Factors Influencing Temporary Sexual Behavior in Patients with Gonorrhea in STD Clinics

Abstract

Objective: To explore risk factors influencing temporary sexual behavior among gonorrhea patients in STD clinics, and to adapt gonorrhea prevention and control strategies accordingly. Methods: From August to October 2018, gonorrhea patients in 14 STD clinics across7 prefectures (cities) with high incidence of gonorrhea in Yunnan Province were screened and sampled to investigate potential risk factors. After pre-screening, a total of 179 gonorrhea patients were recruited (88.3% male).Multivariate logistic regression analysis model was performed to analyze the risk factors of temporary sexual behavior. Results: Multivariate logistic regression analysis results revealed that 55.2% of gonorrhea patients aged ≤40 years had temporary sexual behavior, 53.1% of whom had the most recent sexual intercourse were temporary sexual partners, and 53.1% were male (OR=3.765, 95%CI=1.259~11.253, P=0.018), single (OR=3.141, 95%CI=1.589~6.208, P=0.001), multiple sexual partners (≥2 persons)within the past month (OR=4.119,95%CI=1.829~9.278, P=0.001) , which were identified as the major significant risk factors for temporary sexual behavior. Conclusion: Temporary sexual behavior infection of gonorrhea patients is mainly associated with high-risk behaviors including unprotected sexual behavior and multiple sexual partners. For effective intervention and prevention, sexual education such as safe sex measurements and healthy sexual behaviors and be adopted by STD clinics and general public advocacy.