Discordant sexual partnering: a study of high-risk adolescents in San Francisco.

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Jennifer K Lee; Jacky M Jennings; Jonathan M Ellen (Profiled Authors: Jacky Jennings; Jennifer Lee-Summers; Jonathan Ellen)

Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Sexually transmitted diseases 2003;30(3):234-40.

PubMed

Abstract

BACKGROUND: In sexual networks, bridge members engaging in discordant partnering play key roles in maintaining and transmitting sexually transmitted infections (STIs) within a population. GOAL: The goal was to characterize adolescents likely to engage in discordant sexual relationships with main and casual sex partners. STUDY DESIGN: Egocentric data about adolescents and their most recent sex partner(s) collected over 6 months were analyzed with use of logistic regression. RESULTS: History of STI, drug use, and meeting venue were significantly associated with discordant sexual partnering among high-risk adolescents. Participants with histories of high-risk behavior, e.g., hard drug use or STI, were more likely to have had a recent, dissimilar partner than those with lower-risk profiles. Particular meeting venues, such as clubs and street locations, were more likely to be associated with age-discordant, race-discordant, and drug use-discordant partnerships for females. CONCLUSION: Bridge members of adolescent sexual networks were more likely to have a history of STI, hard drug use, or meeting their sex partner through particular venues.

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