Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, Heerlen, The Netherlands.
Department of Medical Microbiology, School of Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
Sex Transm Infect. 2018 Dec;94(8):559-561. doi: 10.1136/sextrans-2017-053321. Epub 2018 Jan 30.
Swingers, that is, members of a heterosexual couple who, as a couple, had sex with other couples and/or singles within the swinger's subculture, are a hidden population with substantial rates of sexually transmitted infections (STIs) and high-risk sexual behaviour. Information on swingers' self-identification to be a swinger, their risk perception and attitudes about STI testing and safe sex will help to reveal swingers who are hidden while in care, to address them with targeted strategies.
We used data from a convenience sample of 289 swingers from our Dutch STI clinic patient registry between 2009 and 2012 (median age 45 years; 49% women; STI positivity 13%, no condom in vaginal sex: 57%). Participants filled in a self-administered questionnaire on sexual behaviour and answered statements about self-identification, risk perception and attitudes about STI testing and safe sex.
Of all participating registered swingers, 56% self-identified as a swinger. Safe sex was reportedly deemed important (77%). Overall, 72%, 62% and 56% reported that STI testing, partner notification and condom use is the norm in the swinger community. The latter was reported more often by self-identified swingers compared with non-self-identified swingers. Self-identified swingers further swinged more often, had more partners and more often swinged at home parties than non-self-identified swingers.
About half of STI clinic attending swingers whose sexual behaviour agrees with the definition of swinging are neutral/do not identify themselves to be a swinger. As many STI clinics internationally not specifically ask clients about their swinging behaviour, swingers may be a missed target population in care. Implementation of routine questions addressing behaviour (thus not only asking whether someone is a swinger) in STI clinics is feasible and facilitated by swingers' positive norm towards STI prevention and testing. Implementing routine swinger questions contribute to effective STI services including appropriate testing, counselling and partner notification.
swingers，即异性恋夫妇中的一员，他们作为夫妻与 swingers 亚文化中的其他夫妇和/或单身人士发生性关系，是一个隐藏的群体，具有很高的性传播感染（STI）率和高危性行为。了解 swingers 对自己 swingers 身份的自我认同、他们对 STI 检测和安全性行为的风险感知和态度，将有助于发现隐藏在护理中的 swingers，并用有针对性的策略来解决他们的问题。
我们使用了 2009 年至 2012 年期间从我们的荷兰性传播感染诊所患者登记处获得的 289 名 swingers 的便利样本数据（中位年龄 45 岁；49%为女性；STI 阳性率为 13%，阴道性交时未使用避孕套：57%）。参与者填写了一份关于性行为的自我管理问卷，并对自我认同、风险感知以及对 STI 检测和安全性行为的态度进行了回答。
在所有参与登记的 swingers 中，有 56%自我认同为 swingers。安全性行为被认为是重要的（77%）。总体而言，72%、62%和 56%的人报告说，在 swingers 社区中，STI 检测、伴侣通知和使用避孕套是规范。与非自我认同的 swingers 相比，自我认同的 swingers 更常报告这一点。自我认同的 swingers 进一步更频繁地摇摆，有更多的伴侣，并且更经常在家里的聚会上摇摆。
在参加性传播感染诊所的 swingers 中，大约有一半的性行为符合 swingers 定义的 swingers 是中立的/不认同自己是 swingers。由于国际上许多性传播感染诊所并没有专门询问客户他们的性行为，因此 swingers 可能是护理中的一个被忽视的目标人群。在性传播感染诊所实施常规问题以解决行为问题（因此不仅询问某人是否是 swingers）是可行的，并且得到了 swingers 对 STI 预防和检测的积极规范的促进。实施常规的 swingers 问题有助于提供有效的性传播感染服务，包括适当的检测、咨询和伴侣通知。
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