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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.
Background:
Sexual concurrency is associated with higher prevalence of sexually transmitted diseases (STDs) including HIV. However, most studies have focused only on the concurrency of the individual participant (individual concurrency) and not on concurrency of their sexual partners (partner concurrency). Furthermore, limited concurrency information is available in Russia where HIV epidemic is growing rapidly. We therefore examine the prevalence and correlates of individual and partner concurrency, and determine whether either type of concurrency is associated with diagnosed STDs among STD clinic attendees in St. Petersburg, Russia.
Methods:
In total, 799 attendees were recruited into a cross-sectional study between 2006 and 2008. A questionnaire collected information on demographics, medical history, sexual behaviors, and up to 3 sexual partners during the preceding year.
Results:
The prevalence of individual and partner concurrency was 24.7% and 45.4%, respectively. Both were correlated with marital status, weekly alcohol consumption, age at first sex, and number of lifetime sexual partners. Partner concurrency was significantly associated with diagnosed STDs (odds ratio = 2.06; 95% confidence interval = 1.35-3.15). No significant association between individual concurrency and STDs was observed.
Conclusions:
Partner concurrency, not individual concurrency, is independently associated with increased odds of having an STD in the studied population.
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