Correlates of Engaging in Unprotected Sex While Experiencing Dysuria or Discharge: A Study of Men With Confirmed Gonorrhea

Objectives: To identify the prevalence and correlates of engaging in unprotected sex while experiencing symptoms of gonorrhea among a sample of men with a laboratory confirmed diagnosis. Methods: Cross-sectional interview data were analyzed from 237 men, reporting dysuria or discharge, with a labora...

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Veröffentlicht in:Sexually transmitted diseases 2004-07, Vol.31 (7), p.421-423
Hauptverfasser: CROSBY, RICHARD A., LIDDON, NICOLE, MARTICH, FREDERICK A., BREWER, TOYE
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container_end_page 423
container_issue 7
container_start_page 421
container_title Sexually transmitted diseases
container_volume 31
creator CROSBY, RICHARD A.
LIDDON, NICOLE
MARTICH, FREDERICK A.
BREWER, TOYE
description Objectives: To identify the prevalence and correlates of engaging in unprotected sex while experiencing symptoms of gonorrhea among a sample of men with a laboratory confirmed diagnosis. Methods: Cross-sectional interview data were analyzed from 237 men, reporting dysuria or discharge, with a laboratory-confirmed diagnosis of gonorrhea. Results: A total of 21.1% reported engaging in unprotected sex while having symptoms. In multivariate analyses, men engaging in sex ≥5 times in the past 30 days were 3.5 times more likely to report unprotected sex while symptomatic (P = 0.001). Men reporting condom use ≤50% of the time (past month) were 2.7 times more likely to report the risk behavior under investigation (P = 0.008). Men never having a previous STD were 2.7 times more likely to engage in the risk behavior (P = 0.006). Conclusions: The prevalence of this risk behavior was markedly lower compared to a recent study that was not restricted to gonorrhea. Counseling protocols specifically designed for men who continue to engage in unprotected sex after experiencing gonorrhea-related dysuria and discharge may be valuable for preventing the transmission of gonorrhea to women.
doi_str_mv 10.1097/01.OLQ.0000130534.12309.2C
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Methods: Cross-sectional interview data were analyzed from 237 men, reporting dysuria or discharge, with a laboratory-confirmed diagnosis of gonorrhea. Results: A total of 21.1% reported engaging in unprotected sex while having symptoms. In multivariate analyses, men engaging in sex ≥5 times in the past 30 days were 3.5 times more likely to report unprotected sex while symptomatic (P = 0.001). Men reporting condom use ≤50% of the time (past month) were 2.7 times more likely to report the risk behavior under investigation (P = 0.008). Men never having a previous STD were 2.7 times more likely to engage in the risk behavior (P = 0.006). Conclusions: The prevalence of this risk behavior was markedly lower compared to a recent study that was not restricted to gonorrhea. Counseling protocols specifically designed for men who continue to engage in unprotected sex after experiencing gonorrhea-related dysuria and discharge may be valuable for preventing the transmission of gonorrhea to women.</description><identifier>ISSN: 0148-5717</identifier><identifier>EISSN: 1537-4521</identifier><identifier>DOI: 10.1097/01.OLQ.0000130534.12309.2C</identifier><identifier>PMID: 15215697</identifier><identifier>CODEN: STRDDM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Adult ; Bacterial diseases ; Bacterial diseases of the genital system ; Biological and medical sciences ; Condoms - statistics &amp; numerical data ; Counseling ; Cross-Sectional Studies ; Florida - epidemiology ; General aspects ; Gonorrhea - pathology ; Gonorrhea - prevention &amp; control ; Human bacterial diseases ; Human infectious diseases. Experimental studies and models ; Humans ; Infectious diseases ; Interviews as Topic ; Male ; Medical sciences ; Men ; Nephrology. Urinary tract diseases ; Prevalence ; Safe Sex - statistics &amp; numerical data ; Sexual behavior ; Sexually transmitted diseases ; STD ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. 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Methods: Cross-sectional interview data were analyzed from 237 men, reporting dysuria or discharge, with a laboratory-confirmed diagnosis of gonorrhea. Results: A total of 21.1% reported engaging in unprotected sex while having symptoms. In multivariate analyses, men engaging in sex ≥5 times in the past 30 days were 3.5 times more likely to report unprotected sex while symptomatic (P = 0.001). Men reporting condom use ≤50% of the time (past month) were 2.7 times more likely to report the risk behavior under investigation (P = 0.008). Men never having a previous STD were 2.7 times more likely to engage in the risk behavior (P = 0.006). Conclusions: The prevalence of this risk behavior was markedly lower compared to a recent study that was not restricted to gonorrhea. Counseling protocols specifically designed for men who continue to engage in unprotected sex after experiencing gonorrhea-related dysuria and discharge may be valuable for preventing the transmission of gonorrhea to women.</description><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the genital system</subject><subject>Biological and medical sciences</subject><subject>Condoms - statistics &amp; numerical data</subject><subject>Counseling</subject><subject>Cross-Sectional Studies</subject><subject>Florida - epidemiology</subject><subject>General aspects</subject><subject>Gonorrhea - pathology</subject><subject>Gonorrhea - prevention &amp; control</subject><subject>Human bacterial diseases</subject><subject>Human infectious diseases. Experimental studies and models</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Men</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Prevalence</subject><subject>Safe Sex - statistics &amp; numerical data</subject><subject>Sexual behavior</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. 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Experimental studies and models</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Men</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Prevalence</topic><topic>Safe Sex - statistics &amp; numerical data</topic><topic>Sexual behavior</topic><topic>Sexually transmitted diseases</topic><topic>STD</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CROSBY, RICHARD A.</creatorcontrib><creatorcontrib>LIDDON, NICOLE</creatorcontrib><creatorcontrib>MARTICH, FREDERICK A.</creatorcontrib><creatorcontrib>BREWER, TOYE</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Sexually transmitted diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CROSBY, RICHARD A.</au><au>LIDDON, NICOLE</au><au>MARTICH, FREDERICK A.</au><au>BREWER, TOYE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlates of Engaging in Unprotected Sex While Experiencing Dysuria or Discharge: A Study of Men With Confirmed Gonorrhea</atitle><jtitle>Sexually transmitted diseases</jtitle><addtitle>Sex Transm Dis</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>31</volume><issue>7</issue><spage>421</spage><epage>423</epage><pages>421-423</pages><issn>0148-5717</issn><eissn>1537-4521</eissn><coden>STRDDM</coden><abstract>Objectives: To identify the prevalence and correlates of engaging in unprotected sex while experiencing symptoms of gonorrhea among a sample of men with a laboratory confirmed diagnosis. 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Counseling protocols specifically designed for men who continue to engage in unprotected sex after experiencing gonorrhea-related dysuria and discharge may be valuable for preventing the transmission of gonorrhea to women.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>15215697</pmid><doi>10.1097/01.OLQ.0000130534.12309.2C</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Journals@Ovid Complete; Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy
subjects Adult
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Condoms - statistics & numerical data
Counseling
Cross-Sectional Studies
Florida - epidemiology
General aspects
Gonorrhea - pathology
Gonorrhea - prevention & control
Human bacterial diseases
Human infectious diseases. Experimental studies and models
Humans
Infectious diseases
Interviews as Topic
Male
Medical sciences
Men
Nephrology. Urinary tract diseases
Prevalence
Safe Sex - statistics & numerical data
Sexual behavior
Sexually transmitted diseases
STD
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
title Correlates of Engaging in Unprotected Sex While Experiencing Dysuria or Discharge: A Study of Men With Confirmed Gonorrhea
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