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Sexual partnership characteristics of African American women who have sex with women; impact on sexually transmitted infection risk.
Sex Transm Dis. 2014 Oct; 41(10):611-7.ST

Abstract

BACKGROUND

African American women who have sex with women (WSW) are emerging as a population at risk for sexually transmitted infections (STIs). The objectives of this study were to explore partnership characteristics for a cohort of African American WSW and evaluate those characteristics as potential risk factors for STIs. In addition, we aimed to determine STI diagnoses and identify predictors of STI infection.

METHODS

Women who have sex with women presenting to a sexually transmitted disease clinic in Birmingham, AL, completed a questionnaire and were tested for bacterial vaginosis, trichomoniasis, chlamydia, gonorrhea, Mycoplasma genitalium, syphilis, HIV, and herpes simplex virus type 2.

RESULTS

A total of 163 women were enrolled: 78 WSW and 85 women who have sex with women and men (WSWM) (based on report of past year sexual behavior). Both WSW and WSWM reported similar numbers of female partners over the lifetime, past year, and past month; however, WSWM reported significantly more lifetime male partners, thus having a higher overall number of sexual partners. Women who have sex with women and men were more likely to report new or casual partner(s), group sex, history of STIs, and sex with partner(s) known to have STIs. Overall, WSWM were more likely to have a current diagnosis of bacterial vaginosis, a current diagnosis of a curable STI, or a diagnosis of a noncurable STI (85% vs. 56%, P < 0.01).

CONCLUSIONS

African American WSW are not a homogeneous group, and their sexual health may be directly or indirectly influenced by male partners. A better understanding of the distinctions and differences between African American WSW and WSWM will enable health care providers to improve the quality of care provided.

Authors+Show Affiliations

From the Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25211257

Citation

Muzny, Christina A., et al. "Sexual Partnership Characteristics of African American Women Who Have Sex With Women; Impact On Sexually Transmitted Infection Risk." Sexually Transmitted Diseases, vol. 41, no. 10, 2014, pp. 611-7.
Muzny CA, Austin EL, Harbison HS, et al. Sexual partnership characteristics of African American women who have sex with women; impact on sexually transmitted infection risk. Sex Transm Dis. 2014;41(10):611-7.
Muzny, C. A., Austin, E. L., Harbison, H. S., & Hook, E. W. (2014). Sexual partnership characteristics of African American women who have sex with women; impact on sexually transmitted infection risk. Sexually Transmitted Diseases, 41(10), 611-7. https://doi.org/10.1097/OLQ.0000000000000194
Muzny CA, et al. Sexual Partnership Characteristics of African American Women Who Have Sex With Women; Impact On Sexually Transmitted Infection Risk. Sex Transm Dis. 2014;41(10):611-7. PubMed PMID: 25211257.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual partnership characteristics of African American women who have sex with women; impact on sexually transmitted infection risk. AU - Muzny,Christina A, AU - Austin,Erika L, AU - Harbison,Hanne S, AU - Hook,Edward W,3rd PY - 2014/9/12/entrez PY - 2014/9/12/pubmed PY - 2015/5/12/medline SP - 611 EP - 7 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 41 IS - 10 N2 - BACKGROUND: African American women who have sex with women (WSW) are emerging as a population at risk for sexually transmitted infections (STIs). The objectives of this study were to explore partnership characteristics for a cohort of African American WSW and evaluate those characteristics as potential risk factors for STIs. In addition, we aimed to determine STI diagnoses and identify predictors of STI infection. METHODS: Women who have sex with women presenting to a sexually transmitted disease clinic in Birmingham, AL, completed a questionnaire and were tested for bacterial vaginosis, trichomoniasis, chlamydia, gonorrhea, Mycoplasma genitalium, syphilis, HIV, and herpes simplex virus type 2. RESULTS: A total of 163 women were enrolled: 78 WSW and 85 women who have sex with women and men (WSWM) (based on report of past year sexual behavior). Both WSW and WSWM reported similar numbers of female partners over the lifetime, past year, and past month; however, WSWM reported significantly more lifetime male partners, thus having a higher overall number of sexual partners. Women who have sex with women and men were more likely to report new or casual partner(s), group sex, history of STIs, and sex with partner(s) known to have STIs. Overall, WSWM were more likely to have a current diagnosis of bacterial vaginosis, a current diagnosis of a curable STI, or a diagnosis of a noncurable STI (85% vs. 56%, P < 0.01). CONCLUSIONS: African American WSW are not a homogeneous group, and their sexual health may be directly or indirectly influenced by male partners. A better understanding of the distinctions and differences between African American WSW and WSWM will enable health care providers to improve the quality of care provided. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/25211257/Sexual_partnership_characteristics_of_African_American_women_who_have_sex_with_women L2 - https://doi.org/10.1097/OLQ.0000000000000194 DB - PRIME DP - Unbound Medicine ER -