       Document 0692
 DOCN  M9630692
 TI    Trends in female sexual behaviour and sexually transmitted diseases in
       London, 1982-1992.
 DT    9603
 AU    Evans BA; McCormack SM; Kell PD; Parry JV; Bond RA; MacRae KD;
       Department of Genitourinary Medicine, Charing Cross Hospital,; London,
       UK.
 SO    Genitourin Med. 1995 Oct;71(5):286-90. Unique Identifier : AIDSLINE
       MED/96096205
 AB    OBJECTIVE--To measure changes in female sexual behaviour, including
       condom use, and their relationship with the incidence of sexually
       transmitted and other genital diseases in women during the decade
       1982-92. DESIGN--A prospective series of cross-sectional surveys of
       sexual behaviour reported by a standardised self-administered
       questionnaire in new patients who presented for screening and diagnosis.
       SETTING--A genitourinary medicine clinic in West London. SUBJECTS--4089
       consecutive newly attending patients who completed sexual behaviour
       questionnaires during 1982, 1987, 1989 and 1992. MAIN OUTCOME
       MEASURES--Trends in socio-demographic status, sexual behaviour,
       condom-use, sexually transmitted diseases and other genital infections
       diagnosed by routine clinical and laboratory methods. RESULTS--Women
       reported significantly increasing condom use (from 3.6% to 20.7%) and
       decreasing oral contraception (from 51.2% to 40.1%), but the proportion
       who used no contraception (23.6% to 24.7%) and the proportion who had
       never been pregnant (58.3% to 59.9%) remained similar. Numbers of sexual
       partners in the preceding year decreased (p < 0.001) and an increasing
       proportion of women practised oral intercourse (p < 0.001). During the
       same period, there was a progressive decline (p < 0.001) in the
       incidence of gonorrhoea, chlamydial infection and trichomoniasis by
       approximately two-thirds. However, the incidence of vaginal candidosis
       (p < 0.001), bacterial vaginosis (p < 0.001) and genital warts (p <
       0.01) increased. CONCLUSIONS--Increasing use of condoms for vaginal
       intercourse with both regular and non-regular partners has been
       associated with a decrease in the incidence of gonorrhoea, chlamydial
       infection and trichomoniasis. There was also an increase in the practice
       of fellatio and a change in the spectrum of STD and other genital
       infections with little net reduction in morbidity. HIV infection showed
       no evidence of heterosexual spread.
 DE    Adolescence  Adult  Aged  Condoms/UTILIZATION  Cross-Sectional Studies
       Female  Hepatitis B/EPIDEMIOLOGY  Hepatitis C/EPIDEMIOLOGY  Human  HIV
       Infections/EPIDEMIOLOGY  Incidence  Leukemia-Lymphoma, T-Cell, Acute,
       HTLV-I-Associated/EPIDEMIOLOGY  London/EPIDEMIOLOGY  Middle Age
       Prospective Studies  *Sex Behavior  Sexual Partners  Sexually
       Transmitted Diseases/*EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

