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Correlates of engaging in unprotected sex while experiencing
dysuria or discharge: a study of men with confirmed gonorrhea.
Sexually Transmitted Diseases 2004;31(7):421-423.
Crosby RA, Liddon N, Martich FA, Brewer T.
Abstract
OBJECTIVES: To identify the prevalence and correlates of engaging in unprotected
sex while experiencing symptoms of gonorrhea among a sample of men with a
laboratory confirmed diagnosis. METHODS: Cross-sectional interview data were
analyzed from 237 men, reporting dysuria or discharge, with a laboratory-confirmed
diagnosis of gonorrhea. RESULTS: A total of 21.1% reported engaging in unprotected
sex while having symptoms. In multivariate analyses, men engaging in sex > or
= 5 times in the past 30 days were 3.5 times more likely to report unprotected
sex while symptomatic (P = 0.001). Men reporting condom use < or = 50%
of the time (past month) were 2.7 times more likely to report the risk behavior
under investigation (P = 0.008). Men never having a previous STD were 2.7
times more likely to engage in the risk behavior (P = 0.006). CONCLUSIONS:
The prevalence of this risk behavior was markedly lower compared to a recent
study that was not restricted to gonorrhea. Counseling protocols specifically
designed for men who continue to engage in unprotected sex after experiencing
gonorrhea-related dysuria and discharge may be valuable for preventing the
transmission of gonorrhea to women.
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