Association of perceived partner non-monogamy with prevalent and incident sexual concurrency.
Association of perceived partner non-monogamy with prevalent and incident sexual concurrency.
复制标题
感知到的伴侣非一夫一妻制与普遍和偶发的性行为的关联。
DOI：
10.1136/sextrans-2015-052111
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发表时间：
2016
影响因子：
3.6
通讯作者：
Agnew,ChristopherR
中科院分区：
文献类型：
--
作者：
Sanchez,DianaM;Schoenbach,VictorJ;Harvey,SMarie;Warren,JocelynT;Adimora,AdaoraA;Poole,Charles;Leone,PeterA;Agnew,ChristopherR
目的认为并发性是性传播感染传播和获得的重要因素，但目前对并发性感染发生的因素知之甚少。我们研究了洛杉矶地区处于危险中的异性恋年轻人对伴侣非一夫一妻制（PPNM）的感知与同时或随后的并发性之间的关系。方法：我们使用泊松回归模型对536名参与队列研究的参与者进行了估计PPNM与事件并发性之间的关系，这些参与者在1年内每4个月接受一次访谈。并发定义为报告的性伙伴关系日期重叠；PPNM被定义为相信自己的伴侣也在和别人发生性关系。结果参与者（51%为女性，30%为非西班牙裔白人，28%为非西班牙裔黑人，27%为西班牙裔/拉丁裔）的平均年龄为23岁，一生中位数为9个性伴侣。在每次访谈中（基线、4个月、8个月和12个月），4个月的并发患病率分别为38.8%、27.4%、23.1%和24.5%。4个月、8个月和12个月的并发率分别为8.5%、10.6%和17.8%。近期PPNM的参与者更有可能开始并发（4个月的粗RR=4.6; 95% CI 3.0, 7.0；调整后的4个月RR=4.0, 95% CI 2.6至6.1）。结论近期PPNM与事件并发性相关。在年轻人中，并发性发作可能会被PPNM相对较快地刺激。促进关系沟通技巧和明确的一夫一妻制期望的方案可能有助于减少并发性。
ObjectivesConcurrency is suggested as an important factor in sexually transmitted infection transmission and acquisition, though little is known regarding factors that may predict concurrency initiation. We examined the association between perception of a partner's non-monogamy (PPNM) and simultaneous or subsequent concurrency among at-risk heterosexual young adults in the Los Angeles area.MethodsWe used Poisson regression models to estimate the relationship between PPNM and incident concurrency among 536 participants participating in a cohort study, interviewed at 4-month periods during 1 year. Concurrency was defined as an overlap in reported sexual partnership dates; PPNM was defined as believing a partner was also having sex with someone else.ResultsParticipants (51% female; 30% non-Hispanic white, 28% non-Hispanic black, 27% Hispanic/Latino) had a mean age of 23 years and lifetime median of nine sex partners. At each interview (baseline, 4-month, 8-month and 12-month), 4-month concurrency prevalence was, respectively, 38.8%, 27.4%, 23.1% and 24.5%. Four-month concurrency incidence at 4, 8 and 12 months was 8.5%, 10.6% and 17.8%, respectively. Participants with recent PPNM were more likely to initiate concurrency (crude 4-month RR=4.6; 95% CI 3.0, 7.0; adjusted 4-month RR=4.0, 95% CI 2.6 to 6.1).ConclusionsRecent PPNM was associated with incident concurrency. Among young adults, onset of concurrency may be stimulated, relatively quickly, by the PPNM. Programmes which promote relationship communication skills and explicit monogamy expectations may help reduce concurrency.