Do people really know their sex partners? Concurrency, knowledge of partner behavior, and sexually transmitted infections within partnerships
Do people really know their sex partners? Concurrency, knowledge of partner behavior, and sexually transmitted infections within partnerships
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DOI：
10.1097/01.olq.0000129949.30114.37
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发表时间：
2004-07-01
影响因子：
3.1
通讯作者：
Holmes, KK
中科院分区：
文献类型：
--
作者：
Drumright, LN;Gorbach, PM;Holmes, KK
背景和目的：一个人的性传播感染（STIs）的风险已与经验的个人有共同的性伴侣（个人的并发），理论上，与个人的合作伙伴有并发的合作伙伴（partner's concurrency）.目标：本研究的目的是评估STI与个人的并发，合作伙伴的并发，研究设计：我们从性病和计划生育诊所招募了192名年龄在18岁至30岁之间的个体，分为96对伴侣，他们在前3个月内报告了首次性接触。所有的人都接受了计算机访问和沙眼衣原体，淋病奈瑟菌和阴道毛滴虫测试。个人的自我报告的并发性和合作伙伴的并发性的看法进行了比较二人组内的kappa统计;协会STI与个人的并发性，合作伙伴的并发性，和知识的合作伙伴的并发性进行了检查，使用卡方分析，t检验和多元逻辑回归。只有26%的人的合作伙伴有其他合作伙伴意识到这一点（Kappa = 0.17的协议的看法与合作伙伴的报告并发）。在多变量模型中，个体STI与伴侣的并发性独立相关（优势比[OR]，3.6），缺乏对伴侣并发性的认识（OR，4.5），感知伴侣有并发伴侣，而伴侣没有（OR，4.7），居住在南圣地亚哥，相识1周内有性接触，但不与个人同时发生。这项研究表明，STI与合作伙伴的并发性和不知道自己的合作伙伴的行为。
Background and Objective: An individual's risk of sexually transmitted infections (STIs) has been associated empirically with the individual having concurrent sexual partners (individual's concurrency) and, theoretically, with the individual's partner having concurrent partners (partner's concurrency).Goals: The goals of this study were to assess the relationship of STI to individual's concurrency, the partner's concurrency, and awareness of the partner's concurrency.Study Design: We recruited 192 individuals aged 18 to 30 from sexually transmitted disease and family planning clinics in 96 partner dyads that reported first sexual contact during the previous 3 months. All individuals underwent computer interviews and testing for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Individuals' self-reports of concurrency and perceptions of partners' concurrency were compared within dyads by kappa statistic; associations of STI with individual's concurrency, partner's concurrency, and knowledge of partner's concurrency were examined using chi-squared analysis, t tests, and multivariate logistic regression.Results: Only 26% of individuals whose partners had other partners were aware of this (kappa = 0.17 for agreement of perceptions vs. partners' reports of concurrency). In multivariate models, STI in individuals was independently associated with partners' concurrency (odds ratio [OR], 3.6), lack of awareness of partner's concurrency (OR, 4.5), perceiving a partner to have concurrent partners when the partner did not (OR, 4.7), living in south San Diego, and sexual contact within 1 week of acquaintance, but not with individuals' concurrency.Conclusion: This study demonstrates that STI is associated with partner's concurrency and with not knowing one's partner's behavior.