title: Development of a multi-item scale to quantitatively assess sexual behaviors and the transmission of high- and low-risk human papillomaviruses.
abstract: BACKGROUND
  Epidemiologic research is frequently hindered by the inherent difficulty in quantifying the risk of sexually transmitted disease (STD) acquisition associated with individual patterns of sexual behavior.
  
  
  OBJECTIVE
  To develop a quantitative sexual behavior risk scale and demonstrate its predictive validity in an assessment of risk factors for incident infection with human papillomaviruses (HPVs).
  
  
  METHODS
  Data from a prospective study of HPV infection in female university students was used to generate quantitative multi-item sexual behavior scales which were used in Cox regression analyses.
  
  
  RESULTS
  Although risk was incurred both in casual sexual encounters and in noncasual relationships, risk in these contexts were only weakly correlated. The construction of separate measurement scales was performed.
  
  
  CONCLUSIONS
  Improved precision of measurement of STD risk demonstrated that significant risk was associated with different patterns of sexual behavior and was incurred in both casual and/or noncasual relationships. Scores on the sexual behavior risk scales were highly predictive of incident infection with HPV types of both high and low oncogenic potential.
authors.affiliation: Department of Medicine, Columbia University College of Physicians & Surgeons, New York, New York, USA.
authors.forename: E A
authors.initials: EA
authors.lastname: Morrison
authors.forename: G Y
authors.initials: GY
authors.lastname: Ho
authors.forename: L
authors.initials: L
authors.lastname: Beardsley
authors.forename: R
authors.initials: R
authors.lastname: Bierman
authors.forename: R D
authors.initials: RD
authors.lastname: Burk
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D027383:Papillomaviridae / Q000302:isolation & purification*; D030361:Papillomavirus Infections / Q000635:transmission*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012044:Regression Analysis; D012307:Risk Factors; D012725:Sexual Behavior; D011795:Surveys and Questionnaires / Q000592:standards*; D014412:Tumor Virus Infections / Q000635:transmission*