Recent Published Research by Goodreau & Colleagues Highlights Growing Divergence in Sexual Behaviors & STIs
Posted: 9/28/2023 (CSDE Research)
CSDE Affiliate Steven Goodreau (Anthropology) and co-authors recently published their article “Changes in Sexual Behaviors with Opposite-Sex Partners and Sexually Transmitted Infection Outcomes Among Females and Males Ages 15–44 Years in the USA: National Survey of Family Growth, 2008–2019” in the journal Archives of Sexual Behavior. Rates of reported gonorrhea and chlamydial infections have increased substantially over the past decade in the USA and disparities persist across age and race/ethnicity. Authors aimed to understand potential changes in sexual behaviors, sexual network attributes, and sexually transmitted infection (STI) screening that may be contributing to these trends. They analyzed data from 29,423 female and 24,605 male respondents ages 15–44 years from the National Survey of Family Growth, 2008–2019. They used survey-weighted linear or logistic regression to evaluate linear temporal trends in sexual behaviors with opposite-sex partners, network attributes, and STI testing, treatment, and diagnosis. Significant declines were observed in condom use at last vaginal sex, mean number of vaginal sex acts, proportion of condom-protected sex acts in the past 4 weeks, and racial/ethnic homophily with current partners among males and females from 2008–2010 through 2017–2019. Among males, mean number of female partners in the past 12 months and concurrency also declined, while the percent reporting ever having sex with another male increased. Past-year testing for chlamydia and any STI increased among females. Research is needed to understand how these changes interact and potentially contribute to increasing reported gonorrhea and chlamydia diagnoses and identify avenues for future intervention.