Temporal trends in sexual behaviors and sexually transmitted disease history among 18-to 39-year-old Seattle, Washington, residents: Results of random digit-dial surveys
Temporal trends in sexual behaviors and sexually transmitted disease history among 18-to 39-year-old Seattle, Washington, residents: Results of random digit-dial surveys
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DOI：
10.1097/01.olq.0000175370.08709.72
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发表时间：
2005-11-01
影响因子：
3.1
通讯作者：
Foxman, B
中科院分区：
文献类型：
--
作者：
Aral, SO;Patel, DA;Foxman, B
目的：本研究的目的是描述2003-2004年西雅图居民的性行为，并报告1995年以来的变化。方法：2003-2004年对18 ~ 39岁的男女进行随机数字拨号（RDD）调查。我们将这些结果与1995年在同一人群中进行的RDD调查的结果进行了比较。两次调查的问卷电池和抽样方法相似。结果：1995年至2004年间，终生性伴侣的中位数从7个增加到8个。黑人妇女阴道灌洗从70.6%下降到25.9% (P = 0.004)；亚裔美国女性的发病率从8.3%上升到5.9% (P < 0.05)；15.5% ~ 2.4% （P < 0.05）。调整后，1995年至2004年间，报告进行阴道灌洗的妇女比例（优势比[OR]， 0.13； 95%可信区间[CI]， 0.7-0.22）、报告有任何性传播疾病史的应答者比例（优势比[OR]， 0.70； 95%置信区间[CI]， 0.53-0.93）和有淋病史的应答者比例（优势比，0.48；95%置信区间，0.25-0.89）下降。相反，1995年至2004年间，仅报告同性伴侣（OR, 3.27; 95% CI, 1.33-9.88）、与最近的性伴侣发生第一次性行为时使用安全套（OR, 1.38; 95% CI, 1.06-1.78）和报告肛交行为（OR, 2.01; 95% CI, 1.21-3.48）的受访者比例有所增加。在黑人中，报告与伴侣年龄仅相差2岁的比例从64.3%下降到25.9% (P < 0.05)，表明年龄混合增加。结论：1995 - 2004年间，一些危险行为有所减少，而另一些则有所增加；在一般人口和少数民族人口之间有几个趋势是不同的。我们的数据表明，少数民族人群和一般人群在危险行为和发病率方面的差异越来越大。此外，肛交和性伴侣的数量也有所增加。这些模式对预防项目的设计、目标和实施具有重要意义。
Objectives: The objectives of this study were to describe sexual behaviors of Seattle residents in 2003-2004 and report changes since 1995.Methods: We conducted a random digit-dial (RDD) survey among 18- to 39-year-old men and women in 2003-2004. We compared the results with the results of a 1995 RDD survey conducted in the same population. Questionnaire batteries and sampling methods were similar in the 2 surveys.Results: Between 1995 and 2004, the median number of lifetime sex partners increased from 7 to 8. Vaginal douching declined from 70.6% to 25.9% (P = 0.004) among black women; from 8.3% to 5.9% (P < 0.05) among Asian American women; and from 15.5% to 2.4% (P < 0.05) overall. After adjustment, proportions of women who reported practicing vaginal douching (odds ratio [OR], 0.13; 95% confidence interval [CI], 0.7-0.22), the proportion of respondents who reported a history of any sexually transmitted disease (OR, 0.70; 95% CI, 0.53-0.93) and a history of gonorrhea (OR, 0.48; 95% CI, 0.25-0.89) declined between 1995 and 2004. Conversely, the proportion of respondents who reported only same-sex partners (OR, 3.27; 95% CI, 1.33-9.88), condom use at first sex with their most recent sex partner (OR, 1.38; 95% CI, 1.06-1.78), and reported practice of anal sex (OR, 2.01; 95% CI, 1.21-3.48) increased between 1995 and 2004. Among blacks, proportions reporting an age difference of only 2 years with their partners declined from 64.3% to 25.9% (P < 0.05), indicating increased age mixing.Conclusions: Some risk behaviors declined whereas others increased between 1995 and 2004; several trends were divergent between the general population and minority populations. Our data hint at an increasing divergence in risk behaviors and morbidity between minority populations and the general population. Also, anal sex and number of sex partners have increased. These patterns have serious implications for the design, targeting, and implementation of prevention programs.