Patterns of sexual partnerships among adolescent females |
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| Affiliation: | 1. Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA;1. Direction de santé publique de l’Agence de la santé et des services sociaux de Montréal, 1301 rue Sherbrooke est, Montréal, Québec, Canada H2L 1M3;2. Department of Biostatistics and Epidemiology, Faculty of Health & Environmental Sciences, Auckland University of Technology, Private bag 92006, Auckland 1142, New Zealand;3. Health Intelligence and Informatics, Ko Awatea, Counties Manukau District Health Board, Private bag 93311, Auckland 1640, New Zealand;4. Centre de recherche, Centre hospitalier de l’Université de Montréal (CRCHUM), 850 Saint-Denis, Montréal, Québec, Canada H2X 0A9;5. Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Campus Longueuil, 150 place Charles-Le Moyne, Longueuil, Québec, Canada J4K 0A8;6. Service de Médecine des toxicomanies, CHUM, 1058 St-Denis, Montreal, Québec, Canada H2X 3J4;7. Surveillance and Epidemiology Division, Centre for Communicable Diseases and Infection Control Public Health Agency of Canada, Room 3305, LCDC Building, 100 Eglantine Driveway, Tunney''s Pasture A/L: 0602B, Ottawa, Canada K1A 0K9;1. Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China;2. National Engineering Research Center For Modernization of TCM, Livzon (group) Limin Pharmaceutical Factory, Guangdong 512028, China;3. National Engineering Research Center for Modernization of TCM, Zhuhai 519020, China;1. Department of Accountancy, National Taipei University, New Taipei City, Taiwan;2. Department of Accounting, Business Law, and Finance, Northeastern Illinois University, 5500 N. St. Louis Ave., Chicago, IL, USA;1. Department of Statistics, Eberly College of Science, Pennsylvania State University, University Park;2. Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD;3. Department of Epidemiology, University of North Carolina, Chapel Hill;4. Department of Health Systems and Policy, School of Public Health and Family Medicine, University of Malawi College of Medicine, Blantyre, Malawi;5. Center for Development of People, Blantyre, Malawi;1. School of Medicine, CES University, Medellin, Colombia;2. Epidemiology and Bioestatistics Research Group, CES University, Medellin, Colombia;3. School of Nursing, CES University, Medellin, Colombia;4. National Development and Research Institutes, New York City, New York, USA;5. Division of Public Health, CES University, Medellin, Colombia |
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| Abstract: | ![]()
Objective: To develop a multidimensional classification of sexual partnerships.Methods: Eighty-two female subjects (ages 15–20 years; 77% African American) used coital logs to record dates of 1265 coital events, partner initials, and condom use. Logs were collected at 1-, 3-, 9-, 15-, and 21-month return visits. Three adolescent health professionals independently classified partnership patterns of each subject; classification schemes were revised until complete consensus for each subject was obtained.Results: Complete agreement in partnership classification was reached after 3 rounds. The consensus partnership classification had three dimensions: number (1, ≥2 partners), pattern (1 partner, serially exclusive, concurrent), and duration (any partnership ≤21 days, all partnerships >21 days). A total of 34 of 82 (34%) of subjects had ≥2 partners; 11 of 34 (32%) had concurrent partnerships. Twenty of 82 (24%) had only partnerships lasting >21 days. Condom use was less common for subjects in only longer-term (>21 days) partnerships, but did not significantly vary by number or pattern.Conclusion: Multiple dimensions of adolescent sexual partnerships may be identified. Detailed research and clinical assessments along these dimensions may improve understanding of protective behaviors such as condom use. |
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