Self-perceived risk and prevalent chlamydia infection among adolescents in Norway: a population-based cross-sectional study

Gravningen, Kirsten; Br̈aaten, Tonje; Schirmer, Henrik

doi:10.1136/sextrans-2014-051927

Cited by 10 publications

(11 citation statements)

References 25 publications

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“…Our findings of underestimation of personal risks are in line with those from other areas of risky health behaviours, including smoking and alcohol [28] , [29] , [30] , and with other studies of STI risk perception, including among high-prevalence populations [10] , [11] , [12] , [13] , [14] . They are also consistent with our previously reported findings on HIV risk perception [9] .…”

Section: Discussionsupporting

confidence: 91%

“…Although several studies internationally have found low STI risk perception, including among high-risk populations [10] , [11] , [12] , [13] , the only recent British data come from convenience samples of young people and may not represent the population more generally [14] , [15] . We investigate the relationship between STI risk perception and sexual behaviour and prevalent STIs to assess the risk perception gap using data from Britain's most recent probability sample survey, the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), meaning the data are broadly representative of the British population aged 16–44 years.…”

Section: Introductionmentioning

confidence: 99%

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STI Risk Perception in the British Population and How It Relates to Sexual Behaviour and STI Healthcare Use: Findings From a Cross-sectional Survey (Natsal-3)

et al. 2018

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BackgroundWe investigated how STI risk perception relates to behavioural STI risk and STI healthcare (sexual health clinic attendance/chlamydia testing) in the British population.MethodsNatsal-3, a national probability-sample survey undertaken 2010–12, included 8397 sexually-active 16–44 year-olds. Participants rated their risk of STIs (excluding HIV) given their current sexual lifestyle. Urine from a randomly-selected sub-sample of participants (n = 4550) was tested for prevalent STIs (Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis).FindingsMost men (64% (95% CI: 62–66)) and women (73% (72–74)) rated themselves as not at all at risk of STIs, 30% (29–32) men and 23% (22–25) women self-rated as not very much, and 5% (5–6) men and 3% (3–4) women as greatly/quite a lot at risk. Although those reporting STI risk behaviours were more likely to perceive themselves as at risk, > 70% men and > 85% women classified as having had unsafe sex in the past year, and similar proportions of those with a prevalent STI, perceived themselves as not at all or not very much at risk. Increased risk perception was associated with greater STI healthcare-use (past year), although not after adjusting for sexual behaviour, indicating in a mediation analysis that risk perception was neither necessary or sufficient for seeking care Furthermore, 58% (48–67) men and 31% (22–41) women who had unsafe sex (past year) and rated themselves as greatly/quite a lot at risk had neither attended nor tested.InterpretationMany people at risk of STIs in Britain underestimated their risk, and many who correctly perceived themselves to be at risk had not recently accessed STI healthcare. Health promotion needs to address this mismatch and ensure that people access healthcare appropriate to their needs.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

STI Risk Perception in the British Population and How It Relates to Sexual Behaviour and STI Healthcare Use: Findings From a Cross-sectional Survey (Natsal-3)

et al. 2018

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“…It is worth noting that almost 85% of the men and 66.7% of the women in the study reported intention to engage in sexual intercourse in an explicit risk context, either by taking the initiative or by letting their sexual partner take that step. This may be due to a low perception of risk [78][79] as a result of either failing to…”

Section: Discussionmentioning

confidence: 99%

Behavioral intention to have risky sex in young men and women: The role of sexual excitation and assertiveness

2020

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Due to the complex role of sexual excitation in risky sexual behaviors, this study aimed to disentangle this phenomenon by jointly analyzing the combined role of three forms of sexual excitation: genital and subjective, and individual´s propensity. Therefore, we examined the relationship between the components of the Dual Control Model, that is, propensity for sexual excitation/inhibition, in addition to genital and subjective arousal, and sexual assertiveness and intention to engage in casual sexual encounters in which sexual risk was implicitly or explicitly present. The sample consisted of 99 heterosexual young adults (55 men and 45 women) with ages ranging from 18 to 32 years. Participants performed an experiment in the laboratory, which involved them watching a sexual clip and then being presented with two erotic excerpts (stories) depicting casual sexual encounters in which there was an existence of implicit and explicit sexual risks. In men, the propensity for sexual inhibition was the most determining variable in preventing them from sexual risk-taking. In women, intention to engage in risky sexual behaviors was better determined by their propensity for sexual excitation and sexual assertiveness in negotiating the use of contraceptive methods. This research highlights the relevance of excitation and inhibition as a trait, in addition to subjective arousal and sexual assertiveness in intention to engage in risky sexual behaviors.

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“…Risk perception plays an important role in behaviour related to transmission of sexually transmitted infections (STIs), such as condom use or testing for STIs [1][2][3]. For example, individuals who do not consider themselves to be at risk for STIs might be less inclined to use condoms or to seek testing [4,5].…”

Section: Introductionmentioning

confidence: 99%

Double trouble: modelling the impact of low risk perception and high-risk sexual behaviour on chlamydia transmission

Wees

Daas

Kretzschmar

et al. 2018

J. R. Soc. Interface.

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Risk perception plays an important role in testing behaviour for sexually transmitted infections, but is rarely included in mathematical models exploring the impact of testing. We explored the impact of incorporating sexual behaviour (SB), risk perception (RP) and differential testing uptake in SB-RP groups on prevalence, using chlamydia as an example. We developed a pair model with a susceptible-infected-susceptible structure representing heterosexuals aged 16-26 years. The effect of testing on chlamydia prevalence was compared between a model with only SB (SB model) and a model with SB and RP (SB-RP model). In the SB-RP model, a scenario without differential testing uptake in SB-RP groups was compared to scenarios with differential testing uptake in SB-RP groups. Introducing testing into the SB-RP model resulted in a slightly smaller reduction in chlamydia prevalence (-38.0%) as compared to the SB model (-40.4%). In the SB-RP model, the scenario without differential testing uptake in SB-RP groups overestimated the reduction in chlamydia prevalence (with 4.8%), especially in the group with high SB and low RP (19.8%). We conclude that mathematical models incorporating RP and differential testing uptake in SB-RP groups improve the impact assessment of testing and treatment on chlamydia prevalence.

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Self-perceived risk and prevalent chlamydia infection among adolescents in Norway: a population-based cross-sectional study

Cited by 10 publications

References 25 publications

STI Risk Perception in the British Population and How It Relates to Sexual Behaviour and STI Healthcare Use: Findings From a Cross-sectional Survey (Natsal-3)

STI Risk Perception in the British Population and How It Relates to Sexual Behaviour and STI Healthcare Use: Findings From a Cross-sectional Survey (Natsal-3)

Behavioral intention to have risky sex in young men and women: The role of sexual excitation and assertiveness

Double trouble: modelling the impact of low risk perception and high-risk sexual behaviour on chlamydia transmission

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