Drug use, sexual risk behaviour and sexually transmitted infections among swingers: a cross-sectional study in The Netherlands

L.W.L. Spauwen, A.M. Niekamp, C.J.P.A. Hoebe, N.H.T.M. Dukers-Muijrers

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)

Abstract

OBJECTIVES: Recreational drug use has been found to be associated with high-risk sexual behaviour and with sexually transmitted infections (STI). This study is the first to assess the prevalence of drug use among swingers (heterosexuals who, as a couple, practise mate swapping or group sex, and/or visit sex clubs for couples), and its association with high-risk sexual behaviour and STI. METHODS: We recruited individuals who self-identified as swingers and visited our STI clinic (from 2009 to 2012, South Limburg, The Netherlands). Participants (n=289; median age 45 years; 49% female) filled in a self-administered questionnaire on their sexual and drug use behaviour while swinging, over the preceding 6 months. We assessed associations between sexual behaviour, drug use and STI diagnoses (Chlamydia trachomatis (CT), Neisseria gonorrhoea (NG), syphilis, HIV and hepatitis B) using logistic regression analyses. RESULTS: Overall, the prevalence of CT and/or NG was 13%. No other STIs were observed. Seventy-nine percent of swingers reported recreational drug use (including alcohol and use of erectile dysfunction drugs); 46% of them reported multiple drug use. Recreational drug use excluding alcohol and erectile dysfunction drugs (reported by 48%) was associated with high-risk behaviours in men and women. Drug use was independently associated with STI in female swingers, especially those who practice group sex. CONCLUSIONS: High rates of multiple drug use, as well as risky sexual behaviour and STIs among swingers, warrant paying more attention to this key population in prevention and care, as they are a risk group that is generally under-recognised and underserved in care.
Original languageEnglish
Pages (from-to)31-36
Number of pages6
JournalSexually Transmitted Infections
Volume91
Issue number1
Early online date23 Nov 2014
DOIs
Publication statusPublished - Feb 2015

Keywords

  • MEN
  • NETWORK
  • HIV
  • PREDICTORS
  • ALCOHOL
  • OLDER

Cite this

@article{65ae99eb6c20499992847e1842e000e9,
title = "Drug use, sexual risk behaviour and sexually transmitted infections among swingers: a cross-sectional study in The Netherlands",
abstract = "OBJECTIVES: Recreational drug use has been found to be associated with high-risk sexual behaviour and with sexually transmitted infections (STI). This study is the first to assess the prevalence of drug use among swingers (heterosexuals who, as a couple, practise mate swapping or group sex, and/or visit sex clubs for couples), and its association with high-risk sexual behaviour and STI. METHODS: We recruited individuals who self-identified as swingers and visited our STI clinic (from 2009 to 2012, South Limburg, The Netherlands). Participants (n=289; median age 45 years; 49{\%} female) filled in a self-administered questionnaire on their sexual and drug use behaviour while swinging, over the preceding 6 months. We assessed associations between sexual behaviour, drug use and STI diagnoses (Chlamydia trachomatis (CT), Neisseria gonorrhoea (NG), syphilis, HIV and hepatitis B) using logistic regression analyses. RESULTS: Overall, the prevalence of CT and/or NG was 13{\%}. No other STIs were observed. Seventy-nine percent of swingers reported recreational drug use (including alcohol and use of erectile dysfunction drugs); 46{\%} of them reported multiple drug use. Recreational drug use excluding alcohol and erectile dysfunction drugs (reported by 48{\%}) was associated with high-risk behaviours in men and women. Drug use was independently associated with STI in female swingers, especially those who practice group sex. CONCLUSIONS: High rates of multiple drug use, as well as risky sexual behaviour and STIs among swingers, warrant paying more attention to this key population in prevention and care, as they are a risk group that is generally under-recognised and underserved in care.",
keywords = "MEN, NETWORK, HIV, PREDICTORS, ALCOHOL, OLDER",
author = "L.W.L. Spauwen and A.M. Niekamp and C.J.P.A. Hoebe and N.H.T.M. Dukers-Muijrers",
year = "2015",
month = "2",
doi = "10.1136/sextrans-2014-051626",
language = "English",
volume = "91",
pages = "31--36",
journal = "Sexually Transmitted Infections",
issn = "1368-4973",
publisher = "BMJ Publishing Group",
number = "1",

}

Drug use, sexual risk behaviour and sexually transmitted infections among swingers: a cross-sectional study in The Netherlands. / Spauwen, L.W.L.; Niekamp, A.M.; Hoebe, C.J.P.A.; Dukers-Muijrers, N.H.T.M.

In: Sexually Transmitted Infections, Vol. 91, No. 1, 02.2015, p. 31-36.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Drug use, sexual risk behaviour and sexually transmitted infections among swingers: a cross-sectional study in The Netherlands

AU - Spauwen, L.W.L.

AU - Niekamp, A.M.

AU - Hoebe, C.J.P.A.

AU - Dukers-Muijrers, N.H.T.M.

PY - 2015/2

Y1 - 2015/2

N2 - OBJECTIVES: Recreational drug use has been found to be associated with high-risk sexual behaviour and with sexually transmitted infections (STI). This study is the first to assess the prevalence of drug use among swingers (heterosexuals who, as a couple, practise mate swapping or group sex, and/or visit sex clubs for couples), and its association with high-risk sexual behaviour and STI. METHODS: We recruited individuals who self-identified as swingers and visited our STI clinic (from 2009 to 2012, South Limburg, The Netherlands). Participants (n=289; median age 45 years; 49% female) filled in a self-administered questionnaire on their sexual and drug use behaviour while swinging, over the preceding 6 months. We assessed associations between sexual behaviour, drug use and STI diagnoses (Chlamydia trachomatis (CT), Neisseria gonorrhoea (NG), syphilis, HIV and hepatitis B) using logistic regression analyses. RESULTS: Overall, the prevalence of CT and/or NG was 13%. No other STIs were observed. Seventy-nine percent of swingers reported recreational drug use (including alcohol and use of erectile dysfunction drugs); 46% of them reported multiple drug use. Recreational drug use excluding alcohol and erectile dysfunction drugs (reported by 48%) was associated with high-risk behaviours in men and women. Drug use was independently associated with STI in female swingers, especially those who practice group sex. CONCLUSIONS: High rates of multiple drug use, as well as risky sexual behaviour and STIs among swingers, warrant paying more attention to this key population in prevention and care, as they are a risk group that is generally under-recognised and underserved in care.

AB - OBJECTIVES: Recreational drug use has been found to be associated with high-risk sexual behaviour and with sexually transmitted infections (STI). This study is the first to assess the prevalence of drug use among swingers (heterosexuals who, as a couple, practise mate swapping or group sex, and/or visit sex clubs for couples), and its association with high-risk sexual behaviour and STI. METHODS: We recruited individuals who self-identified as swingers and visited our STI clinic (from 2009 to 2012, South Limburg, The Netherlands). Participants (n=289; median age 45 years; 49% female) filled in a self-administered questionnaire on their sexual and drug use behaviour while swinging, over the preceding 6 months. We assessed associations between sexual behaviour, drug use and STI diagnoses (Chlamydia trachomatis (CT), Neisseria gonorrhoea (NG), syphilis, HIV and hepatitis B) using logistic regression analyses. RESULTS: Overall, the prevalence of CT and/or NG was 13%. No other STIs were observed. Seventy-nine percent of swingers reported recreational drug use (including alcohol and use of erectile dysfunction drugs); 46% of them reported multiple drug use. Recreational drug use excluding alcohol and erectile dysfunction drugs (reported by 48%) was associated with high-risk behaviours in men and women. Drug use was independently associated with STI in female swingers, especially those who practice group sex. CONCLUSIONS: High rates of multiple drug use, as well as risky sexual behaviour and STIs among swingers, warrant paying more attention to this key population in prevention and care, as they are a risk group that is generally under-recognised and underserved in care.

KW - MEN

KW - NETWORK

KW - HIV

KW - PREDICTORS

KW - ALCOHOL

KW - OLDER

U2 - 10.1136/sextrans-2014-051626

DO - 10.1136/sextrans-2014-051626

M3 - Article

VL - 91

SP - 31

EP - 36

JO - Sexually Transmitted Infections

JF - Sexually Transmitted Infections

SN - 1368-4973

IS - 1

ER -