Sexual behaviour in Britain: why sexually transmitted infections are common

Fenton, Kevin; Hughes, Gwenda

doi:10.7861/clinmedicine.3-3-199

Cited by 18 publications

(9 citation statements)

References 10 publications

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“…The number of sexual partners, as well as the type of current relationship were significantly associated with HPV positivity. Several international studies confirm sexual behaviour and a high number of sexual partners as the most important risk factors to contract STI's [5] , [15] , [17] – [22] . In this study not only the number of sexual partners in the past six months but also number of lifetime sexual partners was independently associated with a higher risk for HPV prevalence.…”

Section: Discussionmentioning

confidence: 98%

Sexual Behaviour and HPV Infections in 18 to 29 Year Old Women in the Pre-Vaccine Era in the Netherlands

et al. 2008

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BackgroundInfection with Human Papillomavirus (HPV) is a necessary event in the multi-step process of cervical carcinogenesis. Little is known about the natural history of HPV infection among unscreened young adults. As prophylactic vaccines are being developed to prevent specifically HPV 16 and 18 infections, shifts in prevalence in the post vaccine era may be expected. This study provides a unique opportunity to gather baseline data before changes by nationwide vaccination occur.Methods and Principal FindingsThis cross-sectional study is part of a large prospective epidemiologic study performed among 2065 unscreened women aged 18 to 29 years. Women returned a self-collected cervico-vaginal specimen and filled out a questionnaire. All HPV DNA-positive samples (by SPF10 DEIA) were genotyped using the INNO-LiPA HPV genotyping assay. HPV point prevalence in this sample was 19%. Low and high risk HPV prevalence was 9.1% and 11.8%, respectively. A single HPV-type was detected in 14.9% of all women, while multiple types were found in 4.1%. HPV-types 16 (2.8%) and 18 (1.4%) were found concomitantly in only 3 women (0.1%). There was an increase in HPV prevalence till 22 years. Multivariate analysis showed that number of lifetime sexual partners was the most powerful predictor of HPV positivity, followed by type of relationship, frequency of sexual contact, age, and number of sexual partners over the past 6 months.Conclusions and SignificanceThis study shows that factors independently associated with HPV prevalence are mainly related to sexual behaviour. Combination of these results with the relative low prevalence of HPV 16 and/or 18 may be promising for expanding the future target group for catch up vaccination. Furthermore, these results provide a basis for research on possible future shifts in HPV genotype prevalence, and enable a better estimate of the effect of HPV 16-18 vaccination on cervical cancer incidence.

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Section: Discussionmentioning

confidence: 98%

Sexual Behaviour and HPV Infections in 18 to 29 Year Old Women in the Pre-Vaccine Era in the Netherlands

et al. 2008

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“…A national survey in the United States conducted in 2002 had similar results, and it showed an inverse correlation between the number of partners and age at first sexual intercourse: 12–14 years, 14–15 years, 16–17 years, and 18–19 years with OR=7.5, 3.3, 2.3, and 1.4, respectively, with reference age of 20–24 years ( 21 ). One reason could be the short duration of relationships leading to the common exchange of sexual partners during adolescence and young adulthood ( 9 ). In the logistic regression analysis in our study, the age of the women was also a significant predictor of the number of sexual partners over their lifetimes, but this could be explained by noting that older women have more time to accumulate sexual partners.…”

Section: Discussionmentioning

confidence: 99%

“…Early sexual intercourse is commonly defined as having had first sexual intercourse before age 15 ( 7 , 8 ). Young people do not always have sufficient negotiation skills and/or the power to ensure consistent and effective use of condoms ( 9 ). Studies show that, of the women who report having had early sexual intercourse, a high proportion also report having two or more sex partners in the previous 3 months; using alcohol/drugs during their last sexual intercourse; not using a condom at their last sexual intercourse; having been pregnant; having been forced to have sex; having been involved in physical intimate partner violence in the previous year and displaying antisocial behaviour in later life ( 10 – 13 ).…”

Section: Introductionmentioning

confidence: 99%

Early sexual initiation and multiple sexual partners among Vietnamese women: analysis from the Multiple Indicator Cluster Survey, 2011

Son

Heo

et al. 2016

Global Health Action

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IntroductionUnder current HIV transmission mechanisms operating in Vietnam, women are seen as victims of their male partners. Having multiple sexual partners is one of the well-known risk factors for HIV infection. However, little is known about women's risky sexual behaviour and their vulnerability to HIV in Vietnam. This study aims to explore association between early sexual initiation and the number of lifetime sexual partners in Vietnamese women. Although the Vietnamese culture is socially conservative in this area, identifying women's risky sexual behaviour is important for the protection of women at risk of HIV and other sexually transmitted diseases.DesignA total of 8,791 women, who reported having had sexual intercourse, were included in this analysis of data from the 2011 Multiple Indicator Cluster Survey in Vietnam. Data were collected using two-stage strata sampling, first at the national level and second across six geographical regions (n=8,791). Multivariable logistic regressions describe association between early initiation of a sexual activity and lifetime multiple sexual partners.ResultsEarly sexual intercourse was significantly associated with having lifetime multiple sexual partners. Women who were aged 19 or younger at first sexual intercourse were over five times more likely to have multiple sexual partners, compared with women whose first sexual intercourse was after marriage; aged 10–14 years (OR=5.9; 95% CI=1.9–18.8) at first intercourse; and aged 15–19 years (OR=5.4; 95% CI=4.0–7.2) at first intercourse. There was significant association with having multiple sexual partners for women of lower household wealth and urban residence, but the association with educational attainment was not strong.ConclusionsThe study results call for health and education policies to encourage the postponement of early sexual activity in young Vietnamese women as protection against risky sexual behaviour later in life.

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“…College students are a high risk group for HIV infection as well as they are one of the focus populations for AIDS prevention [ 15 ]. They are prone to high-risk sexual behaviours because many college students are sexually active, have liberal attitudes towards sex, and are under social and personal pressure [ 16 ]. College students accounted for 55% of reported premarital sexual behaviour [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Acceptability of Male Circumcision among College Students in Medical Universities in Western China: A Cross-Sectional Study

Jiang

Yang

et al. 2015

PLoS ONE

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BackgroundMale circumcision (MC) has been shown to reduce the risk of female to male transmission of HIV. The goal of this survey was to explore MC’s acceptability and the factors associated with MC among college students in medical universities in western China.MethodsA cross-sectional study was carried out in three provinces in western China (Guangxi, Chongqing and Xinjiang) to assess the acceptability of MC as well as to discover factors associated with the acceptability among college students in medical universities. A total of 1,790 uncircumcised male students from three medical universities were enrolled in this study. In addition, 150 students who had undergone MC were also enrolled in the survey, and they participated in in-depth interviews.ResultsOf all the uncircumcised participants (n = 1,790), 55.2% (n = 988) were willing to accept MC. Among those who accepted MC, 67.3% thought that MC could improve their sexual partners’ hygiene, 46.3% believed that HIV and sexually transmitted diseases (STDs) could be partially prevented by MC. The multivariable logistic regression indicates that MC’s acceptability was associated with three factors: the redundant foreskin (OR = 10.171, 95% CI = 7.629–13.559), knowing the hazard of having a redundant foreskin (OR = 1.597, 95% CI = 1.097–2.323), and enhancing sexual pleasure (OR = 1.628, 95% CI = 1.312–2.021). The in-depth interviews for subjects who had undergone MC showed that the major reason for having MC was the redundant foreskin (87.3%), followed by the benefits and the fewer complications of having MC done. In addition, most of these participants (65.3%) said that the MC could enhance sexual satisfaction.ConclusionsMC’s acceptance among college students in medical universities is higher than it is among other populations in western China. An implementation of an MC programme among this population is feasible in the future.

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Sexual behaviour in Britain: why sexually transmitted infections are common

Cited by 18 publications

References 10 publications

Sexual Behaviour and HPV Infections in 18 to 29 Year Old Women in the Pre-Vaccine Era in the Netherlands

Sexual Behaviour and HPV Infections in 18 to 29 Year Old Women in the Pre-Vaccine Era in the Netherlands

Early sexual initiation and multiple sexual partners among Vietnamese women: analysis from the Multiple Indicator Cluster Survey, 2011

Acceptability of Male Circumcision among College Students in Medical Universities in Western China: A Cross-Sectional Study

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