a Department of Clinical Sciences , Institute of Tropical Medicine , Antwerp , Belgium.
b Psychology Department , Open University of the Netherlands , Heerlen , The Netherlands.
J Sex Marital Ther. 2017 Nov 17;43(8):709-719. doi: 10.1080/0092623X.2016.1263702. Epub 2016 Nov 30.
Swingers are couples practicing consensual extradyadic heterosexual relations. This subculture is defined by venues and online communities. This study aimed to assess swingers' lifestyle, sexual health, and history of testing for sexually transmitted infections (STIs) and to review risk factors for sexual risk behavior and STI transmission. An online survey was distributed through venues, chat websites, and dating websites. Most of 480 swingers starting the survey completed it (n = 392, 81.6%). Women (n = 146) reported more frequent swinging (p = 0.013), same-sex contacts (p < 0.001), and more sex under influence of alcohol (p < 0.001). Men (n = 334) reported more anal sex (p = 0.002) and condomless vaginal sex (p = 0.004). Of respondents tested, 25.7% ever received an STI diagnosis. Using logistical regression, being male, older, single, and party drug use were associated with sexual risk behavior (p = 0.009). Higher frequency of swinging was associated with an STI diagnosis (p = 0.036). Swingers were sexually active, reported factors associated with sexual risk behavior, and were more diagnosed with an STI compared to the general population. Many swingers were tested for STIs. Nonetheless, implementation of tailored testing strategies should be considered given their elevated risk for STI acquisition.
swingers 是指实践双方同意的婚外异性关系的夫妇。这种亚文化由场所和在线社区定义。本研究旨在评估 swingers 的生活方式、性健康以及性传播感染 (STI) 的检测史，并回顾性行为风险因素和 STI 传播。通过场所、聊天网站和约会网站在线分发了一项调查。开始调查的 480 名 swingers 中，大多数（n = 392，81.6%）完成了调查。女性（n = 146）报告了更频繁的摇摆（p = 0.013）、同性接触（p < 0.001）和更多受酒精影响的性行为（p < 0.001）。男性（n = 334）报告了更多的肛交（p = 0.002）和无保护的阴道性行为（p = 0.004）。接受检测的受访者中，25.7% 曾被诊断患有性传播感染。使用逻辑回归，男性、年龄较大、单身和使用派对药物与性行为风险因素有关（p = 0.009）。更频繁的摇摆与 STI 诊断有关（p = 0.036）。与一般人群相比， swingers 更活跃，报告了与性行为风险因素相关的因素，并且被诊断出患有 STI 的比例更高。许多 swingers 都接受了 STI 检测。尽管如此，鉴于他们感染 STI 的风险较高，应考虑实施针对性的检测策略。
