Self-reported sexual activity and condom use among symptomatic clients attending STD clinics

Debra E. Irwin, James C. Thomas, Christopher E. Spitters, Peter A. Leone, Janice D. Stratton, David H. Martin, Jonathan M. Zenilman, Jane R. Schwebke, Edward W. Hook

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Background and Objectives: A cross-sectional survey of sexually transmitted disease (STD) patients assessed sexual activity and condom use during the time between STD symptom onset and clinic attendance. Study Design: Patients were asked to report sexual activity and condom use while STD symptoms were present. Medical records were abstracted for diagnoses. Results: The study population (n = 3025) was predominately African American (75.3%) and male (63.5%), with a mean age of 28.1 years. Sexual activity while experiencing STD symptoms was reported by 39.7% of 2,508 symptomatic patients, 17.2% of whom reported always using a condom. Logistic regression models identified the significant independent determinants of sexual intercourse while symptomatic were duration of symptoms before clinic visit [0-7 days versus 8 or more days, OR = 5.9]; race [African American versus other races (primarily Hispanics), OR = 2.1]; and gender [men versus women, OR = 1.5]. Older age [≥30 years versus 18-29 years, OR = 1.5] and higher education attainment [≥high school versus > high school, OR = 1.5] were the significant factors associated with reporting always using a condom.

Original languageEnglish (US)
Pages (from-to)286-290
Number of pages5
JournalSexually transmitted diseases
Issue number5
StatePublished - May 1 1999

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases


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