       Document 0330
 DOCN  M9640330
 TI    Sexually transmitted diseases in Swedish women with experience of casual
       sex with men of foreign nationalities within Sweden.
 DT    9604
 AU    Arvidson M; Hellberg D; Mardh PA; Institute of Clinical Bacteriology,
       Uppsala University, Sweden.
 SO    Acta Obstet Gynecol Scand. 1995 Nov;74(10):794-8. Unique Identifier :
       AIDSLINE MED/96127830
 AB    BACKGROUND. This study was performed in women who had attended the
       clinic for contraceptive advice to determine whether a history of casual
       sex with a foreign male, previously unknown to them (SFM) in their home
       country (Sweden), constituted an increased risk for acquiring sexually
       transmitted diseases (STD) as compared to women without such an
       experience (COMP). METHODS. Of 996 women enrolled, and who were
       subjected to a structured deep-interview performed by midwives, 595
       (59.7%) stated that they had experienced casual sex within Sweden with
       for them a previously unknown Swedish male (SSM). RESULTS. A history of
       SFM was reported by 120 (12.0%) women. A history of chlamydial infection
       (26.0%) and gonorrhea (13.0%) were more common in the SFM women than in
       either the COMP (16.0% and 3.0%) or the SSM (19.0% and 4.0%) groups.
       Genital warts (8.0%) and bacterial vaginosis (23.0%) were found more
       often in the SFM group as compared to both the COMP (3.0% and 12.0%) and
       the SSM (4.0% and 13.0%) group. Women in the SFM group more often had a
       current genital chlamydial infection (13.0%) than those in the COMP
       group (8.0%). When adjustment was made for markers of sexual risk
       taking, only genital warts remained significantly (p = 0.05) associated
       with SFM as compared to both SSM and COMP. CONCLUSIONS. To conclude, the
       study shows that women with experience of SFM had, more often, a history
       of one or more STDs and were more often carriers of STD agents than
       those lacking experience of SFM and/or SSM. However, there was no such
       difference when comparing the SFM and SSM women when making adjustments
       for sexual risk behavior. Thus a sexual risky lifestyle is more
       important than the origin of the sex partner for acquiring STDs with
       possible exception of HIV/AIDS in the society studied.
 DE    Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/TRANSMISSION  Adult
       Female  Human  HIV Infections/EPIDEMIOLOGY/TRANSMISSION  Male  Middle
       Age  Questionnaires  Risk Factors  *Sex Behavior  Sexual Partners
       Sexually Transmitted Diseases/*EPIDEMIOLOGY/ETIOLOGY
       Sweden/EPIDEMIOLOGY  Travel  CLINICAL TRIAL  JOURNAL ARTICLE  RANDOMIZED
       CONTROLLED TRIAL

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

