The findings in this report are subject to at least four limitations. First, analyses were restricted to states where the sex of sex partners (male, female, or both) was reported for 70% of male cases of primary and secondary syphilis cases during 2015. Although 83.4% of all reported primary and secondary syphilis reported in the United States during 2015 were included, these jurisdictions might not be representative of all persons who receive a diagnosis of primary and secondary syphilis.
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