Abstract
A self-administered, confidential survey of respondents' history of selected sexually transmitted disease (STD) was conducted in 1987-88 among adults enrolled in a multicenter study of cardiovascular disease. Respondents (and response rates) included 535 white men (78 percent), 694 white women (89 percent), 262 black men (48 percent), and 472 black women (64 percent), ages 21 to 40 years at the time of the survey. Among those who were heterosexually active, 43 percent of black women, 37 percent of black men, 33 percent of white women, and 21 percent of white men reported ever having had at least one STD in the survey. A history of syphilis or gonorrhea was more commonly reported by blacks than whites; a history of genital herpes, chlamydia, or genital warts was more commonly reported by women than men. Independent risk factors for having had at least one STD in the survey included female sex; use of cocaine, amphetamines, or opiates; and lifetime number of sex partners. The number of sex partners was the most predictive risk factor. Black race was a significant marker for other, unidentified STD risk factors. The data show a high prevalence of a lifetime history of STD among young heterosexual urban U.S. adults with possible implications for the future spread of human immunodeficiency virus infection.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aral S. O., Holmes K. K. Sexually transmitted diseases in the AIDS era. Sci Am. 1991 Feb;264(2):62–69. doi: 10.1038/scientificamerican0291-62. [DOI] [PubMed] [Google Scholar]
- Bachrach C. A., Horn M. C. Sexual activity among US women of reproductive age. Am J Public Health. 1988 Mar;78(3):320–321. doi: 10.2105/ajph.78.3.320. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Berrios D. C., Hearst N., Perkins L. L., Burke G. L., Sidney S., McCreath H. E., Hulley S. B. HIV antibody testing in young, urban adults. Arch Intern Med. 1992 Feb;152(2):397–402. [PubMed] [Google Scholar]
- Chuang T. Y. Condylomata acuminata (genital warts). An epidemiologic view. J Am Acad Dermatol. 1987 Feb;16(2 Pt 1):376–384. doi: 10.1016/s0190-9622(87)70053-x. [DOI] [PubMed] [Google Scholar]
- DeBuono B. A., Zinner S. H., Daamen M., McCormack W. M. Sexual behavior of college women in 1975, 1986, and 1989. N Engl J Med. 1990 Mar 22;322(12):821–825. doi: 10.1056/NEJM199003223221206. [DOI] [PubMed] [Google Scholar]
- Friedman G. D., Cutter G. R., Donahue R. P., Hughes G. H., Hulley S. B., Jacobs D. R., Jr, Liu K., Savage P. J. CARDIA: study design, recruitment, and some characteristics of the examined subjects. J Clin Epidemiol. 1988;41(11):1105–1116. doi: 10.1016/0895-4356(88)90080-7. [DOI] [PubMed] [Google Scholar]
- Gayle H. D., Keeling R. P., Garcia-Tunon M., Kilbourne B. W., Narkunas J. P., Ingram F. R., Rogers M. F., Curran J. W. Prevalence of the human immunodeficiency virus among university students. N Engl J Med. 1990 Nov 29;323(22):1538–1541. doi: 10.1056/NEJM199011293232206. [DOI] [PubMed] [Google Scholar]
- Goeman J., Piot P. The epidemiology of sexually transmitted diseases in Africa and Latin America. Semin Dermatol. 1990 Jun;9(2):105–108. [PubMed] [Google Scholar]
- James N. J., Bignell C. J., Gillies P. A. The reliability of self-reported sexual behaviour. AIDS. 1991 Mar;5(3):333–336. doi: 10.1097/00002030-199103000-00016. [DOI] [PubMed] [Google Scholar]
- Kreiss J. K., Coombs R., Plummer F., Holmes K. K., Nikora B., Cameron W., Ngugi E., Ndinya Achola J. O., Corey L. Isolation of human immunodeficiency virus from genital ulcers in Nairobi prostitutes. J Infect Dis. 1989 Sep;160(3):380–384. doi: 10.1093/infdis/160.3.380. [DOI] [PubMed] [Google Scholar]
- Moran J. S., Aral S. O., Jenkins W. C., Peterman T. A., Alexander E. R. The impact of sexually transmitted diseases on minority populations. Public Health Rep. 1989 Nov-Dec;104(6):560–565. [PMC free article] [PubMed] [Google Scholar]
- Mosca J. D., Bednarik D. P., Raj N. B., Rosen C. A., Sodroski J. G., Haseltine W. A., Pitha P. M. Herpes simplex virus type-1 can reactivate transcription of latent human immunodeficiency virus. Nature. 1987 Jan 1;325(6099):67–70. doi: 10.1038/325067a0. [DOI] [PubMed] [Google Scholar]
- Osborne N. G., Feit M. D. The use of race in medical research. JAMA. 1992 Jan 8;267(2):275–279. [PubMed] [Google Scholar]
- Pepin J., Plummer F. A., Brunham R. C., Piot P., Cameron D. W., Ronald A. R. The interaction of HIV infection and other sexually transmitted diseases: an opportunity for intervention. AIDS. 1989 Jan;3(1):3–9. [PubMed] [Google Scholar]
- Plummer F. A., Simonsen J. N., Cameron D. W., Ndinya-Achola J. O., Kreiss J. K., Gakinya M. N., Waiyaki P., Cheang M., Piot P., Ronald A. R. Cofactors in male-female sexual transmission of human immunodeficiency virus type 1. J Infect Dis. 1991 Feb;163(2):233–239. doi: 10.1093/infdis/163.2.233. [DOI] [PubMed] [Google Scholar]
- Rolfs R. T., Nakashima A. K. Epidemiology of primary and secondary syphilis in the United States, 1981 through 1989. JAMA. 1990 Sep 19;264(11):1432–1437. [PubMed] [Google Scholar]
- Rolnick S. J., Gross C. R., Garrard J., Gibson R. W. A comparison of response rate, data quality, and cost in the collection of data on sexual history and personal behaviors. Mail survey approaches and in-person interview. Am J Epidemiol. 1989 May;129(5):1052–1061. doi: 10.1093/oxfordjournals.aje.a115209. [DOI] [PubMed] [Google Scholar]
- Stamm W. E., Handsfield H. H., Rompalo A. M., Ashley R. L., Roberts P. L., Corey L. The association between genital ulcer disease and acquisition of HIV infection in homosexual men. JAMA. 1988 Sep 9;260(10):1429–1433. [PubMed] [Google Scholar]
- Zimmerman H. L., Potterat J. J., Dukes R. L., Muth J. B., Zimmerman H. P., Fogle J. S., Pratts C. I. Epidemiologic differences between chlamydia and gonorrhea. Am J Public Health. 1990 Nov;80(11):1338–1342. doi: 10.2105/ajph.80.11.1338. [DOI] [PMC free article] [PubMed] [Google Scholar]