Original sentence: Following the onset of the AIDS epidemic, the reported incidence of these complaints has declined, likely as a result of changing sexual practices.Gay Bowel Syndrome is a term used sporadically in medical literature from the 1970s to refer to a complex of gastrointestinal symptoms affecting predominantly gay men.Reported causes include hepatitis viruses, syphilis, gonorrhea, chlamydia, campylobacter, and shigellosis, as well as a variety of protozoal infections.The term was first used by Kazal et al.The term was not specific to any particular disease or infection, and was used clinically to describe proctitis and a variety of other complaints caused by a wide range of infectious organisms.in 1976, in the pre-HIV era
Edited sentence: A 2004 study by the John Hopkins School of Medicine, with gay men who had symptoms that make up the syndrome, noted that two thirds of the participants were HIV negative but that proctitis increases the risk of HIV by up to 9-fold.Although linked to the AIDS epidemic, the symptoms of the described syndrome are largely independent of HIV infection.Gay Bowel Syndrome is a term used in medical literature to refer to a complex of symptoms and conditions affecting mostly gay men who engage in anal sex.Kazal and others in 1976 who had established a large practice in the gay male community.The term was first described by H