Concurrent sex partners and risk for sexually transmitted diseases among adolescents

Concurrent sex partners and risk for sexually transmitted diseases among adolescents
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DOI:
10.1097/00007435-199904000-00004
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发表时间:
1999-04-01
影响因子:
3.1
通讯作者:
Ellen, JM
Ellen, JM
中科院分区:
医学4区
文献类型:
--
作者:
Rosenberg, MD;Gurvey, JE;Ellen, JM

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背景/目标:很大比例的性活跃青少年有多个性伴侣,感染性传播疾病的风险很高。对青少年的性伙伴关系模式知之甚少(例如,同时与连续)以及这些模式如何影响性病风险。研究目标:确定青少年在主要关系中同时拥有性伴侣的频率以及同时拥有性伴侣与性病风险之间的关联。研究设计:从1996年3月到1998年5月,在一家公立性病诊所寻求治疗的青少年被招募,人口统计学和行为学数据是在访谈者管理的问卷调查中获得的。由临床医生进行性传播疾病检测和体格检查。在报告在过去6个月内至少有一个主要伴侣的青少年中(n = 245),(44.9%)有多个伴侣,76人(31%)在一段主要关系中至少有一个同时的伴侣,在控制性伴侣数量后,更多的同时性伴侣与STD诊断/暴露相关结论:有相当比例的青少年在一段主要关系中有共同性伴侣,有共同性伴侣会增加性病的风险。
Background/Objectives: A large percentage of sexually active adolescents have multiple sex partners and are at high risk of acquiring sexually transmitted diseases (STDs). Little is known about adolescents' patterns of sexual partnerships (e.g., concurrent versus serial) and how these patterns influence STD risk.Goal of the Study: To determine the frequency with which adolescents have concurrent partners during a main relationship and the association between having concurrent partners and STD risk.Study Design: Adolescents seeking care at a public STD clinic were recruited from March, 1996, to May, 1998, Demographic and behavioral data were obtained during an interviewer-administered questionnaire. Sexually transmitted disease testing and physical exams were performed by clinicians.Results: Of those adolescents who reported having at least one main partner during the previous 6 months (n = 245), 110 (44.9%) had multiple partners, and 76 (31%) had at least one concurrent partner during a main relationship, Greater number of concurrent partners was associated with STD diagnosis/ exposure after controlling for number of sex partners (OR 1.6; 95% CI, 1.1-2.4).Conclusions: A significant percentage of adolescents have concurrent partners during a main relationship, and having concurrent partners increases STD risk.