Frequency and Combination of Sequential Sexual Acts That May Lead to Sexually Transmitted Infections at Different Anatomic Sites Within the Same Person.
Frequency and Combination of Sequential Sexual Acts That May Lead to Sexually Transmitted Infections at Different Anatomic Sites Within the Same Person.
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DOI：
10.1007/s10508-022-02486-2
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发表时间：
2023-02
影响因子：
3.8
通讯作者：
Barbee, Lindley A.
中科院分区：
文献类型：
--
作者：
Khosropour, Christine M.;Coomes, David M.;Barbee, Lindley A.
关键词：
模拟研究表明，淋病和衣原体在同一人体内的多个解剖部位的传播对于复制观察到的生殖器外淋病/衣原体的高发病率是必要的。有限的经验行为数据支持这一观点。在这项横断面研究中，我们招募了在过去两年中报告与男性发生性行为(MSM)并拒绝接受性肛交(RAS)的出生时被指定为男性的个体。参与者亲自在华盛顿州西雅图的性健康诊所(2019年12月至2021年9月)或在线(2021年7月至2021年9月)登记，并完成一份性史问卷，询问他们最后一次性行为中的具体性行为和这些行为的顺序。在16个月的招募期间，我们招募了210名男男性接触者。最近一次性行为报告的中位数为4次(四分位数范围3-5)。最常见的最后一次性行为是：接吻(83%)、接受口交(82%)和插入肛交(65%)。报告的性行为顺序有很大的差异；超过12%的人口没有报告独特的性行为顺序。90%的参与者报告了可能导致淋病或衣原体在同一人(受访者或伴侣)内传播的行为序列；这些组合中最常见的是接吻后接受口交(报告)。在一次性接触中进行多次性行为是很常见的，并可能导致淋病/衣原体在同一人内传播。这使估计人口水平传播所需的传播概率的经验测量变得复杂。网上版载有补充材料，可在10.1007/s10508-022-02486-2查阅。
Modeling studies suggest that transmission of gonorrhea and chlamydia to multiple anatomic sites within the same person is necessary to reproduce observed high rates of extragenital gonorrhea/chlamydia. Limited empiric behavioral data support this idea. In this cross-sectional study, we enrolled individuals assigned male at birth who reported sex with men (MSM) and denied receptive anal sex (RAS) in the past 2 years. Participants enrolled in-person at the Sexual Health Clinic in Seattle, Washington (December 2019–September 2021) or online (July 2021–September 2021), and completed a sexual history questionnaire that asked about specific sexual acts and sequence of those acts during their last sexual encounter. We enrolled 210 MSM during the 16-month recruiting period. The median number of sex acts reported at last sexual encounter was 4 (interquartile range 3–5). The most commonly reported acts at last sex were: kissing (83%), receiving oral sex (82%), and insertive anal sex (65%). There was substantial variability in the sequence of acts reported; no unique sequence of sex acts was reported by more than 12% of the population. Ninety percent of participants reported sequences of behaviors that could lead to gonorrhea or chlamydia transmission within the same person (respondent or partner); the most common of these combinations was kissing followed by receiving oral sex (64% reporting). Engaging in multiple sex acts within a single sexual encounter is common and may lead to gonorrhea/chlamydia transmission within the same person. This complicates empiric measurements of transmission probabilities needed to estimate population-level transmission. The online version contains supplementary material available at 10.1007/s10508-022-02486-2.
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影响因子：
3.7
作者：
Xiridou M;Vriend HJ;Lugner AK;Wallinga J;Fennema JS;Prins JM;Geerlings SE;Rijnders BJ;Prins M;de Vries HJ;Postma MJ;van Veen MG;Schim van der Loeff MF;van der Sande MA
通讯作者：
van der Sande MA
影响因子：
3.1
作者：
Spicknall, Ian H.;Mayer, Kenneth H.;Romero-Severson, Ethan O.
通讯作者：
Romero-Severson, Ethan O.
影响因子：
50
作者：
Lewis, Joanna;White, Peter J.
通讯作者：
White, Peter J.
DOI：
10.1007/978-1-4939-9496-0_25
发表时间：
2019-01-01
期刊：
NEISSERIA GONORRHOEAE: METHODS AND PROTOCOLS
影响因子：
--
作者：
Hobbs, Marcia M.;Duncan, Joseph A.
通讯作者：
Duncan, Joseph A.
影响因子：
6.4
作者：
Gray, Richard T.;Beagley, Kenneth W.;Wilson, David P.
通讯作者：
Wilson, David P.