Concurrent sexual partnerships and sexually transmitted diseases in Russia

Weihai Zhan1, Tatiana V Krasnoselskikh, Linda M Niccolai

  • 1Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT, USA.

Insights

Partner concurrency, having multiple simultaneous sexual partners, is linked to higher STD rates in Russia. Individual concurrency showed no significant STD association. Understanding partner concurrency is key for STD prevention.

Area of Science:

  • Public Health
  • Epidemiology
  • Sexual Health

Background:

  • Sexual concurrency is a known risk factor for sexually transmitted diseases (STDs).
  • Previous research primarily focused on individual concurrency, neglecting partner concurrency.
  • HIV epidemic growth in Russia necessitates understanding concurrency's role in STD transmission.

Purpose of the Study:

  • To investigate the prevalence and correlates of individual and partner concurrency in St. Petersburg, Russia.
  • To determine the association between individual and partner concurrency and diagnosed STDs.

Main Methods:

  • Cross-sectional study of 799 STD clinic attendees in St. Petersburg (2006-2008).
  • Data collected via questionnaire on demographics, sexual behaviors, and sexual partners.
  • Analysis included individual and partner concurrency prevalence and STD associations.

Main Results:

  • Prevalence of individual concurrency was 24.7%; partner concurrency was 45.4%.
  • Both concurrency types correlated with marital status, alcohol use, age at first sex, and lifetime partners.
  • Partner concurrency, but not individual concurrency, was significantly associated with diagnosed STDs (OR=2.06).

Conclusions:

  • Partner concurrency is independently associated with increased odds of STDs.
  • Focusing on partner concurrency may be more effective for STD prevention strategies.
  • Findings highlight the importance of partner concurrency in the context of a growing HIV epidemic in Russia.
Abstract

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