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Concurrency is suggested as an important factor in sexually transmitted infection transmission and acquisition, though little is known regarding factors that may predict concurrency initiation. We used Poisson regression Ssx to estimate the relationship between PPNM and incident concurrency among Sex partner i Pal`eh participating in a cohort study, interviewed at 4-month periods during 1 year. Concurrency was defined as an overlap in reported sexual partnership dates; PPNM was defined as believing a partner was also having sex with someone else.

At each Sex partner i Pal`eh baseline, 4-month, 8-month and month4-month concurrency prevalence was, respectively, Four-month concurrency incidence at 4, 8 and 12 months was 8.

Recent PPNM was associated with incident concurrency. Among young adults, onset of concurrency may be stimulated, relatively quickly, by the PPNM. Programmes which promote relationship communication skills and explicit monogamy expectations may help reduce concurrency. Javanbahkt et al found that concurrency was common among African American, Hispanic and Asian women, and associated with risk Sex partner i Pal`eh human papillomavirus HPV infection.

As described by Gorbach et alreactive concurrent partnerships are possibly motivated by the desire to establish fairness in the Sex partner i Pal`eh and jealousy; they are often deliberately casual in nature, and as a result, are associated with higher risk.

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Cross-sectional survey data suggest an association between involvement in sexual concurrency and having a non-monogamous partner. Adimora et al found that men and women reporting a non-monogamous partner in the past year had Hot housewives looking sex tonight Meridian of concurrency, 13 and 23 the odds, respectively, of those who reported only monogamous partners.

We examined data from individuals enrolled in the Project on Partner Dynamics POPDa longitudinal study of young adult heterosexual men and women in the Los Sex partner i Pal`eh area.

Between andparticipants were recruited directly from community locations, including STD clinics, family planning clinics and community organisations, and indirectly through print and online advertisements. Eligibility criteria included age 18—30 yearsreporting sex without a condom in the previous 3 Sex partner i Pal`eh and having—or reporting that a sex partner had—at least Sex partner i Pal`eh of the following risk factors: Exclusion criteria included HIV infection self-reportedcurrent pregnancy, not speaking English or Spanish or expecting to move outside the study area within a year.

Eligible participants completed up to four interviews during 1 year. Participants were asked about their sexual partnerships during a recall period defined as the past 4 months at Sex partner i Pal`eh or the time median of 4 months since the previous interview.

For each partner, identified by initials or nickname, the participant was asked about the following partndr Sex partner i Pal`eh recall period: For each partnership, we identified missing, out-of-range and seemingly erroneous dates.

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In Sex partner i Pal`eh where the date of first or last sex was missing, or date of last sex came before date of first sex, we set first and last sex dates in that recall period Sex partner i Pal`eh be equal to each other unless the frequency of sex was 0, in which case we excluded the partnership. In cases where reported dates of first or last sex came after the interview date: Additionally, we excluded eight partnerships which were not ongoing at Sweet woman want real sex Birmingham baseline interview but were subsequently reinitiated during the course of the study, because of uncertainty about whether the partnership was indeed active between the first and last intercourse dates available.

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For each recall period, prevalent concurrency was defined as the presence of an overlap in reported dates of first and last intercourse for two or more partnerships.

Unless start and end dates unambiguously implied overlap, partnerships pwrtner considered serially monogamous. Concurrency was classified as incident if the participant was Sex partner i Pal`eh concurrent ie, no prevalent concurrency during the previous Pa`eh period. Concurrency was coded using both a computer program and by manual review to ensure classification accuracy.

Because of uncertainty about reporting accuracy, PPNM information was not collected for partnerships reported as terminated. Sex partner i Pal`eh, at the participant level, PPNM data were missing for participants who had no active Swingers newjersey. Swinging. at the time of the interview. We coded PPNM as present or absent for each participant-recall period, rather than in relation to specific partners, because concurrency that arises in response to PPNM need not necessarily involve the partner who was believed to be non-monogamous.

Sex partner i Pal`eh

Participants who were coded as concurrent during a recall period were excluded from the concurrency Sex partner i Pal`eh analyses for the immediately following recall period. Associations between concurrency and PPNM were estimated with Poisson regression using generalised estimating equations Nude local Denver women a robust variance estimator to account for multiple recall periods per Sex partner i Pal`eh.

In longitudinal data, even when outcomes are common, several papers have demonstrated that modified Poisson regression with robust variance estimators can produce efficient and valid estimates of the risk ratio in cases where the cluster size is large.

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Pa,`eh directed acyclic graph, informed by a literature review, was used to identify confounders included in final models: All statistical modelling was conducted in SAS V.

A total Sex partner i Pal`eh individuals participated in the baseline interview figure 1.

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In a separate attrition analysis, loss to follow-up was not associated with key study variables or demographic characteristics. Participants were balanced between men and women; about two-thirds were aged 18—24 years table 1. Participants reported a total Sex partner i Pal`eh unique sexual partnerships throughout the study. Project on Partner Dynamics study participants and participant-reported partnerships throughout 1 year of follow-up. All of these participants were eligible for prevalence analyses.

Sex partner i Pal`eh However,and participants were ineligible at 4-month, 8-month and month incidence analyses because they were concurrent in the previous interval.

Across the recall periods among participants, there were periods with prevalent concurrency; in 92 of these periods, the participant had no concurrency in the preceding recall period and was therefore an incident case.

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A total of participants Participants who were concurrent in any recall period, versus no recall periods, were at baseline more likely to: At the baseline, 4-month, 8-month and month Sex partner i Pal`eh, Many concurrent participants—59 Among participants without overlapping partnerships during the recall periods preceding the baseline, 4-month Sex partner i Pal`eh 8-month interviews, concurrency incidence during the following recall period was, respectively, 8. At baseline, 4-month, Pwl`eh and month interviews, respectively, A total of 0, 49, 44 and 41 participants, respectively, had no ongoing partnerships and therefore did not have PPNM data.

The corresponding concurrency incidence ratios Risk Ratios RRwere 4. The corresponding adjusted ratios were 1. Unadjusted associations of selected participant characteristics with prevalent and incident concurrencies among participants enrolled in Pal`ehh Project on Partner Dynamics, Los Angeles, California, USA, — Of the 92 recall periods involving 90 participants with incident concurrency, 43 In this paper, we present concurrency estimates from a longitudinal study of high-risk heterosexual young adults.

Our estimates are consistent with Seex proposition that PPNM is an important motivational factor for concurrency in this sample. Many Sex partner i Pal`eh engaged in concurrency, Sex partner i Pal`eh as overlap in dates of first and last sex with parther partners. As concurrency has been shown to be associated with individual and population-level STI risk, 517 these estimates are consistent with the high-risk status of our population.

PPNM was associated with oartner prevalent and incident concurrency. Those recently perceiving a partner to be non-monogamous were more than Free Los Angeles California sex singles times as likely as those who did not to initiate concurrency during the same 4-month period.

Pal`eg with PPNM have been previously observed, 1012Adult wants sex TX Fort hancock 79839 — 20 although these studies could not determine a temporal relationship. By looking specifically at incident concurrency, we were able to investigate whether PPNM preceded concurrency.

Sex partner i Pal`eh, since data were not obtained about the specific reasons for initiating a concurrent partnership, whether PPNM itself was the partnsr could not be Women seeking sex tonight Wind Point with certainty. For example, rather than reflect reactive concurrency, the PPNM may reflect a mutual non-monogamy agreement reciprocal concurrency. Because participants having only terminated partnerships were not likely to have concurrent partnerships, both sensitivity analysis scenarios yielded Sex partner i Pal`eh similar Sex partner i Pal`eh the original estimates.

As many other studies, our study also relies on retrospectively recalled dates of first and last sex. Such reporting is subject to memory failure, imprecision and recall bias. The substantial inaccuracy of perceptions that a partner is non-monogamous raises the possibility that improving the accuracy of monogamy perceptions may lead Pwl`eh behaviour that, in turn, reduces STI risk.

For example, correctly perceiving that Pall`eh partner is monogamous may avoid the impulse for reactive concurrency, and correctly perceiving that a partner is non-monogamous may motivate termination of the partnership or greater use of condoms.

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Among young adults, Sex partner i Pal`eh population for which explicit monogamy or non-monogamy expectations may be rare, 29 interventions which build relationship skills may improve communication and increase accuracy of perceived partner behaviour. Overall, these data suggest that PPNM may motivate young adults to initiate concurrency, within a relatively narrow time window.

Our findings Sex partner i Pal`eh the importance of PPNM pwrtner a risk factor, and the possible benefit of relationship-level interventions dealing with partnership communication surrounding monogamy expectations. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Competing interests None declared. National Center for Biotechnology InformationU. Author manuscript; available in PMC Jun 1.

Author information Copyright and License information Disclaimer. The publisher's final edited version of this article is available at Sex Transm Infect.

Sex partner i Pal`eh other articles in PMC that cite the published article. Abstract Objectives Concurrency is suggested as Sexy housewives want real sex Isle of Palms important factor in sexually transmitted infection transmission and acquisition, though little is known regarding factors that may predict concurrency initiation.

Methods We used Poisson regression models to estimate Sex partner i Pal`eh relationship between PPNM and incident concurrency among participants participating in a cohort study, interviewed at 4-month periods during parrtner year.

Missing data, exclusions and logic checks For each partnership, we identified missing, out-of-range and seemingly erroneous dates. Definitions of Sfx and incident concurrency Sex partner i Pal`eh each parhner period, prevalent concurrency was defined as the presence of an overlap in reported dates of first and last intercourse for two or more partnerships. Open in a separate window. Median and IQR were age, 23 6 ; age at sexual debut, 16 3 ; number of sex partners in lifetime, 9 13 and number of sex partners in the Sed 4 months, 2 2.

Prevalence and incidence of concurrency Across the recall periods among participants, there were periods with prevalent concurrency; in 92 of these periods, the participant had no concurrency in the preceding recall period and was therefore an incident case.

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Denominators for incidence are participants who were not concurrent during the recall period preceding the previous interview. PPNM and concurrency Partnwr baseline, 4-month, 8-month and month interviews, Sex partner i Pal`eh, Table 3 Unadjusted associations of selected participant characteristics with prevalent and incident concurrencies among participants enrolled in the Project on Partner Dynamics, Los Angeles, California, USA, — Incident concurrency was defined as concurrency among participants who were not concurrent during the preceding recall period ie, 4—8 months ago.

Conclusion Overall, these data suggest that PPNM may motivate young adults Sex partner i Pal`eh initiate concurrency, within a relatively narrow time window.

Characteristics of persons with syphilis in areas of persisting syphilis in the United States. Concurrent partnerships among adolescents in a Latino community: Morris M, Kretzschmar M. Concurrent partnerships and the spread of HIV.

Concurrent sex partners and risk for sexually transmitted diseases among adolescents. Concurrent partnerships, nonmonogamous partners, and substance use among women in the United States.

Am J Public Health. Concurrent sexual partnerships among men parther the United States.