Older and swinging; need to identify hidden and emerging risk groups at STI clinics

@article{DukersMuijrers2010OlderAS,
  title={Older and swinging; need to identify hidden and emerging risk groups at STI clinics},
  author={Nicole Dukers-Muijrers and Anne-Marie Niekamp and Elfi Ehg Brouwers and Christian J.P.A. Hoebe},
  journal={Sexually Transmitted Infections},
  year={2010},
  volume={86},
  pages={315 - 317}
}
Background Identification of STI risk groups is essential for optimal prevention and medical care. Until now, swingers—that is, heterosexual couples who are practising mate swapping, group sex, visit sex clubs for couples, are not considered as a specific risk group for STI in healthcare services and prevention. Objective To compare STI prevalence rates in swingers with that in other risk groups. Methods At the STI clinic, South Limburg, The Netherlands, whether an attendee is a swinger has… 
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Do swingers self-identify as swingers when attending STI services for testing? A cross-sectional study
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Information on swingers’ self-identification to be a swinger, their risk perception and attitudes about STI testing and safe sex will help to reveal swingers who are hidden while in care, to address them with targeted strategies.
Are Swedish swingers a risk group for sexually transmitted infections?
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Swedish swingers did not seem to have an increased prevalence of STIs, however, there was high-risk sexual behavior with unprotected sex and multiple sex partners, thereby making them a vulnerable group for acquiring STIs.
Drug use, sexual risk behaviour and sexually transmitted infections among swingers: a cross-sectional study in The Netherlands
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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.
Incidence of repeat testing and diagnoses of Chlamydia trachomatis and Neisseria gonorrhoea in swingers, homosexual and heterosexual men and women at two large Dutch STI clinics, 2006–2013
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Systematic identification reveals that swingers are part of the normal STI clinic populations, and usage of services is warranted, although use may be restricted, that is, to those with an STI risk factor (as did Dutch clinics).
How aware are swingers about their swing sex partners’ risk behaviours, and sexually transmitted infection status?
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The participating swingers underestimated the bisexual behaviours of their male swingsex partners, overestimated their number of sex partners, and underestimated their positive STI status.
Sexual behaviour and STI testing among Dutch swingers: A cross-sectional internet based survey performed in 2011 and 2018
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Swingers exhibit self-selection for STI testing based on their sexual behaviour, however, STI prevention efforts are still important considering the increasing numbers of reported STIs, the decreased use of condom use, and the one-third of swingers who were not tested in the previous year.
Novel outreach settings to enhance sexually transmitted infection/HIV awareness, diagnosis and treatment in hard-to-reach populations
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This work demonstrates that these strategies can help to address issues related to lack of STI/HIV screening in hard-to-reach populations and promote risk reduction behaviour.
Sexual Behavior and Sexually Transmitted Infections Among Swingers: Results From an Online Survey in Belgium
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Swingers were sexually active, reported factors associated with sexual risk behavior, and were more diagnosed with an STI compared to the general population and many swingers were tested for STIs.
Sexual behaviour and sexually transmitted infections in sexually transmitted infection clinic attendees in the Netherlands, 2007–2011
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STI positivity rates remained high (MSM) or increased over time (women and heterosexual men), a fact that highlights the importance of continuing STI prevention, and the very high STI co-infection rates among HIV-positive men requires intensified STI reduction strategies.
Standard Symptom- and Sexual History–Based Testing Misses Anorectal Chlamydia trachomatis and Neisseria gonorrhoeae Infections in Swingers and Men Who Have Sex With Men
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Universal testing of STD clinic clients who were MSM and swingers yielded more than half of all anorectal STD infections and is more sensitive for identifying anoreCTalSTD infections compared with selective testing.
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