Intended for healthcare professionals


Sexual health of homosexual men and women

BMJ 1999; 319 doi: (Published 28 August 1999) Cite this as: BMJ 1999;319:575

Universal vaccination against hepatitis A cannot be firmly recommended for homosexual men

  1. Gary Brook, consultant physician
  1. Patrick Clements Clinic, Central Middlesex Hospital, London NW10 7NS
  2. Jefferiss Wing, St Mary's Hospital, London W2 1NY

    EDITOR—In his article on sexual health issues in homosexual men and women Bell has made inaccurate statements concerning viral hepatitis.1 Firstly, he states that hepatitis B in homosexual men is not spread by specific sexual practices. In fact, several studies have linked homosexual transmission to oroanal and genitoanal sex.2 Secondly, he states that the Department of Health recommends vaccination against hepatitis A for all homosexual men. In fact, the recommendation is to vaccinate “those whose sexual behaviour is likely to put them at …

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