title: Sex, drugs and sexually transmitted infections in British university students.
abstract: Understanding predisposing factors for sexually transmitted infections (STIs) in young adults may identify targets for public health interventions. We conducted a cross-sectional web-based survey of university students' sexual attitudes, behaviours and lifestyles and self-reported rates of STI. A total of 827 students responded, 22.4% had two or more sexual partners in the previous year with inconsistent condom use and the lifetime prevalence of STIs was 9.6%. Factors associated with a diagnosis of STI were increasing age and number of sexual partners ever, female gender (adjusted odds ratio [AOR] 2.70, 95% confidence interval [CI] 1.31, 5.56) and use of crack (AOR 10.45, 95% CI 1.46, 75.16). For female students, these were increasing age and number of partners ever, whereas for male students having sex with other men (bisexual AOR 4.8, 95% CI 1.02, 22.595, homosexual AOR 17.66, 95% CI 3.03, 103.04) and use of crack (AOR 32.24, 95% CI 3.33, 312.08). Multiple partners and recreational drug use may predict incidence of STI. Prevention strategies need to aim at reducing risk behaviour across various activities.
authors.affiliation: School of Medicine, Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, UK. r.vivancos@uea.ac.uk
authors.forename: R
authors.initials: R
authors.lastname: Vivancos
authors.forename: I
authors.initials: I
authors.lastname: Abubakar
authors.forename: P R
authors.initials: PR
authors.lastname: Hunter
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D016578:Crack Cocaine; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D012309:Risk-Taking; D012723:Sex; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology; D044465:White People / Q000706:statistics & numerical data
chemical_list: D016578:Crack Cocaine