Trends in female sexual behaviour and sexually transmitted diseases in London, 1982-1992.

Evans, B A; McCormack, Sheena; Kell, P D; Parry, J V; Bond, Robert; MacRae, K D

doi:10.1136/sti.71.5.286

Cited by 17 publications

(15 citation statements)

References 16 publications

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“…9 Menarche and coitarche were reported significantly earlier in black women than in white women, which was not the case in 1982. In line with the overall trend in London, the incidence of gonorrhoea, trichomoniasis, and chlamydial infection all fell but black women attending as contacts of nongonococcal urethritis remained unchanged at 19%.…”

Section: Discussionmentioning

confidence: 92%

Racial origin, sexual lifestyle, and genital infection among women attending a genitourinary medicine clinic in London (1992)

Evans

Kell

Bond

et al. 1998

Sexually Transmitted Infections

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Objectives:To compare variables of sexual behaviour and incidence of genital infections among women of diVerent racial origins and lifestyles. Design: A prospective cross sectional study of sexual behaviour reported by a standardised self administered questionnaire in new patients who presented for screening and diagnosis. Setting: A genitourinary medicine clinic in west London. Subjects: 1084 consecutive women newly attending in 1992. Main outcome measures: Variables relating to sociodemographic status, sexual lifestyle, condom use, sexually transmitted diseases, and other genital infections stratified by racial origin. Results: There were 948 evaluable women, of whom 932 (98.3%) were heterosexual and 16 (1.7%) were lesbian. Previous heterosexual intercourse was reported by 69% of lesbian women and their most frequent diagnosis was bacterial vaginosis (38%). The majority of heterosexual women were white (78%) and 16% were black. The black women were more likely to be teenagers (18% cf 8%; p=0.0004) or students (28% cf 15%; p=0.0008), and to have had an earlier coitarche (48% cf 38% before aged 17; p<0.004). They also had a higher proportion of pregnancies (58% cf 38%; p<0.00001) and births (38% cf 20%; p<0.00001). The white women showed significantly more sexual partners during the preceding year (p=0.004) and in total (p<0.00001) and more reported non-regular partners (48% cf 35%; p=0.004) with whom they were more likely to use condoms (p=0.009). However, the black women were more likely to have gonorrhoea (7% cf 2% p<0.0003), chlamydial infection (12% cf 5% p<0.002), trichomoniasis (10% cf 2% p<0.00001), or to be sexual contacts of men with non-gonococcal urethritis (19% cf 12% p<0.02). They were less likely to have genital warts (3% cf 12% p=0.002). Logistic regression showed that all these variables were independently associated with the black women. The Asian women (2%), none of whom had a sexually transmitted disease, had commenced intercourse later (mean 19.7 years) than both black women (mean 16.8 years) and white women (mean 17.6 years). Conclusions: Sexual intercourse commenced approximately 1 year earlier in the black women, who were more likely to have become pregnant, had children, and to have acquired a bacterial sexually transmitted infection than were the white women. (Sex Transm Inf 1998;74:45-49)

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Section: Discussionmentioning

confidence: 92%

Racial origin, sexual lifestyle, and genital infection among women attending a genitourinary medicine clinic in London (1992)

Evans

Kell

Bond

et al. 1998

Sexually Transmitted Infections

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“…According to surveillance, epidemiology, and end results data, the incidence of tonsillar cancer increased significantly from 1973 to 1995 in men, whereas the incidence at all other oral sites remained constant [61]. Although changes in tonsillectomy rates may have influenced these trends, it is conceivable that an increase in oral HPV infections, in tandem with increased rates of unprotected oral sex [62,63], may have contributed. The HIV epidemic may have contributed as well, because HIV-seropositive individuals have a 2-6-fold increased in risk of tonsillar and oropharyngeal cancer [64,65].…”

Section: Discussionmentioning

confidence: 99%

Oral Human Papillomavirus Infection in Adults Is Associated with Sexual Behavior and HIV Serostatus

et al. 2004

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The prevalence and risk factors for oral human papillomavirus (HPV) infection are unknown, despite evidence for an etiological role for HPV in oral cancers. Oral samples from human immunodeficiency virus (HIV)-seronegative (n=396) and HIV-seropositive (n=190) adults were tested for HPV DNA. High-risk HPV infections were present in 2.1% of tonsil and 6.3% of oral-rinse specimens. The prevalence of oral high-risk HPV infection was greater in HIV-seropositive individuals (13.7% vs. 4.5%; P<.001). In multiple logistic regression, odds of oral HPV infection increased with age, male sex, and herpes simplex virus (HSV)-2 seropositivity in HIV-seronegative individuals and with CD4 cell count <200 cells/mL, HSV-2 seropositivity, oral mucosal abnormalities, and >1 oral sex partner during the previous year (odds ratio, 12.8; 95% confidence interval, 3.1-52.7) among HIV-seropositive individuals. HPV type 16, which is present in most HPV-associated tonsillar cancers, was the most prevalent high-risk oral HPV infection.

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“…However, data describing anal intercourse in heterosexual men and women are sparse, and even more so among adolescents. Approximately 25.6% of adult heterosexual men and 20.4% of adult heterosexual women have reported a lifetime history of anal sex (Laumann et al, 1994) while rates among adolescents range between 20 and 32% (Edgardh, 2002;Evans et al, 1995;Gross et al, 2000;Kraner, McCoy, Evans, Evans, & Sweeney, 2001). Reported correlates of anal sex include unprotected vaginal sex, illegal drug use, and sexually transmitted diseases Gross et al, 2000).…”

Section: Introductionmentioning

confidence: 96%

Predictors of Early Initiation of Vaginal and Oral Sex Among Urban Young Adults in Baltimore, Maryland

et al. 2006

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Over the past three decades, most research on adolescent sexual behavior has focused on vaginal intercourse and related behaviors, including contraception and unintended pregnancy. In this study, we describe the prevalence and correlates of vaginal, oral, and anal sex in an epidemiologically defined population in Baltimore, Maryland. Young adults (ages 18-24), who had been enrolled in a behavioral intervention trial during elementary school, were interviewed by telephone between 1998 and 2002 to assess their sexual behavior. Of 1679 respondents interviewed, 70.8% were Black and 55% were women. Overall, 93% of the young adults reported vaginal intercourse, 78% reported receiving oral sex, 57% reported performing oral sex, and 10% reported receptive anal intercourse. Among men, 27% reported insertive anal intercourse. Blacks initiated vaginal intercourse at an earlier age than Whites; White women performed oral sex earlier than Black women. Significant interactions were observed between age of first vaginal partner and both gender and race/ethnicity. Blacks with older partners initiated sex at an earlier age than both Blacks with a partner the same age or younger and Whites. We also observed a relationship between older female sex partners and earlier vaginal sex initiation among men. We conclude that older sex partners play an important role in sexual initiation among young adults. In light of the rates of oral and anal sex, sexual education and intervention programs should address the risk for unintended consequences of these behaviors.

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Trends in female sexual behaviour and sexually transmitted diseases in London, 1982-1992.

Abstract: (Genitourin Med 1995;71:286-280)

Cited by 17 publications

References 16 publications

Racial origin, sexual lifestyle, and genital infection among women attending a genitourinary medicine clinic in London (1992)

Racial origin, sexual lifestyle, and genital infection among women attending a genitourinary medicine clinic in London (1992)

Oral Human Papillomavirus Infection in Adults Is Associated with Sexual Behavior and HIV Serostatus

Predictors of Early Initiation of Vaginal and Oral Sex Among Urban Young Adults in Baltimore, Maryland

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