Hendry Natalie A, Brown Graham, Dowsett Gary W, Carman Marina
Australian Research Centre in Sex, Health and Society, La Trobe University, 215 Franklin Street, Melbourne, Vic. 3000, Australia.
Sex Health. 2017 Aug;14(4):378-382. doi: 10.1071/SH16076.
Background Young adults, aged 18-30 years, comprise the largest proportion of sexually transmissible infection (STI) notifications in Australia compared with other age groups. Understanding the influence of partner and friendship networks on their STI testing practices may enhance health promotion efforts to increase testing for this group.
Participants aged 21-30 years, living in Australia for ≥3 years, were recruited within nightlife precincts in Melbourne, Australia. They completed a survey on demographic items, sexual health attitudes, sexual health knowledge and STI testing experiences and perceptions. Responses to items related to talking to partners and friends about STI testing were allocated partner and friend communication scores. Analyses included χ tests of independence and independent sample t-tests.
Overall, 36.5% (61/167) of participants had tested for STIs in the previous 12 months. Of those who had tested for STIs, most had significantly higher numbers of sexual partners in the same period (P<0.05), and were significantly more likely to have felt at risk of STI acquisition (P<0.05). Significantly greater mean partner and friend communication scores were associated with higher numbers of sexual partners, feeling at risk of STIs, and testing for STIs in the previous 12 months (all P<0.05). There were no significant differences when participants were stratified by gender or age.
Talking to partners and friends about STI testing is associated with testing rates for young adults. Feeling at risk and increased numbers of sexual partners may be associated with the promotion of STI testing among friends and partners.
背景 与其他年龄组相比,18至30岁的年轻成年人在澳大利亚性传播感染(STI)通报中占比最大。了解伴侣和朋友网络对其STI检测行为的影响,可能会加强健康促进工作,以增加该群体的检测率。
方法 在澳大利亚墨尔本的夜生活区域招募了年龄在21至30岁、在澳大利亚居住≥3年的参与者。他们完成了一项关于人口统计学项目、性健康态度、性健康知识以及STI检测经历和认知的调查。对与和伴侣及朋友谈论STI检测相关项目的回答被赋予伴侣和朋友沟通得分。分析包括独立性χ检验和独立样本t检验。
结果 总体而言,36.5%(61/167)的参与者在过去12个月内进行过STI检测。在那些进行过STI检测的人中,大多数在同一时期有显著更多的性伴侣(P<0.05),并且明显更有可能觉得自己有感染STI的风险(P<0.05)。伴侣和朋友沟通得分的平均显著更高与性伴侣数量更多、感觉有感染STI的风险以及在过去12个月内进行STI检测相关(所有P<0.05)。按性别或年龄对参与者进行分层时,没有显著差异。
结论 与伴侣和朋友谈论STI检测与年轻成年人的检测率相关。感觉有风险和性伴侣数量增加可能与在朋友和伴侣中促进STI检测有关。