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Co-occurrence of intoxication during sex and sexually transmissible infections among young African American women: does partner intoxication matter?

Co-occurrence of intoxication during sex and sexually transmissible infections among young... Background : The co-occurrence of a behaviour (being intoxicated on alcohol/drugs during sex) with a disease outcome (laboratory-confirmed sexually transmissible infection (STI) prevalence) among young African American women and their male sex partners was studied. Methods : A cross-sectional study was conducted. Recruitment and data collection occurred in three clinics located in a metropolitan city of the Southern USA. A total of 715 African American adolescent females (15–21 years old) were enrolled (82% participation rate). The primary outcome measure was the analysis of self-collected vaginal swabs using nucleic acid amplification assays for Trichomonas vaginalis , Chlamydia trachomatis , and Neisseria gonorrhoeae . Results : After controlling for age and self-efficacy to negotiate condom use, young women’s alcohol/drug use while having sex was not significantly associated with STI prevalence (adjusted odds ratios (AOR) = 1.29, 95% confidence interval (CI) = 0.90–1.83). However, using the same covariates, the association between male partners’ alcohol/drug use and sexually transmitted disease prevalence was significant (AOR = 1.44, 95% CI = 1.03–2.02). Young women reporting that their sex partners had been drunk or high while having sex (at least once in the past 60 days) were ~1.4 times more likely to test positive for at least one of the three assessed STIs. Conclusion : Young African American women reporting a male sex partner had been intoxicated during sex were significantly more likely to have an STI. The nature of this phenomenon could be a consequence of women’s selection of risky partners and lack of condom use possibly stemming from their intoxication or their partners’ intoxication. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Sexual Health CSIRO Publishing

Co-occurrence of intoxication during sex and sexually transmissible infections among young African American women: does partner intoxication matter?

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References (47)

Publisher
CSIRO Publishing
Copyright
CSIRO
ISSN
1448-5028
eISSN
1449-8987
DOI
10.1071/SH07098
Publisher site
See Article on Publisher Site

Abstract

Background : The co-occurrence of a behaviour (being intoxicated on alcohol/drugs during sex) with a disease outcome (laboratory-confirmed sexually transmissible infection (STI) prevalence) among young African American women and their male sex partners was studied. Methods : A cross-sectional study was conducted. Recruitment and data collection occurred in three clinics located in a metropolitan city of the Southern USA. A total of 715 African American adolescent females (15–21 years old) were enrolled (82% participation rate). The primary outcome measure was the analysis of self-collected vaginal swabs using nucleic acid amplification assays for Trichomonas vaginalis , Chlamydia trachomatis , and Neisseria gonorrhoeae . Results : After controlling for age and self-efficacy to negotiate condom use, young women’s alcohol/drug use while having sex was not significantly associated with STI prevalence (adjusted odds ratios (AOR) = 1.29, 95% confidence interval (CI) = 0.90–1.83). However, using the same covariates, the association between male partners’ alcohol/drug use and sexually transmitted disease prevalence was significant (AOR = 1.44, 95% CI = 1.03–2.02). Young women reporting that their sex partners had been drunk or high while having sex (at least once in the past 60 days) were ~1.4 times more likely to test positive for at least one of the three assessed STIs. Conclusion : Young African American women reporting a male sex partner had been intoxicated during sex were significantly more likely to have an STI. The nature of this phenomenon could be a consequence of women’s selection of risky partners and lack of condom use possibly stemming from their intoxication or their partners’ intoxication.

Journal

Sexual Health – CSIRO Publishing

Published: Aug 6, 2008

Keywords: adolescent females, condom use, sexual behaviour.

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