P04.23 Mind the gap! biological and behavioural concurrency and their potential for sti transmission in the british population
Notice bibliographique
Résumé
<h3>Background</h3> Key drivers for STI transmission are the number of sexual partners and their timing. Concurrent partnerships are a known risk factor but non-overlapping (serially monogamous) partnerships may be biologically concurrent for some STIs where infectious periods extend across the ‘gap’. We examine recent partnership histories among people aged 16–44y in Britain and how they relate to reported STI diagnoses. <h3>Methods</h3> Analyses of data collected for Britain’s third National Survey of Sexual Attitudes and Lifestyles, a probability survey undertaken 2010–2012 with 9,902 people aged 16–44y. Computer-assisted self-interviews included questions about participants’ 3 most recent partners and STI diagnosis history. Gaps between partners were calculated from the dates of most recent sex with a former partner and first sex with the next partner. <h3>Results</h3> Over 90% of men and women reported >=1 partners in the past 5y, of whom, 51.2% (men) and 42.5% (women) reported >=2 partners during this time and so had had >=1 gaps (total: 7, 724 gaps). The median gap was 2 months (IQR:-3 to 8 months) with two-thirds of all gaps >=1 month denoting serial monogamy. One-quarter (95% CI: 23.8%–26.2%) of all gaps were 0–3 months, while 21.8% (95% CI: 20.7%–22.9%) were >=12 months. In multivariable analyses which adjusted for total partner numbers (past 5y), reported STI diagnoses (past 5y) were as common among participants whose recent partners had been concurrent as serially monogamous participants where the gap was < = 4 months among men: 10.3% (95% CI: 7.6%–13.9%) <i>vs. </i>11.3% (95% CI: 8.9%–14.3%), and < = 12 months among women: 12.3% (95% CI: 9.2%–16.3%) <i>vs. </i>11.5% (95% CI: 9.7%–13.6%). <h3>Conclusion</h3> While people in Britain have few partners on average and the majority with multiple partners are serially monogamous, the gap between partners is often shorter than the infectious period of common STIs and so effectively biologically concurrent. STI prevention efforts need to address this and should encourage STI testing prior to unprotected sex with new partners, even if serially monogamous. <h3>Disclosure of interest statement</h3> AMJ has been a Governor of the Wellcome Trust since 2011. The other authors declare that they have no conflicts of interest.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».