To identify the prevalence and correlates of engaging in unprotected sex while experiencing symptoms of gonorrhea among a sample of men with a laboratory confirmed diagnosis.
Cross-sectional interview data were analyzed from 237 men, reporting dysuria or discharge, with a laboratory-confirmed diagnosis of gonorrhea.
A total of 21.1% reported engaging in unprotected sex while having symptoms. In multivariate analyses, men engaging in sex ≥5 times in the past 30 days were 3.5 times more likely to report unprotected sex while symptomatic (P = 0.001). Men reporting condom use ≤50% of the time (past month) were 2.7 times more likely to report the risk behavior under investigation (P = 0.008). Men never having a previous STD were 2.7 times more likely to engage in the risk behavior (P = 0.006).
The prevalence of this risk behavior was markedly lower compared to a recent study that was not restricted to gonorrhea. Counseling protocols specifically designed for men who continue to engage in unprotected sex after experiencing gonorrhea-related dysuria and discharge may be valuable for preventing the transmission of gonorrhea to women.
A study of men with dysuria or discharge revealed 3 significant correlates of having unprotected sex after symptom onset: frequent sex, infrequent condom use, and not previously having an STD.
From the *Rollins School of Public Health, Department of Behavioral Sciences & Health Education, Atlanta, Georgia; †Emory Center for AIDS Research, Atlanta, Georgia; ‡Center for Disease Control and Prevention, National Center for HIV, STD, and TB Prevention, Division of STD Prevention, Atlanta, Georgia; and §University of Miami, School of Medicine, Miami, Florida
Correspondence: Richard A. Crosby, PhD, College of Public Health, Department of Health Behavior, University of Kentucky, 121 Washington Ave., Room 111C, Lexington, KY 40506-0003. E-mail: firstname.lastname@example.org
Received for publication October 17, 2003, revised January 27, 2004, and accepted February 11, 2004.