Abstract:
INTRODUCTION:Sexual behavior changes are widely cited as contributing factors to sexually transmitted disease trends. We explore a rarely examined aspect of behavior trends in an open cohort--the relative impact of individuals' changing reported behavior versus new responses due to a changing respondent base. METHODS:Respondents from an open cohort in Uganda annually answer questions on sexual behavior. We describe the impacts on behavior trends of: respondents' changing reported behavior, migration, mortality, changing eligibility for indicator inclusion, changing survey participation, and misreporting. We report contributions to trends on the following factors: condom use, ever had sex, age at first sex, and number of sexual partners and casual partners. RESULTS:Main trend contributions varied by indicator. Condom use trends were influenced by individuals' changing responses and by increasing condom use among in-migrants and newly interviewed people. Sexual partners were driven by fewer partners among newly interviewed people, although increase of partners in 1999, 2004, and 2006 stemmed mainly from people changing answers. Thirty-nine percent of responses to age at first sex among 17- to 20-year-olds were inconsistent--different ages in different years. Early trends in the factor "ever had sex" among 15- to 19-year-olds were driven by people changing their answers--including ever to never, an impossible sequence. Comparing behavior in one year to mortality in the next, we found little evidence of higher mortality among higher risk takers. DISCUSSION:In an open cohort, various factors contribute to sexual behavior trends. When reporting sexual behavior trends, researchers should acknowledge the contributing factors and attempt to separate the role of interindividual versus intraindividual changes.
journal_name
Sex Transm Disjournal_title
Sexually transmitted diseasesauthors
Shafer LA,Nsubuga RN,Seeley J,Levin J,Grosskurth Hdoi
10.1097/OLQ.0b013e318214e42esubject
Has Abstractpub_date
2011-08-01 00:00:00pages
697-704issue
8eissn
0148-5717issn
1537-4521pii
00007435-201108000-00004journal_volume
38pub_type
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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pub_type: 杂志文章,meta分析,评审
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更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/OLQ.0b013e3181f2ebe1
更新日期:2011-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-11-01 00:00:00
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更新日期:2019-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1097/OLQ.0b013e3181a4f695
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doi:10.1097/OLQ.0b013e31824e52c2
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
doi:
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pub_type: 杂志文章
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更新日期:2007-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-06-01 00:00:00
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