October 2023
Dispatch

Outbreak of Sexually Transmitted Nongroupable Neisseria meningitidis–Associated Urethritis, Vietnam

Hao Trong Nguyen1, Thanh V. Phan1, Hau Phuc Tran, Thao Thi Phuong Vu, Nhi Thi Uyen Pham, Tho Thi Thanh Nguyen, Ha Manh Bui, Bao Hac Duong, Thu Nguyen Anh Luu, Nguyen Nhat Pham, Phuc Duy Nguyen, Tu Ngoc Le, Thu Quang Le, Dai Thi Trang Vo, Lan Trong Phan, Nghia Van Khuu, Quang Duy Pham, and Thuong Vu NguyenComments to Author 
Author affiliations: Ho Chi Minh City Hospital of Dermato-Venereology, Ho Chi Minh City, Vietnam (H.T. Nguyen, T.T.P. Vu, N.T.U. Pham, T.T.T. Nguyen, H.M. Bui, B.H. Duong, T.N.A. Luu, N.N. Pham); Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City (T.V. Phan, H.P. Tran, P.D. Nguyen, T.N. Le, T.Q. Le, D.T.T. Vo, L.T. Phan, N.V. Khuu, Q.D. Pham, T.V. Nguyen)

Main Article

Table 1

Correlates of several selected factors among male patients with Neisseria meningitidis US NmNG urethritis and controls, Vietnam*

Variables Cases, 
n = 19 Controls, 
n = 76 Univariable analysis†
Multivariable analysis†
OR (95% CI) p value aOR (95% CI) p value
Mean age, y 26.9 27.8 0.90 (0.75–1.07) 0.232 NA
Mean years of education 10.8 11.0 0.96 (0.75–1.23) 0.760
Currently living in Ho Chi Minh City
14 (73.4)
56 (73.7)
1.00 (0.30–3.28)
>0.999



Living arrangements
Live with a female partner 1 (5.3) 22 (30.1) Referent Referent
Live with a male partner 8 (42.1) 10 (13.7) 17.03 (1.83–158.26) 0.013 14.41 (1.01–204.62) 0.049
Other, e.g., live alone, or with friends 
or family
3 (15.8)
12 (16.4)
5.44 (0.65–45.54)
0.118

7.0 (0.61–80.24)
0.118
Ever had sex with
Male sexual partners 14 (73.7) 49 (64.5) Referent
Female sexual partners 4 (21.1) 16 (21.1) 0.41 (0.02–7.54) 0.551
Both male and female partners
1 (5.3)
11 (14.5)
0.17 (0.01–3.17)
0.238



Ever had oral sex
19 (100.0)
74 (97.4)
NA




Ever participated in group sex
1 (5.3)
2 (2.6)
2 (0.18–22.06)
0.571



During past 12 mo
Oral or vaginal sex with female partner 4 (21.1) 44 (57.9) 0.10 (0.02–0.47) 0.004 0.13 (0.02–0.87) 0.035
Oral or anal sex with male partner 15 (78.9) 39 (51.3) 10.57 (1.28–87.34) 0.029 NA
Any casual partners 5 (26.3) 34 (44.7) 0.39 (0.12–1.32) 0.131 NA
Commercial sex worker partner 3 (15.8) 28 (36.8) 0.30 (0.08–1.15) 0.078
Drunkenness during sex
3 (15.8)
23 (30.3)
0.33 (0.07–1.65)
0.177



Sex with a foreign-born partner in the past month
3 (15.8)
1 (1.3)
12.0 (1.25–115.36)
0.031

26.78 (1.03–697.82)
0.048
Condom use during sex before symptom onset‡
1 (5.3)
2 (2.7)
1.81 (0.16–20.08)
0.628



Used social media sites to find sexual partners
13 (68.4)
32 (42.1)
4.07 (1.17–14.13)
0.027

NA

Ever used ATS§ 1 (5.3) 4 (5.3) 1.00 (0.10–10.07) >0.999

*Values are no. (%) except as indicated. ATS, amphetamine-type stimulants; aOR, adjusted odds ratio; NA, not applicable; OR, odds ratio. †Conditional logistic regression. ‡Symptoms were pyuria, dysuria, or both. §Ecstasy, crystal meth (methamphetamine), or other substances used to increase excitement when having sex (also called chemsex).

Main Article

1These first authors contributed equally to this article.

Page created: August 14, 2023
Page updated: September 21, 2023
Page reviewed: September 21, 2023
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