Stephanie A S Staras1, Robert L Cook, Duncan B Clark. 1. Department of Epidemiology and Health Policy Research, School of Medicine, University of Florida, Gainesville, Florida 32608, USA. sas@ehpr.ufl.edu
Abstract
BACKGROUND: Among adolescents and young adults, the extent that partner characteristics account for sexually transmitted diseases (STDs) in context of individual sexual activities and demographic characteristics is unclear. METHODS: Sexual partner characteristics, individual sexual activities, and STD diagnosis were assessed among 15 to 24-year-old STD clinic attendees from 1999 to 2002 (n = 412). We used exact logistic regression to calculate odds ratios (OR) for several sexual partner characteristics (age discordance, incarceration, STD diagnosis, other partners, alcohol problem, marijuana problem, and a calculated composite variable) adjusting for demographics and individual sexual activities, including condom use. RESULTS: Sexual partner characteristics associated with STD diagnosis were >or=5 years age discordance [OR = 2.6 (95% confidence interval (CI) = 1.6, 4.5)] and STD in the past year [OR = 3.4 (95% CI = 2.0, 5.7)]. Even when considering individual sexual activities, composite partner risk was associated with STD diagnosis [intermediate to low OR = 2.1 (95% CI = 1.0, 4.2) and high to low OR = 3.4 (95% CI = 1.6, 7.0)]. Composite individual sexual activities was associated with STD diagnosis when considering demographics [intermediate to low OR = 1.8 (95% CI = 1.0, 3.2), high to low OR = 2.3 (95% CI = 1.2, 4.5)], but not when also considering partner characteristics [intermediate to low OR = 1.6 (95% CI = 0.9, 2.8), high to low OR = 1.8 (95% CI = 0.8, 3.9)]. CONCLUSIONS: Among this sample of 15 to 24-year-olds, sexual partner characteristics identified individuals at increased risk of prevalent STDs and were more predictive of STDs than an individual's sexual activities.
BACKGROUND: Among adolescents and young adults, the extent that partner characteristics account for sexually transmitted diseases (STDs) in context of individual sexual activities and demographic characteristics is unclear. METHODS: Sexual partner characteristics, individual sexual activities, and STD diagnosis were assessed among 15 to 24-year-old STD clinic attendees from 1999 to 2002 (n = 412). We used exact logistic regression to calculate odds ratios (OR) for several sexual partner characteristics (age discordance, incarceration, STD diagnosis, other partners, alcohol problem, marijuana problem, and a calculated composite variable) adjusting for demographics and individual sexual activities, including condom use. RESULTS: Sexual partner characteristics associated with STD diagnosis were >or=5 years age discordance [OR = 2.6 (95% confidence interval (CI) = 1.6, 4.5)] and STD in the past year [OR = 3.4 (95% CI = 2.0, 5.7)]. Even when considering individual sexual activities, composite partner risk was associated with STD diagnosis [intermediate to low OR = 2.1 (95% CI = 1.0, 4.2) and high to low OR = 3.4 (95% CI = 1.6, 7.0)]. Composite individual sexual activities was associated with STD diagnosis when considering demographics [intermediate to low OR = 1.8 (95% CI = 1.0, 3.2), high to low OR = 2.3 (95% CI = 1.2, 4.5)], but not when also considering partner characteristics [intermediate to low OR = 1.6 (95% CI = 0.9, 2.8), high to low OR = 1.8 (95% CI = 0.8, 3.9)]. CONCLUSIONS: Among this sample of 15 to 24-year-olds, sexual partner characteristics identified individuals at increased risk of prevalent STDs and were more predictive of STDs than an individual's sexual activities.
Authors: Adaora A Adimora; Victor J Schoenbach; Dana M Bonas; Francis E A Martinson; Kathryn H Donaldson; Tonya R Stancil Journal: Epidemiology Date: 2002-05 Impact factor: 4.822
Authors: Linda M Niccolai; Kathleen A Ethier; Trace S Kershaw; Jessica B Lewis; Christina S Meade; Jeannette R Ickovics Journal: J Adolesc Health Date: 2004-03 Impact factor: 5.012
Authors: Catherine H Mercer; Kaye Wellings; Wendy Macdowall; Andrew J Copas; Sally McManus; Bob Erens; Kevin A Fenton; Anne M Johnson Journal: J Adolesc Health Date: 2006-07 Impact factor: 5.012
Authors: Steven M Goodreau; Emily D Pollock; Li Yan Wang; Lisa C Barrios; Richard L Dunville; Maria V Aslam; David A Katz; Rachel Hart-Malloy; Elizabeth M Rosenthal; Monica Trigg; Megan Fields; Deven T Hamilton; Eli S Rosenberg Journal: Ann Epidemiol Date: 2020-05-27 Impact factor: 3.797
Authors: Margaret Rosario; Heather L Corliss; Bethany G Everett; Sari L Reisner; S Bryn Austin; Francisco O Buchting; Michelle Birkett Journal: Am J Public Health Date: 2013-12-12 Impact factor: 9.308
Authors: Margaret Rosario; Heather L Corliss; Bethany G Everett; Stephen T Russell; Francisco O Buchting; Michelle A Birkett Journal: Am J Public Health Date: 2014-04-17 Impact factor: 9.308
Authors: Jalen Alexander; Jennifer Rose; Lisa Dierker; Philip A Chan; Sarah MacCarthy; Dantrell Simmons; Leandro Mena; Amy Nunn Journal: Sex Transm Dis Date: 2015-05 Impact factor: 2.830
Authors: Andrea Swartzendruber; Jonathan M Zenilman; Linda M Niccolai; Trace S Kershaw; Jennifer L Brown; Ralph J Diclemente; Jessica M Sales Journal: Sex Transm Dis Date: 2013-05 Impact factor: 2.830