Thurman Andrea Ries, Shain Rochelle N, Holden Alan E C, Champion Jane Dimmitt, Perdue Sondra T, Piper Jeanna M
Department of Obstetrics and Gynecology, University of Texas Health Sciences Center San Antonio, San Antonio, Texas 78229-3900, USA.
Sex Transm Dis. 2008 Feb;35(2):136-40. doi: 10.1097/OLQ.0b013e318151498f.
To determine factors associated with partner notification (PN) of sexually transmitted infection (STI) exposure among low-income Mexican American and African American women and their male sexual partners.
To identify women most likely to notify their partners about an STI exposure.
Cross-sectional analysis of 775 women with a nonviral STI. The primary outcome, PN, is notification of, or intent to notify male sexual partner(s) of STI exposure. A comprehensive intake interview was used to obtain sociodemographic, psychosocial, communication, and relationship information for the patients and each male sexual partner. Chi square analysis and multivariate logistic regression analysis were used to determine factors independently associated with PN.
The 775 women identified 1122 male sexual partners. Of women with 1, 2, and 3 or more partners, 87.9%, 41.4%, and 25.0% reported PN for all partners respectively. Logistic regression demonstrated that 5 variables independently predicted PN: a "steady" relationship (OR: 5.25; CI: 2.82-4.91), 1 partner (OR: 2.10; CI: 1.71-2.56), recent intercourse (OR: 1.37; CI: 1.21-1.54), anticipated ongoing sexual activity (OR: 1.48; CI: 1.04-2.10), and/or desire for pregnancy with that partner (OR: 1.68; CI: 1.10-2.58). Patient and partner sociodemographic variables were not significantly associated with PN. Responses to specific relationship and communication variables, although significant, did not remain independent in the final logistic regression model.
Among low-income Mexican American and African American women, the perception that a relationship with individual partner(s) was committed was predictive of PN.
确定低收入墨西哥裔美国女性和非裔美国女性及其男性性伴侣中与性传播感染（STI）暴露的性伴通知（PN）相关的因素。
识别最有可能将STI暴露情况告知其伴侣的女性。
对775名患有非病毒性STI的女性进行横断面分析。主要结果PN是指告知或打算告知男性性伴侣STI暴露情况。通过全面的入院访谈获取患者及其每位男性性伴侣的社会人口统计学、心理社会、沟通和关系信息。采用卡方分析和多因素逻辑回归分析来确定与PN独立相关的因素。
775名女性确定了1122名男性性伴侣。在有1名、2名以及3名或更多伴侣的女性中，分别有87.9%、41.4%和25.0%报告对所有伴侣进行了PN。逻辑回归表明，5个变量可独立预测PN：“稳定”关系（比值比[OR]：5.25；可信区间[CI]：2.82 - 4.91）、1名伴侣（OR：2.10；CI：1.71 - 2.56）、近期性交（OR：1.37；CI：1.21 - 1.54）、预期的持续性行为（OR：1.48；CI：1.04 - 2.10）以及/或者与该伴侣生育的意愿（OR：1.68；CI：1.10 - 2.58）。患者及其伴侣的社会人口统计学变量与PN无显著关联。对特定关系和沟通变量的回答虽具有显著性，但在最终的逻辑回归模型中并非独立存在。
在低收入墨西哥裔美国女性和非裔美国女性中，认为与个别伴侣关系稳定可预测PN。
