Department of Infectious Diseases, South Limburg Public Health Service, PO Box 2022, 6160 HA Geleen, The Netherlands.
Sex Transm Infect. 2010 Aug;86(4):315-7. doi: 10.1136/sti.2009.041954. Epub 2010 Jun 24.
Identification of STI risk groups is essential for optimal prevention and medical care. Until now, swingers--that is, heterosexual couples who are practising mate swapping, group sex, visit sex clubs for couples, are not considered as a specific risk group for STI in healthcare services and prevention.
To compare STI prevalence rates in swingers with that in other risk groups.
At the STI clinic, South Limburg, The Netherlands, whether an attendee is a swinger has been systematically registered since 2007. STI clinic surveillance data were analysed to assess the swingers' share of consultations and STI diagnoses--here Chlamydia trachomatis (CT) and/or Neisseria gonorrhoea (NG).
Of 8971 consultations, 12% comprised swingers (median age 43 years, IQR 38-48). Overall, STI prevalence was highest in youth, men who have sex with men (MSM) and swingers. Older swingers had a CT prevalence of 10% and an NG prevalence of 4%. The share in STI diagnoses in the older age group (>45 years) comprised 55% for swingers and 31% for MSM.
Swingers comprise a substantial proportion of STI consultations. They are a mainly older age group and form an important part of STI diagnoses. While other risk groups for STI, such as young heterosexuals and MSM, are systematically identified at STI healthcare facilities and provided with appropriate services, this is generally not the case for swingers. Swingers, like other groups with risk behaviours, need to be identified and treated as a risk group in STI prevention and care.
识别性传播感染（STI）的风险群体对于最佳预防和医疗至关重要。直到现在，性交换者——即实践伴侣交换、群体性行为、光顾夫妻性俱乐部的异性恋夫妇——在医疗保健服务和预防中并不被视为 STI 的特定风险群体。
比较性交换者中的 STI 患病率与其他风险群体的患病率。
在荷兰南林堡性传播感染诊所，自 2007 年以来，系统地记录了就诊者是否为性交换者。分析性传播感染诊所监测数据，以评估性交换者在咨询和 STI 诊断中的比例——这里指沙眼衣原体（CT）和/或淋病奈瑟菌（NG）。
在 8971 次就诊中，12%为性交换者（中位数年龄 43 岁，四分位距 38-48）。总体而言，性活跃的年轻人、男男性行为者（MSM）和性交换者的 STI 患病率最高。年长的性交换者 CT 患病率为 10%，NG 患病率为 4%。年龄较大组（>45 岁）的 STI 诊断中，性交换者占 55%，MSM 占 31%。
性交换者构成了相当一部分 STI 就诊者。他们主要是年龄较大的群体，是 STI 诊断的重要组成部分。虽然其他 STI 风险群体，如年轻异性恋者和 MSM，在性传播感染医疗机构中被系统地识别并提供相应的服务，但通常不会对性交换者这样做。性交换者和其他具有风险行为的群体一样，需要在 STI 预防和护理中被识别并作为一个风险群体进行治疗。
