Cited by 25HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskAdolescent Sexual and Reproductive Health

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Trends in factors indicating increased risk for STI among key subpopulations in the United States, 2002–2015.

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Leichliter, Jami S, Dittus, Patricia J, Copen, Casey E, Aral, Sevgi O·2020·Sexually Transmitted Infections

Abstract

OBJECTIVES: Within the context of rising rates of reportable STIs in the USA, we used national survey data to examine temporal trends in high-risk factors that indicate need for STI/HIV preventive services among key subpopulations with disproportionate STI rates. METHODS: We used data from the 2002 (n=12 571), 2006-2010 (n=22 682) and 2011-2015 (n=20 621) National Survey of Family Growth (NSFG). NSFG is a national probability survey of 15-44 year olds living in US households. We examined STI risk factors among sexually active men who have sex with men (MSM) and Hispanic, non-Hispanic black, 15-19 year old, 20-24 year old, and 25-29 year old women who have sex with men (WSM) and men who have sex with women (MSW). Risk behaviours included: received money or drugs for sex, gave money or drugs for sex, partner who injected drugs, partner who has HIV, non-monogamous partner (WSM, MSW only) and male partner who had sex with other men (WSM only). Endorsement of any of these behaviours was recoded into a composite variable focusing on factors indicating increased STI risk (yes/no). We used chi-squares and logistic regression (calculating predicted marginals to estimate adjusted prevalence ratios (aPRs)) to examine STI risk factors over time among the key subpopulations. RESULTS: From 2002 to 2011-2015, reported STI risk factors did not change or declined over time among key subpopulations in the USA. In adjusted analyses comparing 2002 to 2011-2015, we identified significant declines among WSM: Hispanics (aPR=0.84 (0.68-1.04), non-Hispanic blacks (aPR=0.69 (0.58-0.82), adolescents (aPR=0.71 (0.55-0.91) and 25-29 year olds (aPR=0.76 (0.58-0.98); among MSW: Hispanics (aPR=0.53 (0.40-0.70), non-Hispanic blacks (aPR=0.74 (0.59-0.94) and adolescents (aPR=0.63 (0.49-0.82); and among MSM (aPR=0.53 (0.34-0.84). CONCLUSIONS: While reported STIs have increased, STI risk factors among key subpopulations were stable or declined. Condom use related to these risk factors, sexual mixing patterns and STI testing should be examined.

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  • Factors contributing to increased vulnerability to STIs during adolescence include having multiple sex partners, having sequential sex partnerships of limited duration or concurrent partnerships, failing to use barrier protection consistently and correctly, having lower socioeconomic status, and facing multiple obstacles to accessing health care.

    “Factors contributing to increased vulnerability to STIs during adolescence include having multiple sex partners, having sequential sex partnerships of limited duration or concurrent partnerships, failing to use barrier protection consistently and correctly, having lower socioeconomic status, and facing multiple obstacles to accessing health care (141,165).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [165]

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Metadata

Authors
Leichliter, J. S., Dittus, P. J., Copen, C. E., & Aral, S. O.
Affiliations
Centers for Disease Control and Prevention (US)
Venue
Sexually Transmitted Infections
Publisher
BMJ
Published
2019-07-26
Volume
96
Issue
2
Pages
121-123
ISSN
  • 0007-134X (ISSN-L)
  • 1368-4973
  • 1472-3263
OpenAlex
W2965748343
Cited by
25
References
10
Citations by year
2026: 3 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 2 · 2021: 5 · 2020: 3
FWCI
1.92
Type
journal article
Language
en
Open access
Locations
  • Sexually Transmitted Infections (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
National Institutes of Health (CC999999)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
Keywords
STI risk factors, HIV prevention, men who have sex with men, women who have sex with men, men who have sex with women, transactional sex, HIV-positive partners, non-monogamy, HIV prevention services, temporal trends, Hispanic population, Black population, adolescents, young adults, National Survey of Family Growth, United States, health disparities
MeSH terms
Sexual and Gender Minorities, Adolescent, Adult, Age Factors, Black or African American, Female, Hispanic or Latino, Humans, Male, Sex Work, Risk Factors, Sexual Behavior, Sexually Transmitted Diseases, United States, HIV Infections, Substance Abuse, Intravenous, Prevalence, Logistic Models, Heterosexuality, Young Adult

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