Skip to main content

Advertisement

Log in

Gap between Consecutive Sexual Partnerships and Sexually Transmitted Infections Among STI Clinic Patients in St Petersburg, Russia

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

We conducted a cross-sectional study to determine whether the time between two consecutive sexual partnerships (gap) is associated with sexually transmitted infections (STIs) in Russia. A self-administered questionnaire was administered to STI clinic patients in St. Petersburg and participant’s STI data at the time of enrollment in the study was collected from medical charts. The length of the gap between partnerships was divided into four categories: overlapping (0 or negative gap), short gaps (1–90 days), mid-length gaps (91–365 days), and long gaps (366 days or more). Among the 659 respondents, 22.6% had overlapping partnerships, and 13.7, 4.2, and 59.5% had short, mid-length and long gaps, respectively. Short gaps (OR 2.34; 95% CI 1.38–3.95), but not overlapping relationships, were independently associated with STIs when contrasted against long term gaps. HIV prevention programs for Russian STI clinic patients should therefore focus also on prolonging the gap between consecutive, monogamous sexual partnerships.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Pequegnat W, Fishbein M, Celentano D, et al. NIMH/APPC workgroup on behavioral and biological outcomes in HIV/STD prevention studies: a position statement. Sex Transm Dis. 2000;27(3):127–32.

    Article  PubMed  CAS  Google Scholar 

  2. Ghani AC, Swinton J, Garnett GP. The role of sexual partnership networks in the epidemiology of gonorrhea. Sex Transm Dis. 1997;24(1):45–56.

    Article  PubMed  CAS  Google Scholar 

  3. Morris M, Kurth AE, Hamilton DT, Moody J, Wakefield S. Concurrent partnerships and HIV prevalence disparities by race: linking science and public health practice. Am J Public Health. 2009;99(6):1023–31.

    Article  PubMed  Google Scholar 

  4. Rosenberg MD, Gurvey JE, Adler N, Dunlop MB, Ellen JM. Concurrent sex partners and risk for sexually transmitted diseases among adolescents. Sex Transm Dis. 1999;26(4):208–12.

    Article  PubMed  CAS  Google Scholar 

  5. UNAIDS Reference Group on Estimates Modelling and Projections. HIV: consensus indicators are needed for concurrency. Lancet. 2010;375(9715):621–2.

    Article  Google Scholar 

  6. Chen MI, Ghani AC, Edmunds J. Mind the gap: the role of time between sex with two consecutive partners on the transmission dynamics of gonorrhea. Sex Transm Dis. 2008;35(5):435–44.

    Article  PubMed  Google Scholar 

  7. Kraut-Becher JR, Aral SO. Gap length: an important factor in sexually transmitted disease transmission. Sex Transm Dis. 2003;30(3):221–5.

    Article  PubMed  Google Scholar 

  8. Foxman B, Newman M, Percha B, Holmes KK, Aral SO. Measures of sexual partnerships: lengths, gaps, overlaps, and sexually transmitted infection. Sex Transm Dis. 2006;33(4):209–14.

    PubMed  Google Scholar 

  9. NIMH Collaborative HIV/STD Prevention Trial. Sexually transmitted disease and HIV prevalence and risk factors in concentrated and generalized HIV epidemic settings. AIDS. 2007;21(Suppl 2):S81–90.

    Article  Google Scholar 

  10. Abdala N, Carney JM, Durante AJ, et al. Estimating the prevalence of syringe-borne and sexually transmitted diseases among injection drug users in St. Petersburg, Russia. Int J STD AIDS. 2003;14(10):697–703.

    Article  PubMed  Google Scholar 

  11. Niccolai LM, Shcherbakova IS, Toussova OV, Kozlov AP, Heimer R. The potential for bridging of HIV transmission in the Russian Federation: sex risk behaviors and HIV prevalence among drug users (DUs) and their non-DU sex partners. J Urban Health. 2009;86(Suppl 1):131–43.

    Article  PubMed  Google Scholar 

  12. Niccolai LM, Kershaw TS, Lewis JB, Cicchetti DV, Ethier KA, Ickovics JR. Data collection for sexually transmitted disease diagnoses: a comparison of self-report, medical record reviews, and state health department reports. Ann Epidemiol. 2005;15(3):236–42.

    Article  PubMed  Google Scholar 

  13. Chesson HW, Blandford JM, Pinkerton SD. Estimates of the annual number and cost of new HIV infections among women attributable to trichomoniasis in the United States. Sex Transm Dis. 2004;31(9):547–51.

    Article  PubMed  Google Scholar 

  14. Pinkerton SD, Layde PM, DiFranceisco W, Chesson HW. All STDs are not created equal: an analysis of the differential effects of sexual behaviour changes on different STDs. Int J STD AIDS. 2003;14(5):320–8.

    Article  PubMed  CAS  Google Scholar 

  15. Elliott AC, Reisch JS. Implementing a multiple comparisons test for proportions in a 2 x c cross tabulation table in SAS. Available at: http://www2.sas.com/proceedings/sugi31/204-31.pdf. Accessed 18 Jan 2011.

  16. Zar JH. Biostatistical Analysis. 4th ed. New Jersey: Prentice Hall; 1999.

    Google Scholar 

  17. Kalichman SC, Grebler T. Reducing numbers of sex partners: do we really need special interventions for sexual concurrency? AIDS Behav. 2010;14(5):987–90.

    Article  PubMed  Google Scholar 

  18. Workowski KA, Berman S. Sexually transmitted diseases treatment guidelines (2010). MMWR Recomm Rep. 2010;59(RR-12):1–110.

    PubMed  Google Scholar 

Download references

Acknowledgments

Funding source: This work was supported by grant number RO3 DA020384 (PI: N. Abdala) from the National Institute of Drug Abuse. The content of this study is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Drug Abuse or the National Institutes of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nadia Abdala.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhan, W., Krasnoselskikh, T.V., Golovanov, S. et al. Gap between Consecutive Sexual Partnerships and Sexually Transmitted Infections Among STI Clinic Patients in St Petersburg, Russia. AIDS Behav 16, 334–339 (2012). https://doi.org/10.1007/s10461-011-9932-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-011-9932-z

Keywords

Navigation