Self-reported recent testing and diagnosis for sexually transmitted infections among regular ecstasy users in Australia, 2011-2012

Nguyen, Phuong L. T., Bruno, Raimondo, Alati, Rosa, Lenton, Simon, Burns, Lucy and Dietze, Paul M. (2014) Self-reported recent testing and diagnosis for sexually transmitted infections among regular ecstasy users in Australia, 2011-2012. Drug and Alcohol Review, 33 2: 211-214. doi:10.1111/dar.12105


Author Nguyen, Phuong L. T.
Bruno, Raimondo
Alati, Rosa
Lenton, Simon
Burns, Lucy
Dietze, Paul M.
Title Self-reported recent testing and diagnosis for sexually transmitted infections among regular ecstasy users in Australia, 2011-2012
Journal name Drug and Alcohol Review   Check publisher's open access policy
ISSN 0959-5236
1465-3362
Publication date 2014-03-01
Year available 2013
Sub-type Article (original research)
DOI 10.1111/dar.12105
Volume 33
Issue 2
Start page 211
End page 214
Total pages 4
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Background
Previous studies suggest that people who consume alcohol and drugs are at increased risk of sexually transmitted infections (STI). We examined the prevalence and predictors of self-reported STI testing and diagnosis among self-reported regular ecstasy users (REU).

Methods
Nine hundred and fifty-five REUs from the 2011 and 2012 Ecstasy and Related Drugs Reporting System were included in the analysis. Bivariate and multivariate Poisson regression were used to identify predictors of recent STI testing, and logistic regression was used to identify predictors of recent STI diagnosis.

Results
Forty-four per cent of REUs reported having a recent STI test, and 5% reported a recent diagnosis. Of the 421 REUs who reported a recent test, 10% reported a recent STI diagnosis. In multivariate analysis, REUs were more likely to report a recent STI test if they were female versus male [risk ratio (RR) = 1.56; 95% confidence interval (CI) = 1.36−1.80], aged 25–29 years versus 16–19 years (RR = 1.34; 95% CI = 1.05−1.72), or reported ≥2 casual sex partners versus no casual partners (RR = 1.48; 95% CI = 1.01–2.14). REUs reporting cannabis use in the past six months were 0.78 times less likely to report a recent STI test (95% CI = 0.66−0.94). There were no significant predictors associated with STI diagnosis.

Conclusion
Encouragingly, REUs who reported having multiple casual partners in the past six months were more likely to report a recent test. However, younger REUs aged 16–19 years were least likely to test, suggesting health promotion needs to be directed to this age group. Further research is required to explain the lower testing among cannabis users.
Keyword Drug
Ecstasy
Sexually transmitted infection
Testing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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