Individual and Partner-Level Characteristics Associated with Vaccine-Type and Non-Vaccine-Type Human Papillomavirus Infection in Young Women after Vaccine Introduction

Washington, Chalita; Ding, Lili; Gorbach, Pamina M.; Rosen, Brittany L.; Kahn, Jessica A.

doi:10.1016/j.jadohealth.2017.11.007

Cited by 1 publication

(2 citation statements)

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“…In addition, scholarship relying on cross-sectional data has yielded puzzling findings. Although probabilistically, concurrency should not increase the likelihood of STI infection above and beyond having multiple, sequential relationships (all else being equal), numerous studies have found higher rates of STIs among recently concurrent individuals than among individuals who have not recently been concurrent (Javanbakht et al 2010;Manhart et al 2002;Mishra and Bignami-Van Assche 2009;Rosenberg et al 1999;Washington et al 2018). These prior studies' findings suggest that concurrency is likely a proxy for a broader set of risk-taking behaviors that undermine sexual health.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, as described earlier, concurrency does not increase the risk of STI infection more than having sex with the same number of partners sequentially (Morris 2010). Yet, in the United States, recently concurrent individuals tend to have higher rates of STIs, including human papilloma virus (HPV), gonorrhea, and chlamydia (Gorbach et al 2005;Javanbakht et al 2010;Rosenberg et al 1999;Washington et al 2018). Differences in STI rates may thus reflect differences in condom use, and potentially other behaviors, between ever-and never-concurrent individuals (Adimora et al 2011;Hess et al 2012;Kalichman et al 2007).…”

Section: Existing Assessments Of Concurrencymentioning

confidence: 99%

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Sexual Concurrency and Contraceptive Use Among Young Adult Women

2019

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Leveraging 2.5 years of weekly data from the Relationship Dynamics and Social Life Study, we investigate the relationship between young women's sexual concurrency and their contraceptive behavior. Specifically, we (1) examine whether young women changed their contraceptive use when switching from one to multiple concurrent sexual partners in the same week; (2) explore the uniformity of contraceptive responses to concurrency across relationship context; and (3) compare the contraceptive behaviors of never-concurrent women with those of ever-concurrent women in weeks when they were not concurrent. Nearly one in five sexually active young women had sex with two or more people in the same week. When they were concurrent, these women's odds of using any contraception increased threefold, and their odds of using condoms increased fourfold. This pattern of contraceptive adjustments was the same across relationship characteristics, such as duration and exclusivity. Yet when they were not concurrent, ever-concurrent women were less likely to use any contraception and used condoms less consistently than women who were never concurrent. We discuss these findings in the context of ongoing debates about the role of sexual concurrency in STI transmission dynamics.

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Section: Discussionmentioning

confidence: 99%