Sexual Behaviors After Universal Screening of Sexually Transmitted Infections in Healthy Young Women

Hwang, Loris Y.; Shafer, Mary–Ann; Pollack, Lance M.; Chang, Y. Jason; Boyer, Cherrie B.

doi:10.1097/01.aog.0000247643.17067.d9

Cited by 22 publications

(20 citation statements)

References 26 publications

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“…Women in the active duty U.S. military are exposed to an environment where a high prevalence of sexual risk behaviors such as binge drinking and multiple sexual partnerships exist (1–3), which may contribute to risk for sexually transmitted infections (STIs) (4–6). In addition, a large proportion of active duty women are at a higher risk for STIs due to their demographic characteristics such as being of a younger age, unmarried, and of Black race/ethnicity (7), which are risk factors for STI acquisition in the general population (8).…”

Section: Introductionmentioning

confidence: 99%

A comparison of self-reported sexual risk behaviours between US civilian and active duty military women

et al. 2015

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Women in the military report a high prevalence of sexual risk behaviors, such as binge drinking and new or multiple sexual partnerships. However, demographical differences pose challenges to making comparisons with civilians. We used two public-use datasets to compare prevalence of sexual risk behaviors between sexually active military and civilian women, after adjusting for demographic factors. We found that women in the military reported a higher prevalence of binge drinking and new/multiple sexual partners as compared with civilians, which suggests that military women are truly a high-risk group and the military environment may at least partially facilitate these risk behaviors.

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Section: Introductionmentioning

confidence: 99%

A comparison of self-reported sexual risk behaviours between US civilian and active duty military women

et al. 2015

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“…Women in the military tend to report less frequent condom use than both their male colleagues 3 and their civilian women peers. 4, 7 In a study of 1,712 women entering U.S. Marines recruit training, 71% reported using condoms inconsistently. 4 Multiple sexual partnerships are also common, as indicated by findings from a study of male and female army recruits in which almost 60% reported more than 1 sexual partner within the past year.…”

Section: Introductionmentioning

confidence: 99%

“…4, 7 In a study of 1,712 women entering U.S. Marines recruit training, 71% reported using condoms inconsistently. 4 Multiple sexual partnerships are also common, as indicated by findings from a study of male and female army recruits in which almost 60% reported more than 1 sexual partner within the past year. 3 However, risk factors for multiple sexual partners within the military have yet to be identified.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Sexually Transmitted Infections and Sexual Risk Behaviors in the US Military

Stahlman¹,

Javanbakht²,

Cochran³

et al. 2014

Sexually Transmitted Diseases

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Background Sexually transmitted infections (STIs) are prevalent in the U.S. military. However, there are limited data on risk-factor differences between genders. Methods We used data from the 2008 Department of Defense Survey of Health Related Behaviors among Active Duty Military Personnel to identify risk factors for self-reported STIs within the past 12 months and multiple sexual partners among sexually active unmarried service members. Results There were 10,250 active duty personnel; mostly White (59.3%) aged 21-25 years (42.6%). The prevalence of any reported STI in the past 12 months was 4.2% for men and 6.9% for women. One-fourth of men and 9.3% of women reported five or more sexual partners in the past 12 months. Binge drinking, illicit substance use, and unwanted sexual contact were associated with increased report of sexual partners among both genders. Family/personal-life stress and psychological distress influenced number of partnerships more strongly for women than for men (Adjusted Odds Ratio [AOR]=1.58, 95% Confidence Interval [CI]=1.18-2.12 and AOR=1.41, 95% CI=1.14-1.76, respectively). After adjusting for potential confounders, we found that report of multiple sexual partners was significantly associated with report of an STI among men (AOR=5.87, 95% CI=3.70, 9.31 for five or more partners; AOR=2.35, 95% CI=1.59, 3.49 for 2-4 partners) and women (AOR=4.78, 95% CI=2.12, 10.80 for five or more partners; AOR=2.35, 95% CI=1.30, 4.25 for 2-4 partners). Conclusions Factors associated with report of increasing sexual partnerships and with report of an STI differed by gender. Gender-specific intervention strategies may be most effective in mitigating the factors that influence risky sexual behaviors among military personnel.

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“…38 Compared to new recruits who tested negative for an STI upon entry in the military, those who tested positive were more likely to test positive again after returning from vacation during recruit training, and those aged 19-21 years who tested positive were more likely to report having a casual sex partner during vacation. 39 Data on the prevalence of other STIs, including syphilis or herpes simplex, among servicewomen is lacking. Overall, the rates of HIV infection within the military are declining but there is a slower decline among women compared to men.…”

mentioning

confidence: 99%

High-Risk Behavior and Sexually Transmitted Infections Among U.S. Active Duty Servicewomen and Veterans

Goyal

Mattocks

Sadler

2012

Journal of Women's Health

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The number of women who are active duty service members or veterans of the U.S. military is increasing. Studies among young, unmarried, active duty servicewomen who are sexually active indicate a high prevalence of risky sexual behaviors, including inconsistent condom use, multiple sexual partners, and binge drinking, that lead to unintended and unsafe sex. These high-risk sexual practices likely contribute to chlamydia infection rates that are higher than the rates in the U.S. general population. Human papillomavirus (HPV) infection and cervical dysplasia may also be higher among young, active duty servicewomen. Little is known about the sexual practices and rates of sexually transmitted infections among older servicewomen and women veterans; however, women veterans with a history of sexual assault may be at high risk for HPV infection and cervical dysplasia. To address the reproductive health needs of military women, investigations into the prevalence of unsafe sexual behaviors and consequent infection among older servicewomen and women veterans are needed. Direct comparison of military and civilian women is needed to determine if servicewomen are a truly high-risk group. Additionally, subgroups of military women at greatest risk for these adverse reproductive health outcomes need to be identified.

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Sexual Behaviors After Universal Screening of Sexually Transmitted Infections in Healthy Young Women

Abstract: II.

Cited by 22 publications

References 26 publications

A comparison of self-reported sexual risk behaviours between US civilian and active duty military women

A comparison of self-reported sexual risk behaviours between US civilian and active duty military women

Self-Reported Sexually Transmitted Infections and Sexual Risk Behaviors in the US Military

High-Risk Behavior and Sexually Transmitted Infections Among U.S. Active Duty Servicewomen and Veterans

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