Cited by 73Reproductive tract infections researchHIV/AIDS Research and InterventionsCervical Cancer and HPV Research

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

Sexually Transmitted Infections and Risk Behaviors Among African American Women Who Have Sex With Women: Does Sex With Men Make a Difference?

Abstract

OBJECTIVE: We sought to determine the prevalence of infection with Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, syphilis, and HIV among African American women who have sex with women (AAWSW), and compare sociodemographics, sexual risk behavior characteristics, and STI diagnoses among women reporting sex exclusively with women (exclusive AAWSW) to women reporting sex with both women and men (AAWSWM) during the past 12 months. METHODS: Eligible women presenting to the Mississippi State Department of Health STD Clinic between February 2009 and October 2010 were invited to participate. A survey on sociodemographics, sexual history, and sexual risk behavior characteristics was completed. Women were tested for the presence of C. trachomatis, N. gonorrhoeae, T. vaginalis, M. genitalium, syphilis, and HIV. RESULTS: A total of 196 African American women were enrolled; 56.6% of all women reported engaging in sexual activity exclusively with women (AAWSW) during the past 12 months and 40.8% reported engaging in sexual activity with both men and women (AAWSWM). As compared with exclusive AAWSW, AAWSWM were significantly more likely to report prior infection with C. trachomatis (35.0% vs. 13.5%, P < 0.001), prior infection with N. gonorrhoeae (28.75% vs. 2.7%, P < 0.001), and transactional sex (18.8% vs. 2.7%, P = 0.001). Additionally, 13.8% of AAWSWM reported having sex with a homosexual or bisexual man during the past 12 months. Trichomoniasis was diagnosed in 18.3% of all women, C. trachomatis in 11.0%, M. genitalium in 7.6%, and N. gonorrhoeae in 3.7%. There were no cases of syphilis or HIV. AAWSWM were significantly more likely to be diagnosed with trichomoniasis (25.0% vs. 13.5%, P = 0.04), C. trachomatis (22.5% vs. 2.7%, P < 0.001), N. gonorrhoeae (7.5% vs. 0.9%, P = 0.01), or any STI (47.5% vs. 18.3%, P < 0.001) than exclusive AAWSW. CONCLUSIONS: AAWSW in this study were at high risk for STI. AAWSWM, as a subgroup, may demonstrate heightened sexual risk-taking behaviors and higher STI rates compared with exclusive AAWSW. Sexual health services provided to AAWSW should take into account partner gender heterogeneity when counseling and screening for STI.

Overview

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Registry

Crossref · 10.1097/olq.0b013e31822e6179

Cites

40 of 40 references verified0 citation errors · 0 not checkable

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Claims other papers make about this one

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  • Studies indicate that certain WSW, particularly adolescents, young women, and WSWM, might be at increased risk for STIs and HIV on the basis of reported risk behaviors.

    “Studies indicate that certain WSW, particularly adolescents, young women, and WSWM, might be at increased risk for STIs and HIV on the basis of reported risk behaviors (275–280).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [275]

  • Data indicate that C. trachomatis infection among WSW can occur.

    “Data indicate that C. trachomatis infection among WSW can occur (275,286,308,309).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [275]

Citations

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Research works printed but not linked: 1

  1. Workowski, 2006, Sexually transmitted diseases guidelines, 2006., MMWR Recomm Rep, 55, 1

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Metadata

Authors
Muzny, C. A., Sunesara, I. R., Martin, D. H., & Mena, L. A.
Affiliations
  • University of Mississippi Medical Center (US)
  • Louisiana State University Health Sciences Center New Orleans (US)
Corresponding author
Muzny, Christina A.
Venue
Sexually Transmitted Diseases
Published
2011-12
Volume
38
Issue
12
Pages
1118-1125
ISSN
0148-5717 (ISSN-L)
OpenAlex
W2093936217
Cited by
73
References
40
Citations by year
2026: 1 · 2024: 7 · 2023: 4 · 2022: 7 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 7 · 2016: 7 · 2015: 4 · 2014: 12 · 2013: 8 · 2012: 2
FWCI
6.82
Type
journal article
Language
en
Open access
closed
Locations
  • Sexually Transmitted Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
Keywords
sexually transmitted infections, African American women, women who have sex with women, bisexual women, transactional sex, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, syphilis, HIV, sexual risk behavior, STD clinic patients, sociodemographic factors
MeSH terms
Adult, Ambulatory Care Facilities, Bisexuality, Black or African American, Female, Humans, Male, Mississippi, Risk-Taking, Sexual Behavior, Sexual Partners, Sexually Transmitted Diseases, Prevalence, Homosexuality, Female, Young Adult

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