Women's sexual behavior. Population-based study among 65 000 women from four Nordic countries before introduction of human papillomavirus vaccination

Jensen, Kirsten Egebjerg; Munk, Christian; Sparén, Pär; Tryggvadóttír, Laufey; Liaw, Kai Li; Dasbach, Erik J.; Nygård, Mari; Kjær, Susanne K.

doi:10.1111/j.1600-0412.2010.01066.x

Cited by 34 publications

(34 citation statements)

References 29 publications

(59 reference statements)

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“…However, a limitation of our study was the lack of information on sexual contact in the questionnaire due to personal and cultural reasons. Alcohol consumption is probably associated with sexual behavior [47] and thus with the acquisition of HPV or other sexually transmitted infections [48]. Our study may overlook the fact that women with multiple sexual partners have greater opportunities for HPV acquisition.…”

Section: Discussionmentioning

confidence: 75%

Alcohol Consumption and Viral Load Are Synergistically Associated with CIN1

Min

Lee

et al. 2013

PLoS ONE

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PurposeWe investigated the association between alcohol consumption and risk of cervical intraepithelial neoplasia (CIN) and cervical cancer, and determined whether these associations were modified by human papillomavirus (HPV) viral load in high-risk HPV-positive women participating in the Korean HPV cohort study (KHPV).MethodsAmong the women recruited in the KHPV (n = 1,243) from March 2006 to December 2009, we analyzed normal cytology (n = 581) as control group, CIN1 (n = 299), CIN2/3 (n = 161), or cervical cancer (n = 202). Multinomial logistic analysis was performed to estimate multivariate-adjusted odds ratios (OR).ResultsAlcohol drinkers had an increased risk of CIN1 (OR = 2.18, 95% CI 1.22–3.89) compared with non-drinkers after adjusting for potential confounders. Subjects with more frequent alcohol consumption had a higher risk of CIN1 (p for linear trend <0.0001). Higher ethanol consumption was associated with an increased risk of CIN1 (p for linear trend = 0.0001). We also observed a synergistic effect between HPV viral load and alcohol consumption: drinkers with a high HPV viral load (≥100 RLU/PC) were associated with a significantly increased risk of CIN1 (OR = 19.1; 95% CI, 6.60–55.3, interaction p<0.001). There were no associations between alcohol drinking and CIN2/3 or cervical cancer.ConclusionsHPV viral load and alcohol was associated with the risk of CIN1 among high-risk HPV-positive women. This is the first demonstration that alcohol is an independent and combined risk factor of CIN1.

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Section: Discussionmentioning

confidence: 75%

Alcohol Consumption and Viral Load Are Synergistically Associated with CIN1

Min

Lee

et al. 2013

PLoS ONE

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“…Lifestyle variables have been associated with increased incidence of sexually transmitted infections (Ericksen and Trocki 1992;Jensen et al 2011;O'Connell et al 2009). One could therefore hypothesize that one or more lifestyle variables caused the association between depression and C. trachomatis infection, rather than the infection itself.…”

Section: Lifestyle Variablesmentioning

confidence: 99%

Sexually Transmitted Pathogens, Depression, and Other Manifestations Associated with Premenstrual Syndrome

Doyle

Swain

Ewald

et al. 2015

Hum Nat

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This study investigated whether sexually transmitted infections and lifestyle variables are associated with premenstrual syndrome (PMS) as well as particular manifestations commonly associated with PMS. Data were gathered from medical records of 500 regularly cycling women. The following infectious agents were investigated: human papillomavirus, Chlamydia trachomatis, Neisseria gonorrheae, Gardnerella vaginalis, Candida albicans, and Trichomonas vaginalis. Bivariate tests and multivariate logistic regressions were used to evaluate whether these pathogens were associated with headache, pain, nausea, and depression. Chlamydia trachomatis was significantly associated with premenstrual syndrome (PMS) and two common manifestations of PMS: depression and pain. Trichomonas vaginalis was significantly correlated with headache and Gardnerella vaginalis with nausea. None of the illness manifestations was significantly associated with the tested lifestyle variables: dietary calcium supplementation, alcohol and drug use, exercise, and smoking. These associations provide a basis for assessment of infectious causation of PMS and several manifestations of illness that are commonly associated with PMS.

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“…The few empirical studies to date suggest that sexual behaviors are also assortative. 5,11,12 Sexual behaviors are however associated with many sociodemographic and behavioral characteristics known to be assortative such as age, 13–15 ethnicity, 14 education/parental education, 13–15 and smoking. 13,15 It remains unclear whether sexual behaviors are independently assortative, or whether they are correlated between partners due to their association with other assortative sociodemographic and behavioral characteristics.…”

Section: Introductionmentioning

confidence: 99%

Assortativity and Mixing by Sexual Behaviors and Sociodemographic Characteristics in Young Adult Heterosexual Dating Partnerships

Malagón¹,

Burchell²,

El‐Zein³

et al. 2017

Sexual Trans Dis

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Background Assortative sexual mixing, the tendency for individuals to choose partners with similar characteristics to themselves, may be an important contributor to the unequal distribution of sexually transmitted infections in populations. We analyzed the tendency for assortative mixing on demographic and sexual behaviors characteristics in newly formed young adults dating partnerships. Methods Women aged 18–24 and their male sexual partners of no more than 6 months were recruited during 2005–2010 at universities in Montreal, Canada. New dating partners were also prospectively recruited during the two-year follow-up. We used Spearman and Newman coefficients to examine correlations between partners’ demographic characteristics and sexual behaviors, and multivariable logistic modeling to determine which characteristics were assortative. Results Participants in 502 recruited partnerships were assortative on age (Spearman ρ=0.60), smoking behavior (ρ=0.43), ethnicity (Newman coefficient=0.39), lifetime number of sexual partners (ρ=0.36), sex partner acquisition rates (ρ=0.22), gap length between partnerships (ρ=0.20), and on whether they had concurrent partners (ρ=0.33). Partners were assortative on number of lifetime partners, sexual partner acquisition rates, concurrency, and gap length between partnerships even after adjustment for demographic characteristics. Reported condom use was correlated between initial and subsequently recruited partners (ρ=0.35). There was little correlation between the frequencies of vaginal/oral/digital/anal sex between subsequent partnerships. Conclusions Dating partnerships were substantially assortative on various sexual behaviors as well as demographic characteristics. Though not a representative population sample, our recruitment of relatively new partnerships reduces survivor bias inherent to cross-sectional surveys where stable long-term partnerships are more likely to be sampled.

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Women's sexual behavior. Population-based study among 65 000 women from four Nordic countries before introduction of human papillomavirus vaccination

Abstract: These measurements of sexual behavior before the introduction of national human papillomavirus vaccination programs will form the basis for a comparison with a similar survey performed after vaccination has been introduced.

Cited by 34 publications

References 29 publications

Alcohol Consumption and Viral Load Are Synergistically Associated with CIN1

Alcohol Consumption and Viral Load Are Synergistically Associated with CIN1

Sexually Transmitted Pathogens, Depression, and Other Manifestations Associated with Premenstrual Syndrome

Assortativity and Mixing by Sexual Behaviors and Sociodemographic Characteristics in Young Adult Heterosexual Dating Partnerships

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