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Factors associated with declining to report the number of sexual partners using computer-assisted self-interviewing: a cross-sectional study among individuals attending a sexual health centre in Melbourne, Australia.
Sex Health. 2018 07; 15(4):350-357.SH

Abstract

Background The number of sexual partners is one of the most important risk factors for sexually transmissible infections (STIs), including HIV. The aim of the present study was to examine the association between declining to report the number of partners using computer-assisted self-interviewing (CASI) and HIV or STI positivity at a public sexual health centre in Melbourne, Australia, in 2016.

METHODS

Individuals were categorised into three risk populations: women, men who have sex with women only (MSW) and men who have sex with men (MSM). Logistic regression analysis was used to examine the association between declining to report the number of sexual partners in the past 12 months and HIV or STI positivity for women and MSW, with generalised estimating equations (GEE) used for estimation in MSM to address repeated-measures within individuals.

RESULTS

In all, 18085 individuals (5579 women, 6013 MSW, 6493 MSM) were included in the final analysis. There was no association between chlamydia positivity and declining to respond among women and MSW. MSM who declined to respond were more likely to be chlamydia positive (adjusted odds ratio1.21; 95% confidence interval (CI) 1.01-1.43). Known HIV-positive MSM and MSM newly diagnosed with HIV had 3.31-fold (95% CI 2.48-4.42) and 2.82-fold (95% CI 1.84-4.32) greater odds respectively of declining to respond compared with HIV-negative MSM. Gonorrhoea and syphilis positivity in MSM were not associated with declining to respond.

CONCLUSIONS

There was no association between declining to report the number of partners and chlamydia positivity among women and MSW. However, MSM who declined to report the number of partners were slightly more likely to have chlamydia and substantially more likely to be HIV positive.

Authors+Show Affiliations

Melbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia.Melbourne School of Population and Global Health, The University of Melbourne, 235 Bouverie Street, Carlton, Vic. 3053, Australia.Melbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia.Melbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia.Melbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia.Melbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia.Melbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia.

Pub Type(s)

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

Language

eng

PubMed ID

29966584

Citation

Chow, Eric P F., et al. "Factors Associated With Declining to Report the Number of Sexual Partners Using Computer-assisted Self-interviewing: a Cross-sectional Study Among Individuals Attending a Sexual Health Centre in Melbourne, Australia." Sexual Health, vol. 15, no. 4, 2018, pp. 350-357.
Chow EPF, Carlin JB, Read TRH, et al. Factors associated with declining to report the number of sexual partners using computer-assisted self-interviewing: a cross-sectional study among individuals attending a sexual health centre in Melbourne, Australia. Sex Health. 2018;15(4):350-357.
Chow, E. P. F., Carlin, J. B., Read, T. R. H., Chen, M. Y., Bradshaw, C. S., Sze, J. K., & Fairley, C. K. (2018). Factors associated with declining to report the number of sexual partners using computer-assisted self-interviewing: a cross-sectional study among individuals attending a sexual health centre in Melbourne, Australia. Sexual Health, 15(4), 350-357. https://doi.org/10.1071/SH18024
Chow EPF, et al. Factors Associated With Declining to Report the Number of Sexual Partners Using Computer-assisted Self-interviewing: a Cross-sectional Study Among Individuals Attending a Sexual Health Centre in Melbourne, Australia. Sex Health. 2018;15(4):350-357. PubMed PMID: 29966584.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with declining to report the number of sexual partners using computer-assisted self-interviewing: a cross-sectional study among individuals attending a sexual health centre in Melbourne, Australia. AU - Chow,Eric P F, AU - Carlin,John B, AU - Read,Tim R H, AU - Chen,Marcus Y, AU - Bradshaw,Catriona S, AU - Sze,Jun K, AU - Fairley,Christopher K, PY - 2018/02/14/received PY - 2018/04/16/accepted PY - 2018/7/4/pubmed PY - 2019/11/13/medline PY - 2018/7/4/entrez SP - 350 EP - 357 JF - Sexual health JO - Sex Health VL - 15 IS - 4 N2 - : Background The number of sexual partners is one of the most important risk factors for sexually transmissible infections (STIs), including HIV. The aim of the present study was to examine the association between declining to report the number of partners using computer-assisted self-interviewing (CASI) and HIV or STI positivity at a public sexual health centre in Melbourne, Australia, in 2016. METHODS: Individuals were categorised into three risk populations: women, men who have sex with women only (MSW) and men who have sex with men (MSM). Logistic regression analysis was used to examine the association between declining to report the number of sexual partners in the past 12 months and HIV or STI positivity for women and MSW, with generalised estimating equations (GEE) used for estimation in MSM to address repeated-measures within individuals. RESULTS: In all, 18085 individuals (5579 women, 6013 MSW, 6493 MSM) were included in the final analysis. There was no association between chlamydia positivity and declining to respond among women and MSW. MSM who declined to respond were more likely to be chlamydia positive (adjusted odds ratio1.21; 95% confidence interval (CI) 1.01-1.43). Known HIV-positive MSM and MSM newly diagnosed with HIV had 3.31-fold (95% CI 2.48-4.42) and 2.82-fold (95% CI 1.84-4.32) greater odds respectively of declining to respond compared with HIV-negative MSM. Gonorrhoea and syphilis positivity in MSM were not associated with declining to respond. CONCLUSIONS: There was no association between declining to report the number of partners and chlamydia positivity among women and MSW. However, MSM who declined to report the number of partners were slightly more likely to have chlamydia and substantially more likely to be HIV positive. SN - 1449-8987 UR - https://www.unboundmedicine.com/medline/citation/29966584/Factors_associated_with_declining_to_report_the_number_of_sexual_partners_using_computer_assisted_self_interviewing:_a_cross_sectional_study_among_individuals_attending_a_sexual_health_centre_in_Melbourne_Australia_ L2 - https://medlineplus.gov/sexuallytransmitteddiseases.html DB - PRIME DP - Unbound Medicine ER -