Concurrent sexual partnerships among young heterosexual adults at increased HIV risk: types and characteristics.


BACKGROUND:The impact of concurrency on sexually transmitted infection transmission depends on coital frequency, condom use, duration of relationship overlap, and number of partners. Previous research has identified distinct concurrency types; however, little is known about their risk characteristics. METHODS:Men (n = 261) and women (n = 275) aged 18 to 30 years at increased risk for acquiring HIV were recruited from community locations in Los Angeles. Participants completed 4 in-person interviews for 12 months. Partnership data were used to characterize the prevalence of 4 types of concurrency: transitional (2 overlapping relationships in which the first relationship ended before the second), single day (a second relationship of 1 day's duration during the course of another relationship), contained (a second relationship >1 day began and ended during the course of another), and multiple (≥3 overlapping relationships). Multilevel random intercept models were used to estimate mean coital frequency, proportion of condom-protected acts, total duration of overlap, and lifetime sex partners. RESULTS:At baseline, 47% of male and 32% of female participants reported any type of concurrency in the previous 4 months, and 26% of men and 10% of women reported multiple concurrencies. Condom use ranged from 56% to 64%, with the highest use in transitional concurrency (61% for men, 68% for women) and the lowest in contained (52% for men, 54% for women). Coital frequency, total overlap, and lifetime sex partners also varied by concurrency type. CONCLUSIONS:Inconsistent condom use and repeated opportunities for exposure characterize common types of concurrency among high-risk young adults.


Sex Transm Dis


Warren JT,Harvey SM,Washburn IJ,Sanchez DM,Schoenbach VJ,Agnew CR




Has Abstract


2015-04-01 00:00:00














  • Treatment of Chlamydia trachomatis infections: comparison of 1- and 2-g doses of erythromycin daily for seven days.

    abstract::Erythromycin is recommended as the alternative to tetracyclines for the treatment of Chlamydia trachomatis infections. However, the usual dose of erythromycin (2 g daily for a week) is frequently associated with gastrointestinal side effects. The goal of this study was to determine whether 1 g of erythromycin daily fo...

    journal_title:Sexually transmitted diseases

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Linnemann CC Jr,Heaton CL,Ritchey M

    更新日期:1987-04-01 00:00:00

  • Declining prevalence rates of syphilis among police officers in Guinea-Bissau, West Africa, 1990-2010.

    abstract::We analyzed prevalence rates of syphilis (positive Treponema pallidum hemagglutinin antigen/T. pallidum particle antigen and venereal disease research laboratory test) among police officers in Guinea-Bissau from 1990 to 2010 and found a significant decline from 4.5% to 0.4% (P = 0.0065). Our results are in line with o...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Lindman JL,Månsson F,Biague A,Da Silva ZJ,Andersson S,Norrgren H

    更新日期:2013-10-01 00:00:00

  • Prevalence and risk factors for human herpesvirus 8 infection in northern Cameroon.

    abstract:BACKGROUND:The modes of transmission of HHV-8 are still unclear. GOAL:To evaluate the distribution and transmission of HHV-8 infection. DESIGN:Serosurvey conducted in a Cameroon hospital among 292 persons, including children (5-10 years), adolescents (15-20 years), and adults (30-40 years). Antibodies against lytic a...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rezza G,Tchangmena OB,Andreoni M,Bugarini R,Toma L,Bakary DK,Glikoutou M,Sarmati L,Monini P,Pezzotti P,Ensoli B

    更新日期:2000-03-01 00:00:00

  • Plasmid patterns and in-vitro susceptibility of penicillinase-producing Neisseria gonorrhoeae with emphasis on thiamphenicol: results of surveillance in The Netherlands.

    abstract::Susceptibility to thiamphenicol was tested, and plasmids were characterized for 1925 strains of penicillinase-producing Neisseria gonorrhoeae (PPNG) isolated in The Netherlands in 1981 and 1982. Of the 1925 isolates, 771 harbored the so-called "Asia" (4.5-megadalton) resistance plasmid and 1154 had the so called "Afri...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: van Klingeren B,van Wijngaarden LJ,Dessens-Kroon M

    更新日期:1984-10-01 00:00:00

  • Factors associated with recurrent chlamydial infection and failure to return for retesting in young women entering national job training program, 1998--2005.

    abstract:OBJECTIVES:To evaluate factors associated with recurrent chlamydial infection and failure to return for retesting in socioeconomically disadvantaged women (aged 16-24 years) entering the National Job Training Program, 1998--2005. GOAL:To evaluate sociodemographic characteristics of young women associated with recurren...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Joesoef MR,Weinstock HS,Johnson RE

    更新日期:2008-04-01 00:00:00

  • Just text me! Texting sexually transmitted disease clients their test results in Florida, February 2012-January 2013.

    abstract:BACKGROUND:In response to increasing sexually transmitted diseases (STDs), diminishing resources, and delays in prompt treatment, the Florida STD Program began providing test results through text message in 2011. The aims of the evaluation of the first year of the project were to assess (1) client uptake and completion...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rodriguez-Hart C,Gray I,Kampert K,White M,Wolfe C,Wilson M,Cooksey A

    更新日期:2015-03-01 00:00:00

  • Sexual behavior and smoking: risk factor for urethritis in men.

    abstract::Two hundred men who had symptoms of urethritis and 207 controls were interviewed. Because 60% of the men were of foreign nationality, the analysis of risk factors for urethritis was undertaken separately for the French and foreign subpopulations. The risk factors for urethritis were different for the French and foreig...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Pessione F,Dolivo M,Casin I,Morel P,Perol Y,Laporte A,Ducot B,Spira A

    更新日期:1988-04-01 00:00:00

  • HIV prevalence in patients with syphilis, United States.

    abstract:BACKGROUND:Among persons with a sexually transmitted disease (STD), the proportion who are also infected with HIV is a major factor influencing the public health impact of that STD on HIV transmission. GOAL:To assess HIV infection in persons with syphilis in the United States. STUDY DESIGN:A systematic literature rev...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审


    authors: Blocker ME,Levine WC,St Louis ME

    更新日期:2000-01-01 00:00:00

  • Sustained high prevalence of Chlamydia trachomatis infections in female army recruits.

    abstract:BACKGROUND:Chlamydia trachomatis infections are prevalent among young sexually active females, have serious sequelae, and are mostly asymptomatic. Screening and treatment of infected females has been demonstrated to prevent sequelae such as pelvic inflammatory disease. GOAL:To assess prevalence and risk factors for ch...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Gaydos CA,Howell MR,Quinn TC,McKee KT Jr,Gaydos JC

    更新日期:2003-07-01 00:00:00

  • Reliability and criterion-related validity of self-report of syphilis.

    abstract:OBJECTIVE:To determine the test-retest reliability, sensitivity and specificity, and criterion-related validity of the Risk Behavior Assessment (RBA) syphilis questions. The RBA is a standardized instrument that has been used in several studies of STDs in drug users. METHODS:For the test-retest reliability study, 219 ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究


    authors: Fisher DG,Reynolds GL,Creekmur B,Johnson ME,Deaugustine N

    更新日期:2007-06-01 00:00:00

  • Evaluation of a digital flocculation reader for the rapid plasma reagin test for the serological diagnosis of syphilis.

    abstract::We described the ASiManager-AT digital flocculation reader to demonstrate concordance between visual and digital readings of the rapid plasma reagin test for detection of antibodies in the serum of patients with syphilis. A qualitative and quantitative rapid plasma reagin was performed on each serum samples giving a c...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Castro AR,Binks DD,Raymer DL,Kikkert SE,Jost HA,Park MM,Card BD,Cox DL

    更新日期:2012-03-01 00:00:00

  • Screening for Chlamydia trachomatis and Neisseria gonorrhoeae Infections in Men Who Have Sex With Men: Diagnostic Accuracy of Nucleic Acid Amplification Test on Pooled Urine, Anorectal, and Pharyngeal Specimens.

    abstract::Neisseria gonorrhoeae and Chlamydia trachomatis screening was performed in a cohort of 100 men who have sex with men. A nucleic acid amplification test on a pooled sample of first-pass urine, pharyngeal, and anorectal specimens was compared with results on nonpooled samples. Despite an excellent agreement (Cohen κ, 0....

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Thielemans E,Wyndham-Thomas C,Henrard S,De Vleeschouwer A,Steensels D,Montesinos I,Debaisieux L,Delforge ML,Van Vooren JP,Goffard JC

    更新日期:2018-03-01 00:00:00

  • Correlates of herpes simplex virus seroprevalence among women attending a sexually transmitted disease clinic.

    abstract:BACKGROUND:Infections by herpes simplex viruses type 1 (HSV-1) and type 2 (HSV-2) are common in the United States. Herpes simplex virus type 2 is transmitted sexually, and the prevalence of antibodies to HSV-2 has increased in recent years. GOALS OF THIS STUDY:The objective of the present study was to estimate the ser...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Austin H,Macaluso M,Nahmias A,Lee FK,Kelaghan J,Fleenor M,Hook EW 3rd

    更新日期:1999-07-01 00:00:00

  • Sexually transmitted infections in women with disabilities: diagnosis, treatment, and prevention: a review.

    abstract:BACKGROUND AND OBJECTIVES:Women with disabilities can and do contract sexually transmitted diseases (STDs). However, because of access barriers, attitudinal misconceptions, and lack of awareness of their risk status, these infections may go under or undiagnosed. GOAL:To address issues regarding the treatment of women ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审


    authors: Welner SL

    更新日期:2000-05-01 00:00:00

  • HIV transmission risk behavior and its relation to antiretroviral treatment adherence.

    abstract:BACKGROUND:Rising rates of antiretroviral drug resistance among recently infected persons are evidence of high-risk behavior among persons in HIV care. GOAL:The goal was to determine HIV transmission risk behavior among persons in HIV care and evaluate its association with treatment adherence. STUDY DESIGN:The study ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Flaks RC,Burman WJ,Gourley PJ,Rietmeijer CA,Cohn DL

    更新日期:2003-05-01 00:00:00

  • Prevalence and risk behaviors of Hong Kong males who seek cross-border same-sex partners in mainland China.

    abstract:BACKGROUND:Little is known about cross-border sex-networking behaviors among men who have sex with men (MSM) GOAL: The goal of this study was to determine the prevalence of cross-border sex-networking in mainland China among MSM in Hong Kong and the associated risk behaviors STUDY:A telephone survey was conducted. A t...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Lau JT,Kim JH,Lau M,Tsui HY

    更新日期:2004-09-01 00:00:00

  • Isolation of Haemophilus species from the genital tract.

    abstract::Haemophilus influenzae was isolated from the urethra of three of 85 men attending a sexually transmitted diseases clinic. These isolates of H. influenzae were nonencapsulated; one was biotype III, and two were biotype IV. Haemophilus parainfluenzae was isolated from the urethra or coronal sulcus of five men; three iso...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Messing M,Sottnek FO,Biddle JW,Schlater LK,Kramer MA,Kraus SJ

    更新日期:1983-04-01 00:00:00

  • Provision of Sexually Transmitted Infection Services in a Mobile Clinic Reveals High Unmet Need in Remote Areas of South Africa: A Cross-sectional Study.

    abstract:BACKGROUND:The burden of sexually transmitted infections (STIs) in areas of sub-Saharan Africa with poor access to health care services is not well documented. In remote areas of South Africa, we investigated the prevalence of STIs and approaches to providing STI services through a mobile clinic. METHODS:We recruited ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Hoffman CM,Mbambazela N,Sithole P,Morré SA,Dubbink JH,Railton J,McIntyre JA,Kock MM,Peters RPH

    更新日期:2019-03-01 00:00:00

  • A Pilot Study to Increase the Efficiency of HIV Outreach Testing Through the Use of Timely and Geolocated HIV Viral Load Surveillance Data.

    abstract:BACKGROUND:Eliminating HIV transmission in a population necessitates identifying population reservoirs of HIV infection and subgroups most likely to transmit. HIV viral load is the single most important predictor of HIV transmission. The objective of this analysis was to evaluate whether a public health practice pilot ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Jennings JM,Schumacher C,Perin J,Myers T,Fields N,Greiner Safi A,Chaulk P

    更新日期:2018-03-01 00:00:00

  • Antimicrobial susceptibility of Neisseria gonorrhoeae strains isolated in 2004-2006 in Bangui, Central African Republic; Yaoundé, Cameroon; Antananarivo, Madagascar; and Ho Chi Minh Ville and Nha Trang, Vietnam.

    abstract:GOAL:To investigate the in vitro antimicrobial susceptibility of Neisseria gonorrhoeae strains isolated in 2004 and 2005 in Bangui, Central African Republic; Yaoundé, Cameroon; Antananarivo, Madagascar; and Ho Chi Minh Ville and Nha Trang, Vietnam. STUDY DESIGN:Antimicrobial susceptibility testing was performed by bot...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Cao V,Ratsima E,Van Tri D,Bercion R,Fonkoua MC,Richard V,Talarmin A

    更新日期:2008-11-01 00:00:00

  • Syphilitic hepatitis treated with doxycycline in an HIV-infected patient and review of the literature.

    abstract::An HIV-infected male patient who had sex with men and with a penicillin allergy presented with liver dysfunction due to secondary syphilis and was successfully treated with doxycycline. This case highlights that syphilitic hepatitis may be overlooked in this particular population, and health care providers should be a...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审


    authors: Bork JT,Macharia T,Choi J,Gilliam BL,Buchwald UK

    更新日期:2014-08-01 00:00:00

  • Gonococcal aneurysm of the ascending aorta: case report and review of Neisseria gonorrhoeae endovascular infections.

    abstract::We present the case of a man with a bicuspid aortic valve who presented with persistent fever. Blood cultures yielded Neisseria gonorrhoeae, and the diagnosis of infected mycotic aneurysm was confirmed by detection of the bacterial genome in the aortic wall. The patient was cured with surgery and intravenous ceftriaxo...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审


    authors: Markowicz S,Anstey JR,Hites M,Montesinos I,Roisin S,Keyzer C,Jacobs F

    更新日期:2014-02-01 00:00:00

  • Incidence and repeat infection rates of Chlamydia trachomatis among male and female patients in an STD clinic: implications for screening and rescreening.

    abstract:BACKGROUND:Nucleic acid amplification tests permit widespread screening for Chlamydia trachomatis. However, the public health benefit of screening may be reduced by high chlamydia incidence and repeat infection rates. GOAL:To study chlamydia incidence and repeat infection among clients of a sexually transmitted diseas...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rietmeijer CA,Van Bemmelen R,Judson FN,Douglas JM Jr

    更新日期:2002-02-01 00:00:00

  • Identifying syphilis risk networks through venue attendance in San Francisco.

    abstract:BACKGROUND:Prioritizing interventions for patients with syphilis who are part of large or interconnected sexual networks may be high yield for partner services, and identifying venues named by patients with syphilis who report high numbers of partners may help identify such networks. In this analysis, we explore differ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Stephens SC,Fann CK,Strona FV,Wolf W,Cohen SE,Philip SS,Bernstein KT

    更新日期:2014-05-01 00:00:00

  • Confirmation of the Syva MicroTrak enzyme immunoassay for chlamydia trachomatis by Syva Direct Fluorescent Antibody Test.

    abstract:BACKGROUND AND OBJECTIVES:The Syva Micro Trak enzyme immunoassay (EIA) is used widely for screening women infected with Chlamydia trachomatis. Confirmatory tests used in conjunction with EIA screening have shown that false-positive results are common. GOALS:To evaluate the specificity of the Syva MicroTrak EIA by conf...

    journal_title:Sexually transmitted diseases

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Beebe JL,Masters H,Jungkind D,Heltzel DM,Weinberg A

    更新日期:1996-11-01 00:00:00

  • The management of warts of the oral cavity.

    abstract::Heretofore most people affected by warts of the oral cavity were children, but during the past decade adults have become the most frequently seen patients with warts in the mouth. The popularity of fellatio among heterosexuals, teenagers, and adults has contributed to the spread of oral warts. Of epidemiologic interes...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Fiumara NJ

    更新日期:1984-10-01 00:00:00

  • Etiology of acute pelvic inflammatory disease proven by laparoscopy.

    abstract:BACKGROUND:Only a few studies have investigated the etiology of acute pelvic inflammatory disease (PID) in laparoscopy-proven cases using pelvic samples for culture. Most of these studies were conducted in North America and Scandinavia. GOAL OF THE STUDY:To study the microbial etiology of laparoscopy-proven acute pelv...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Dan M,Samra Z,Katz A,Debby A,Gutman R,Zakut H

    更新日期:1993-05-01 00:00:00

  • High prevalence of sexual concurrency and concurrent unprotected anal intercourse across racial/ethnic groups among a national, Web-based study of men who have sex with men in the United States.

    abstract:BACKGROUND:Men who have sex with men (MSM) are the largest human immunodeficiency virus (HIV) risk group in the United States. Sexual concurrency may contribute to high HIV incidence or to racial/ethnic HIV disparities among MSM. Limited information is available on concurrency and racial/ethnic differences among MSM or...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rosenberg ES,Khosropour CM,Sullivan PS

    更新日期:2012-10-01 00:00:00

  • Perianal Reactivation of Herpes Simplex Virus Type 2 After Laser-Assisted Hair Removal.

    abstract:ABSTRACT:We report a case of perianal reactivation of herpes simplex virus type 2 in a 27-year-old man, who was HIV positive with good immunovirological status, after a laser-assisted (alexandrite) hair removal session. We discuss the clinical and laboratory features and the role of prophylaxis with antivirals, particu...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Reis J,Santos FV

    更新日期:2021-02-01 00:00:00

  • Risk assessment to improve targeting of HIV counseling and testing services for STD clinic patients.

    abstract:BACKGROUND AND OBJECTIVE:To determine whether self-administered risk assessment could improve targeting of HIV counseling and testing in an STD clinic. STUDY DESIGN:Computerized records from the Prince George's County, Maryland, STD clinic from 1993 through 1996 were used to develop and test models for predicting a po...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Chen Z,Branson B,Ballenger A,Peterman TA

    更新日期:1998-11-01 00:00:00