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 |
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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 & Wilkins</publisher><subject>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</subject><ispartof>Sexually transmitted diseases, 2004-07, Vol.31 (7), p.421-423</ispartof><rights>Copyright © 2004 American Sexually Transmitted Diseases Association</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Jul 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-4e070626802586fcfd365ea2d9172cab8de218d706b7eec91ff8e8e30b16c1633</citedby><cites>FETCH-LOGICAL-c477t-4e070626802586fcfd365ea2d9172cab8de218d706b7eec91ff8e8e30b16c1633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44966813$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44966813$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,30999,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15905646$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15215697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CROSBY, RICHARD A.</creatorcontrib><creatorcontrib>LIDDON, NICOLE</creatorcontrib><creatorcontrib>MARTICH, FREDERICK A.</creatorcontrib><creatorcontrib>BREWER, TOYE</creatorcontrib><title>Correlates of Engaging in Unprotected Sex While Experiencing Dysuria or Discharge: A Study of Men With Confirmed Gonorrhea</title><title>Sexually transmitted diseases</title><addtitle>Sex Transm Dis</addtitle><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.</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 & 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 & 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 & 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. Prostate gland</subject><issn>0148-5717</issn><issn>1537-4521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkVFv0zAQxyMEYmXwEUDWJHhL8dmJ7extyspAKprQmPZouc6lTZXaxU6klU-PQyuGeOFerNP97n---2fZBdA50Ep-pDC_XX6b0xTAacmLOTBOqzmrn2UzKLnMi5LB82xGoVB5KUGeZa9i3NIpp_AyO4NUL0UlZ9nP2oeAvRkwEt-ShVubdefWpHPk3u2DH9AO2JA7fCQPm65HsnjcY-jQ2Ym6PsQxdIb4QK67aDcmrPGSXJG7YWwOk95XdOShGzak9q7twi5J3XiXRm7QvM5etKaP-Ob0nmf3nxbf68_58vbmS321zG0h5ZAXSCUVTCjKSiVa2zZclGhYU4Fk1qxUgwxUk5iVRLQVtK1ChZyuQFgQnJ9nH466aZ0fI8ZB79Jfse-NQz9GLYRI5wD1XxCkrDirJsWLf8CtH4NLS2jGWFFSoSa1yyNkg48xYKv3oduZcNBA9eSjpqCTj_rJR_3bR83q1PzuNGFcpaM9tZ6MS8D7E2CiNX0bTHIk_sVVtBSFSNzbI7eNgw9_6kVRCaGA819ON69d</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>CROSBY, RICHARD A.</creator><creator>LIDDON, NICOLE</creator><creator>MARTICH, FREDERICK A.</creator><creator>BREWER, TOYE</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Correlates of Engaging in Unprotected Sex While Experiencing Dysuria or Discharge: A Study of Men With Confirmed Gonorrhea</title><author>CROSBY, RICHARD A. ; LIDDON, NICOLE ; MARTICH, FREDERICK A. ; BREWER, TOYE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-4e070626802586fcfd365ea2d9172cab8de218d706b7eec91ff8e8e30b16c1633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the genital system</topic><topic>Biological and medical sciences</topic><topic>Condoms - statistics & numerical data</topic><topic>Counseling</topic><topic>Cross-Sectional Studies</topic><topic>Florida - epidemiology</topic><topic>General aspects</topic><topic>Gonorrhea - pathology</topic><topic>Gonorrhea - prevention & control</topic><topic>Human bacterial diseases</topic><topic>Human infectious diseases. 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 & 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 & 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 & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & 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. 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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & 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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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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