Post-treatment sexual and prevention behaviours of adolescents with sexually transmitted infections

J. Fortenberry, E. J. Brizendine, Barry Katz, D. P. Orr

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective: To evaluate sexual behaviour (including abstinence), sex partner change, and condom use during the 3 month period following treatment for Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, or non-gonococcal urethritis. Methods: 251 14-21 year old participants (83% female; 83% African-American) diagnosed with gonorrhoea, chlamydia, trichomonas, or non-gonococcal urethritis or sexual contacts of infected partners. Participants were clients of a public sexually transmitted diseases clinic or primary care adolescent clinics. Data were collected by structured interview at treatment, 1 month post-treatment, and 3 months post-treatment. At each visit, participants were asked about coital frequency and condom use for each recent partner. At 1 month, participants were asked when coitus occurred following treatment. At each follow up visit, sex partners were compared to partners named at treatment and classified as "same partner(s)," "new partner(s)," or both "same and new partner(s)." Results: Post-treatment abstinence was reported by 26% and 19% for the 1 month and 3 month visits, respectively. Abstinence was associated with greater likelihood of infection at enrolment although abstainers reported fewer lifetime STI and fewer lifetime sex partners. A substantial proportion of participants reported additional sexual contact with a previous partner. The average proportion of condom protected coital events increased from about 45% at enrolment to 64% at 1 month and 58% at 3 months (p<0.05). Higher levels were sustained for the 3 months following treatment. Conclusions: Many adolescents adopt, at least temporarily, risk reduction behaviours such as abstinence or increased condom use. Sexual re-exposure to potentially untreated previous partners may increase risk of subsequent reinfection.

Original languageEnglish
Pages (from-to)365-368
Number of pages4
JournalSexually Transmitted Infections
Volume78
Issue number5
DOIs
StatePublished - Oct 2002

Fingerprint

Sexually Transmitted Diseases
Sexual Behavior
Condoms
Urethritis
Coitus
Therapeutics
Trichomonas
Trichomonas vaginalis
Chlamydia
Neisseria gonorrhoeae
Gonorrhea
Chlamydia trachomatis
Risk Reduction Behavior
African Americans
Primary Health Care
Interviews
Infection

ASJC Scopus subject areas

  • Dermatology
  • Microbiology (medical)
  • Immunology

Cite this

Post-treatment sexual and prevention behaviours of adolescents with sexually transmitted infections. / Fortenberry, J.; Brizendine, E. J.; Katz, Barry; Orr, D. P.

In: Sexually Transmitted Infections, Vol. 78, No. 5, 10.2002, p. 365-368.

Research output: Contribution to journalArticle

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