Concordance Between Laboratory Diagnosed Sexually Transmitted Infections and Self-Reported Measures of Risky Sex by Partner Type Among Rural Ugandan Outpatients.
Numerous HIV risk reduction interventions which show effects on sexual risk behaviors fail to find effects on STIs. We examined the concordance between laboratory diagnosed STIs and sexual risk behavior among Ugandan outpatients (n = 328). We screened for STIs and assessed sexual behavior at baseline and 6 month follow-up. Less risk was associated with an STI at baseline. At follow-up more unprotected sex with casual partners was associated with incident Syphilis, more unprotected sex with primary and secondary regular partners was associated with incident Chlamydia or Gonorrhea. Our results suggest ways to improve concordance between behavioral measures and STIs.
Division of Epidemiology and Biostatistics, Graduate School of Public Health, San Diego State University, 5500 Campanile Drive (MC-4162), San Diego, CA, 92182, USA. skiene@mail.sdsu.edu.
Susan M
SM
Kiene
Gombe General Hospital, Gombe, Uganda.
Haruna
H
Lule
MRC/UVRI Uganda Research Unit On AIDS, Entebbe, Uganda.
Peter
P
Hughes
Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
Rhoda K
RK
Wanyenze
D000328:Adult; D044383:Black People; D002690:Chlamydia Infections / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis / Q000453:epidemiology*; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D008297:Male; D010045:Outpatients; D012309:Risk-Taking; D012424:Rural Population; D057566:Self Report; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology*; D013587:Syphilis / Q000175:diagnosis / Q000453:epidemiology*; D014454:Uganda / Q000453:epidemiology; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult
Africa; Chlamydia; Gonorrhea; Sexual behavior; Syphilis
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