Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Sex Transm Dis. 2011 Mar;38(3):210-5. doi: 10.1097/OLQ.0b013e3181f6fe42.
Sexually transmitted disease (STD) clinic attendees are considered to be at higher risk of sexually transmitted infections (STIs) than the general population. However, little is known about STD clinic subpopulations and their unique risks for STI's. The goal of this project was to begin to characterize an important STD clinic subpopulation, the small proportion of women reporting a recent history of multiple sex partners.
Screening of electronic medical records from 2007 identified 347 (7%) women with ≥4 partners in the last 12 months. Records for women with ≥4 sex partners were matched with women reporting 1 sex partner in the last 12 months. Demographic, sexual history, STI history, and laboratory diagnosis(es) were extracted from the electronic medical record and compared using a case-control study design.
Approximately 5000 women presented to our STD clinic in 2007; 7.0% reported≥4 sex partners. Women with ≥4 sex partners were less often black and on average younger than women with single partners (Median age, 24 vs. 29). They reported more nonvaginal sex, more same-sex contacts, but more consistent condom use than women with single partners. Dyspareunia, genital lesions, abdominal pain, and skin findings were more commonly reported by women with ≥4 sex partners. Women with multiple partners were also more likely to report ever having had ≥3 STI's and were more likely to report a history of gonorrhea or syphilis. They were also more likely to be diagnosed at presentation with chlamydia, gonorrhea, or syphilis.
Women reporting multiple sex partners are an important minority among STD clinic attendees. Understanding the antecedents to high risk sexual behavior as determined by partner number is an important step in reducing STI's in this group.
性传播疾病（STD）门诊就诊者被认为比一般人群更容易感染性传播感染（STI）。然而，对于 STD 门诊的亚人群及其感染 STI 的独特风险知之甚少。本项目的目标是开始描述一个重要的 STD 门诊亚人群，即报告最近有多个性伴侣的少数女性。
从 2007 年的电子病历中筛选出 347 名（7%）在过去 12 个月内有≥4 个性伴侣的女性。将有≥4 个性伴侣的女性的记录与在过去 12 个月内有 1 个性伴侣的女性的记录进行匹配。从电子病历中提取人口统计学、性史、性病史和实验室诊断（s），并使用病例对照研究设计进行比较。
2007 年，约有 5000 名女性到我们的 STD 诊所就诊；7.0%的女性报告有≥4 个性伴侣。有≥4 个性伴侣的女性黑人比例较低，平均年龄小于有单一伴侣的女性（中位数年龄，24 岁对 29 岁）。她们报告的非阴道性行为、同性接触更多，但与有单一伴侣的女性相比，使用避孕套更一致。性交疼痛、生殖器损伤、腹痛和皮肤发现更常见于有≥4 个性伴侣的女性。有多个伴侣的女性也更有可能报告曾经患有≥3 种性传播感染，更有可能报告有淋病或梅毒病史。她们在就诊时也更有可能被诊断为衣原体、淋病或梅毒。
报告有多个性伴侣的女性是 STD 门诊就诊者中的一个重要少数群体。了解伴侣数量所决定的高风险性行为的前因是减少该群体中 STI 的重要一步。
