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    The role of sexual networks in studies of how BV and STIs increase the risk of subsequent reinfection

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    Author
    Kenyon, C.
    Buyze, J.
    Klebanoff, M.
    Date
    2018
    Journal
    Epidemiology and Infection
    Publisher
    Cambridge University Press
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.1017/S0950268818002157
    Abstract
    Prior studies have demonstrated that both bacterial vaginosis (BV) and sexually transmitted infections (STIs) are strong independent risk factors for subsequent STI. In observational studies of this biological enhancement (BE) hypothesis, it is important to adjust for the risk of STI exposure so that the independent effect of BE can be assessed. We sought to model if two markers of local sexual network (partner concurrency and cumulative number of STIs) represented residual confounding in the models of risk for subsequent infection in a study that screened 3620 women for STIs every 3 months for a year. Mixed-effects logistic regression was used to calculate the odds ratios for an incident diagnosis of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and BV following a diagnosis of any of these four at the prior visit, controlling for the cumulative number of STIs and partner concurrency variables. We found that partner concurrency and cumulative number of STIs were each associated with incident infection, and in general, controlling for these variables reduced the strength of the association between prior and incident infections. We conclude that the frequently found association between prior and incident STIs is associated with both BE and sexual network structure. Copyright 2018 Cambridge University Press.
    Keyword
    Bacterial vaginosis
    chlamydia
    gonorrhoea
    partner concurrency
    residual confounding
    sexual network
    Trichomonas vaginalis
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053065070&doi=10.1017%2fS0950268818002157&partnerID=40&md5=811d90aabafd005d650127a8520961f5; http://hdl.handle.net/10713/9041
    ae974a485f413a2113503eed53cd6c53
    10.1017/S0950268818002157
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