Sexually Transmitted Infection Risk Reduction Strategies Among US Adolescents and Adults With Multiple Opposite-Sex Sex Partners or Perceived Partner Nonmonogamy, 2011–2017

Details

• Alternative Title:
  Sex Transm Dis
• Personal Author:
  Copen, Casey E. ; Leichliter, Jami S. ; Spicknall, Ian H. ; Aral, Sevgi O.
• Description:
  Background:
  
  This study examined condom use and sexually transmitted infection (STI) testing among unmarried, non-cohabiting women and men who had multiple past-year partnerships or perceived their partner’s involvement in another sexual relationship.
  
  Methods:
  
  We identified 5868 and 5330 unmarried, non-cohabiting sexually active women and men aged 15 to 44 years using National Survey of Family Growth data for 2011 to 2017. To measure multiple partnerships, we created 4 dichotomous variables that included both past-year number of opposite-sex sex partners (1, 2 or more) and perceived partner nonmonogamy (PPNM) (yes, no). Results were stratified by relationship type at last sex (“steady” vs “casual”).
  
  Results:
  
  Overall, 39.4% of women and 48.3% of men reported multiple partnerships and 23.4% and 24.0% reported PPNM. Lower condom use was seen for women and men who had 2 or more partners in the past year and PPNM than those with only 1 partner and no PPNM (women, 28.5%; 95% confidence interval [CI], 24.1–32.9 vs 39.3%; 95% CI, 36.6–41.9) (men, 37.7%; 33.5–41.8 vs 54.9%; 51.9–57.9). STI testing was higher for groups with PPNM. Men with a steady sex partner had higher prevalence of past-year STI testing if they reported PPNM than not (adjusted prevalence ratio, 2.00; 95% CI, 1.63–2.45).
  
  Conclusions:
  
  Screening practices that include a standardized sexual risk assessment could identify those with multiple sex partners or PPNM and improve linkage to STI services. Availability of point-of-care tests and expedited partner therapy could provide targeted strategies that prioritize rapid diagnosis and effective partner treatment which may prevent further STI spread.
  
  
• Subjects:
  Adolescent Adult Article Condoms Female HIV Infections Humans Male Mass Screening Prevalence Risk Reduction Behavior Safe Sex Sexual Behavior Sexually Transmitted Diseases Sexual Partners Young Adult

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• Source:
  Sex Transm Dis. 46(11):722-727
• Pubmed ID:
  31644500
• Pubmed Central ID:
  PMC10301240
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  46
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:0e55ee96216cf6c7cfef84f0d16cd55d7488f80de414b1de6fa8b269341fd7d005a2977ddacd257ca132d961106289dd9102494847aafd3e6d141f6929325f5e
• Download URL:
  https://stacks.cdc.gov/view/cdc/130368/cdc_130368_DS1.pdf
• File Type:
  [PDF - 339.79 KB ]