Can psychosocial and socio-demographic questions help identify sexual risk among heterosexually-active women of reproductive age Evidence from Britain’s third National Survey of Sexual Attitudes and Lifestyles Natsal-3Report as inadecuate




Can psychosocial and socio-demographic questions help identify sexual risk among heterosexually-active women of reproductive age Evidence from Britain’s third National Survey of Sexual Attitudes and Lifestyles Natsal-3 - Download this document for free, or read online. Document in PDF available to download.

BMC Public Health

, 17:5

Health behavior, health promotion and society

Abstract

BackgroundContraceptive advice and supply CAS and sexually transmitted infection STI testing are increasingly provided in primary care. Most risk assessment tools are based on sexual risk behaviours and socio-demographics, for use online or in specialist services. Combining socio-demographic and psychosocial questions e.g. religious belief and formative experience may generate an acceptable tool for targeting women in primary care who would benefit from intervention. We aimed to identify psychosocial and socio-demographic factors associated with reporting key sexual risk behaviours among women in the British general population.

MethodsWe undertook complex survey analysis of data from 4911 hetero-sexually active women aged 16–44 years, who participated in Britain’s third National Survey of Sexual Attitudes and Lifestyles Natsal-3, a national probability sample survey undertaken 2010–2012. We used multivariable regression to examine associations between the available psychosocial and socio-demographic variables in Natsal-3 and reports of three key sexual behaviours: a 2+ partners in the last year 2PP; b non-use of condoms with 2+ partners in the last year 2PPNC; c non-use of condoms at first sex with most recent sexual partner FSNC. We adjusted for key socio-demographic factors: age, ethnicity and socio-economic status measured by housing tenure.

ResultsWeekly binge drinking 6+ units on one occasion, and first sex before age 16 were each positively associated with all three sexual behaviours after adjustment. Current relationship status, reporting drug use ever, younger age and living in rented accommodation were also associated with 2+ partners and 2 + partners without condoms after adjustment. Currently being a smoker, older age and respondent ethnicity were associated with FSNC after adjustment for all other variables. Current smoking status, treatment for depression last year, and living at home with both parents until the age of 14 were each associated with one or more of the behaviours.

ConclusionsReported weekly binge drinking, early sexual debut, and age group may help target STI testing and-or CAS among women. Further research is needed to examine the proportion of sexual risk explained by these factors, the acceptability of these questions to women in primary care and the need to customise them for community and other settings.

KeywordsSexual risk Survey Psychosocial Socio-demographic Women Abbreviations2PP2 or more sexual partners in the last year

2PPNC2 or more sexual partners in the last year with whom a condom was not used

AORAdjusted odds ratio

BMIBody mass index

CASContraceptive advice and supply

CPRClinical prediction rule

CSAChildhood sexual abuse

FSNCNon-use of condoms at first sex with most recent partner

Natsal-3National Survey of Sexual Attitudes and Lifestyles

STISexually transmitted infection

UPUnplanned pregnancy

Electronic supplementary materialThe online version of this article doi:10.1186-s12889-016-3918-8 contains supplementary material, which is available to authorized users.

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Author: Natalie Edelman - Jackie A. Cassell - Richard de Visser - Philip Prah - Catherine H. Mercer

Source: https://link.springer.com/







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