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Document 0692
DOCN M9630692
TI Trends in female sexual behaviour and sexually transmitted diseases in
London, 1982-1992.
DT 9603
AU Evans BA; McCormack SM; Kell PD; Parry JV; Bond RA; MacRae KD;
Department of Genitourinary Medicine, Charing Cross Hospital,; London,
UK.
SO Genitourin Med. 1995 Oct;71(5):286-90. Unique Identifier : AIDSLINE
MED/96096205
AB OBJECTIVE--To measure changes in female sexual behaviour, including
condom use, and their relationship with the incidence of sexually
transmitted and other genital diseases in women during the decade
1982-92. DESIGN--A prospective series of cross-sectional surveys of
sexual behaviour reported by a standardised self-administered
questionnaire in new patients who presented for screening and diagnosis.
SETTING--A genitourinary medicine clinic in West London. SUBJECTS--4089
consecutive newly attending patients who completed sexual behaviour
questionnaires during 1982, 1987, 1989 and 1992. MAIN OUTCOME
MEASURES--Trends in socio-demographic status, sexual behaviour,
condom-use, sexually transmitted diseases and other genital infections
diagnosed by routine clinical and laboratory methods. RESULTS--Women
reported significantly increasing condom use (from 3.6% to 20.7%) and
decreasing oral contraception (from 51.2% to 40.1%), but the proportion
who used no contraception (23.6% to 24.7%) and the proportion who had
never been pregnant (58.3% to 59.9%) remained similar. Numbers of sexual
partners in the preceding year decreased (p < 0.001) and an increasing
proportion of women practised oral intercourse (p < 0.001). During the
same period, there was a progressive decline (p < 0.001) in the
incidence of gonorrhoea, chlamydial infection and trichomoniasis by
approximately two-thirds. However, the incidence of vaginal candidosis
(p < 0.001), bacterial vaginosis (p < 0.001) and genital warts (p <
0.01) increased. CONCLUSIONS--Increasing use of condoms for vaginal
intercourse with both regular and non-regular partners has been
associated with a decrease in the incidence of gonorrhoea, chlamydial
infection and trichomoniasis. There was also an increase in the practice
of fellatio and a change in the spectrum of STD and other genital
infections with little net reduction in morbidity. HIV infection showed
no evidence of heterosexual spread.
DE Adolescence Adult Aged Condoms/UTILIZATION Cross-Sectional Studies
Female Hepatitis B/EPIDEMIOLOGY Hepatitis C/EPIDEMIOLOGY Human HIV
Infections/EPIDEMIOLOGY Incidence Leukemia-Lymphoma, T-Cell, Acute,
HTLV-I-Associated/EPIDEMIOLOGY London/EPIDEMIOLOGY Middle Age
Prospective Studies *Sex Behavior Sexual Partners Sexually
Transmitted Diseases/*EPIDEMIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).