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














  • Genital ulcer disease treatment policies and access to acyclovir in eight sub-Saharan African countries.

    abstract:BACKGROUND:Herpes simplex virus-2, the most common cause of genital ulcer disease (GUD) globally, is a cofactor in human immunodeficiency virus type-1 (HIV-1) acquisition and transmission. Current World Health Organization guidelines for sexually transmitted infections recommend acyclovir as first-line syndromic treatm...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Corbell C,Stergachis A,Ndowa F,Ndase P,Barnes L,Celum C

    更新日期:2010-08-01 00:00:00

  • Notification for sexually transmitted infections and HIV among sex workers in Guatemala: acceptability, barriers, and preferences.

    abstract::Partner notification for HIV and other sexually transmitted infections is acceptable and feasible among female sex workers attending sexually transmitted infection clinics in Guatemala, especially for regular partners. Intention to refer the sexual partner was best predicted by attitude followed by social norms and ba...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Sabidó M,Gregg LP,Vallès X,Nikiforov M,Monzón JE,Pedroza MI,Vermund SH,Casabona J

    更新日期:2012-07-01 00:00:00

  • Sexual bridging socially and over time: a simulation model exploring the relative effects of mixing and concurrency on viral sexually transmitted infection transmission.

    abstract:BACKGROUND:Sexual partnerships between people at higher and lower risk for sexually transmitted infections (STIs) (i.e., bridging) occur through dissortative mixing and concurrent partnerships, yet the relative effects of these network patterns on population STI spread are poorly understood. GOAL:Using a stochastic mo...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Doherty IA,Shiboski S,Ellen JM,Adimora AA,Padian NS

    更新日期:2006-06-01 00:00:00

  • Assessment of the routine, occupation-based gonorrhea and syphilis screening program in Moscow, Russia: an analysis of sexually transmitted infection prevalence and cost-effectiveness.

    abstract:OBJECTIVES:In the Russian Federation, large sectors of the population regularly undergo mandatory occupational screening for sexually transmitted infections (STIs). Objectives of our study were to determine the prevalence of syphilis and gonorrhea in the screened occupational groups in Moscow and to conduct a cost-effe...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Kourbatova EV,Akovbyan VA,Chesson HW,Lytkina IN,Dmitriev GA,Tikhonova LI,Koubanova AA,Petukhova II,Latypova MF,Aboymova OA,Lewis JS,Ryan CA,Shakarishvili A

    更新日期:2008-05-01 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

  • Thiamphenicol in the treatment of chancroid in men.

    abstract::Fifty-five men were treated for culture-positive chancroid with two 2.5-g doses of thiamphenicol given on each of two consecutive days. Forty-nine patients (89.1%) were cured on this regimen. No adverse effects were noted. Cultured strains of Haemophilus ducreyi were found to be sensitive to thiamphenicol. ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Latif AS,Crocchiolo PR,Lencioni R

    更新日期:1984-10-01 00:00:00

  • Neighborhoods at risk: estimating risk of higher Neisseria gonorrhoeae incidence among women at the census tract level.

    abstract:BACKGROUND:The association between area-based social factors and sexually transmitted diseases has been demonstrated in numerous studies. Such associations have not previously been explored for their potential to quantify likelihood of higher transmission of gonorrhea in small geographic areas. METHODS:Aggregate censu...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究


    authors: Stenger MR,Samuel MC,Anschuetz GL,Pugsley R,Eaglin M,Klingler E,Reed M,Schumacher CM,Simon J,Weinstock H

    更新日期:2014-11-01 00:00:00

  • Time course of seroconversion by HerpeSelect ELISA after acquisition of genital herpes simplex virus type 1 (HSV-1) or HSV-2.

    abstract:BACKGROUND:HerpeSelect HSV-1 and HSV-2 ELISAs are glycoprotein G-based, type-specific antibody detection tests that are approved by the US Food and Drug Administration for diagnosis of genital herpes. GOAL:The goal was to determine seroconversion times by means of HerpeSelect ELISAs. STUDY DESIGN:Four-hundred thirtee...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Ashley-Morrow R,Krantz E,Wald A

    更新日期:2003-04-01 00:00:00

  • Estimated Lifetime HIV-related Medical Costs in the United States.

    abstract:BACKGROUND:Lifetime cost estimates are a useful tool in measuring the economic burden of HIV in the United States. Previous estimation methods need to be updated, given improving antiretroviral therapy regimens and updated costs. METHODS:We used an updated version of the agent-based model Progression and Transmission ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Bingham A,Shrestha RK,Khurana N,Jacobson E,Farnham PG

    更新日期:2021-01-23 00:00:00

  • Poor provider adherence to the Centers for Disease Control and Prevention treatment guidelines in US emergency department visits with a diagnosis of pelvic inflammatory disease.

    abstract:BACKGROUND:Pelvic inflammatory disease (PID) is commonly diagnosed in US emergency departments (EDs). We aimed to estimate national rates of provider adherence to the Centers for Disease Control and Prevention (CDC) treatment guidelines for PID among patient visits, with a diagnosis of acute PID in US ED settings. MET...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Shih TY,Gaydos CA,Rothman RE,Hsieh YH

    更新日期:2011-04-01 00:00:00

  • Combination of laser-therapy with 0.5% idoxuridine cream in the treatment of therapy-resistant genital warts in male patients: an open study.

    abstract::Forty heterosexual male patients with therapy resistant penile warts of long duration (mean 12.9 months) were treated with carbon dioxide laser, immediately followed by topical application of 0.5% idoxuridine cream twice daily for 14 days. In case of incomplete or no response to the initial treatment, the treatment pr...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Happonen HP,Lassus A,Santalahti J,Forsstrom S,Lassus J

    更新日期:1990-07-01 00:00:00

  • Persistent nongonococcal urethritis associated with a minocycline-resistant strain of Ureaplasma urealyticum: a case report.

    abstract::Culture of urethral specimens from a 21-year-old man with nongonococcal urethritis yielded both Chlamydia trachomatis and a minocycline-resistant strain of Ureaplasma urealyticum. In such situations, the causal agent of the urethritis is frequently considered to be C. trachomatis. However, the etiology of this case wa...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Magalhães M

    更新日期:1983-07-01 00:00:00

  • Factors associated with herpes simplex virus type 2 incidence in a cohort of human immunodeficiency virus type 1-seronegative Kenyan men and women reporting high-risk sexual behavior.

    abstract:BACKGROUND:Herpes simplex virus type 2 (HSV-2) is an important cause of genital ulcers and can increase the risk for human immunodeficiency virus type 1 (HIV-1) transmission. Our objective was to determine the incidence and correlates of HSV-2 infection in HIV-1-seronegative Kenyan men reporting high-risk sexual behavi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Okuku HS,Sanders EJ,Nyiro J,Ngetsa C,Ohuma E,McClelland RS,Price MA,Graham SM

    更新日期:2011-09-01 00:00:00

  • Ending the HIV Epidemic: Contributions Resulting From Syphilis Partner Services.

    abstract:BACKGROUND:There is a high level of coinfection with human immunodeficiency virus (HIV) among persons diagnosed with syphilis in the United States. Public health workers at state and local health departments help inform exposed partners to sexually transmitted disease (STD)/HIV infections to facilitate early testing an...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: DiOrio D,Collins D,Hanley S

    更新日期:2020-08-01 00:00:00

  • To notify or not to notify: STD patients' perspectives of partner notification in Seattle.

    abstract:BACKGROUND AND OBJECTIVES:To obtain patients' perspectives on why only some partners are notified in partner-notification programs, the cornerstone of sexually transmitted disease (STD) control, although low proportions of partners are located and evaluated. GOALS:To describe patterns of partner notification reported ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Gorbach PM,Aral SO,Celum C,Stoner BP,Whittington WL,Galea J,Coronado N,Connor S,Holmes KK

    更新日期:2000-04-01 00:00:00

  • Characterization of an emerging heterosexual HIV epidemic in Russia.

    abstract:BACKGROUND:The Russian Federation is currently experiencing one of the fastest growing HIV epidemics worldwide. The objective was to identify sexual risk factors for recent heterosexually-acquired HIV infections. METHODS:A case-control study of recent HIV infection was conducted in the regions of Altaiskiy Krai, Krasn...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Burchell AN,Calzavara LM,Orekhovsky V,Ladnaya NN,Russian HIV Response Network.

    更新日期:2008-09-01 00:00:00

  • Chlamydia prevalence among college students: reproductive and public health implications.

    abstract:BACKGROUND:Routine chlamydia screening is not readily available at all college campuses. OBJECTIVES:: To assess the prevalence of Chlamydia trachomatis among asymptomatic college students and to compare chlamydia positivity by selected demographic variables. METHODS:Analysis of demographical data collected on 789 stu...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: James AB,Simpson TY,Chamberlain WA

    更新日期:2008-06-01 00:00:00

  • Syphilis epidemiology and clinical outcomes in HIV-infected and HIV-uninfected patients in Kaiser Permanente Northern California.

    abstract:BACKGROUND:Syphilis rates are rising in California, but the impact of HIV infection on syphilis infection remains uncertain. We describe differences between HIV-infected and HIV-uninfected patients diagnosed with syphilis within Kaiser Permanente Northern California. METHODS:We performed retrospective analyses of pati...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Horberg MA,Ranatunga DK,Quesenberry CP,Klein DB,Silverberg MJ

    更新日期:2010-01-01 00:00:00

  • Incidence and predictors of human papillomavirus-6, -11, -16, and -18 infection in young norwegian women.

    abstract:BACKGROUND:Natural history data on human papillomavirus (HPV) incidence and its risk factors have not been reported on from young women in Norway. We report on incidence and predictors of HPV-6, 11, 16, and 18; 6 or 11; 16 or 18; or all 4. METHODS:A 48-month prospective study enrolled 898 women aged 16 to 24 between 1...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Kim S,Arduino JM,Roberts CC,Marsico M,Liaw KL,Skjeldestad FE

    更新日期:2011-07-01 00:00:00

  • Trends in hepatitis A, B, and shigellosis compared with gonorrhea and syphilis in men who have sex with men in Amsterdam, 1992-2006.

    abstract:BACKGROUND:Since the mid-1990s, sexually transmitted infections (STIs) among men who have sex with men (MSM) have increased and appear to be related to more risky sexual behavior. We compare trends in hepatitis A, acute hepatitis B, and shigellosis with the trends of gonorrhea and infectious syphilis in Amsterdam MSM m...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Van Rijckevorsel GG,Sonder GJ,Bovée LP,Thiesbrummel HF,Geskus RB,Van Den Hoek A

    更新日期:2008-11-01 00:00:00

  • Gonorrhea in the United States, 1981-1996. Demographic and geographic trends.

    abstract:OBJECTIVE:To describe demographic and geographic trends in gonorrhea incidence in the United States from 1981 through 1996. STUDY DESIGN:We analyzed aggregate gonorrhea cases reported to the Centers for Disease Control and Prevention by the 50 states, District of Columbia, and 63 large cities. Annual incidence rates (...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Fox KK,Whittington WL,Levine WC,Moran JS,Zaidi AA,Nakashima AK

    更新日期:1998-08-01 00:00:00

  • Barriers to reproductive tract infection (RTI) care among Vietnamese women: implications for RTI control programs.

    abstract:BACKGROUND:Vietnamese women may be especially vulnerable to reproductive tract infections (RTIs) and their biological and social sequelae. Few data are available on the prevalence of and health-seeking behavior for RTIs among women in Vietnam. GOAL:To assess prevalence of RTI symptoms, describe treatment-seeking behav...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Go VF,Quan VM,A C,Zenilman JM,Moulton LH,Celentano DD

    更新日期:2002-04-01 00:00:00

  • Innovative resources could help improve partner notification for chlamydia in primary care.

    abstract:OBJECTIVE:To examine practices of general practitioners' (GPs) in relation to partner notification for chlamydia and identify the supports they would find most useful to assist them. GOAL:To identify innovative resources that could improve partner notification for chlamydia in primary care. STUDY DESIGN:A postal surv...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Bilardi JE,Hopkins CA,Fairley CK,Hocking JS,Tomnay JE,Pavlin NL,Parker RM,Temple-Smith MJ,Bowden FJ,Russell DB,Pitts M,Chen MY

    更新日期:2009-12-01 00:00:00

  • Concurrent sexual partnerships and sexually transmitted diseases in Russia.

    abstract:BACKGROUND:Sexual concurrency is associated with higher prevalence of sexually transmitted diseases (STDs) including HIV. However, most studies have focused only on the concurrency of the individual participant (individual concurrency) and not on concurrency of their sexual partners (partner concurrency). Furthermore, ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Zhan W,Krasnoselskikh TV,Niccolai LM,Golovanov S,Kozlov AP,Abdala N

    更新日期:2011-06-01 00:00:00

  • Sexual transmission behaviors and serodiscordant partnerships among HIV-positive men who have sex with men in Asia.

    abstract::We described sexual transmission behaviors and serodiscordant partnerships among an online sample of HIV-positive men who have sex with men (N = 416) in Asia. High rates of unprotected anal intercourse (74.8%), serodiscordant partnerships (68.5%), and unprotected sex within serodiscordant partnerships (∼60.0%) were re...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Wei C,Guadamuz TE,Lim SH,Koe S

    更新日期:2012-04-01 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

  • High-dose vaginal maintenance metronidazole for recurrent bacterial vaginosis: a pilot study.

    abstract::The purpose of this study was to explore the benefit of high-dose intravaginal metronidazole as a maintenance therapy in reducing recurrence rates of bacterial vaginosis (BV). Eighteen women with a history of recurrent BV and symptomatic BV were treated with metronidazole 750 mg suppository intravaginally daily for 7 ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Aguin T,Akins RA,Sobel JD

    更新日期:2014-05-01 00:00:00

  • A Phase 3, Multicenter, Randomized, Double-Blind, Vehicle-Controlled Study Evaluating the Safety and Efficacy of Metronidazole Vaginal Gel 1.3% in the Treatment of Bacterial Vaginosis.

    abstract:BACKGROUND:Bacterial vaginosis (BV), a prevalent infection in women of reproductive age, is associated with increased risk of upper genital tract and sexually transmitted infections, and complications in pregnancy. Currently approved treatments include metronidazole, which requires once or twice daily intravaginal admi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Schwebke JR,Marrazzo J,Beelen AP,Sobel JD

    更新日期:2015-07-01 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

  • 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