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Comparison of Self-Reported Sexual Activity Among Heterosexuals with Sexual Spread of Poorly Transmittable Agents: A Minimalistic Approach to Estimating Sexual Activity Based on HIV Incidence

Author

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  • Andreas Hahn

    (Institute for Medical Microbiology, Virology and Hygiene, University Medicine Rostock, 18057 Rostock, Germany)

  • Christoph Kröger

    (Department of Clinical Psychology and Psychotherapy, University of Hildesheim, 31141 Hildesheim, Germany)

  • Christian G. Meyer

    (Faculty of Medicine, Duy Tan University, ĐàNẵng 550000, Vietnam
    Institute of Tropical Medicine, Eberhard Karls University, 72074 Tübingen, Germany
    Vietnamese-German Center of Medical Research, Hanoi 113601, Vietnam)

  • Ulrike Loderstädt

    (Diagnostic Department, Bernhard Nocht Institute for Tropical Medicine Hamburg, 20359 Hamburg, Germany)

  • Thomas Meyer

    (Clinic of Dermatology, St. Josef-Hospital, Ruhr-University, 44791 Bochum, Germany)

  • Hagen Frickmann

    (Institute for Medical Microbiology, Virology and Hygiene, University Medicine Rostock, 18057 Rostock, Germany
    Department of Microbiology and Hygiene, Bundeswehr Hospital Hamburg, 22049 Hamburg, Germany
    These authors contributed equally to the research.)

  • Andreas Erich Zautner

    (Institute for Medical Microbiology, University Medical Center Göttingen, 37075 Göttingen, Germany
    These authors contributed equally to the research.)

Abstract

The aim of this study was to assess whether epidemics of sexually transmitted infections caused by poorly transmittable agents corresponded to self-reported sexual activity in a distinct population. To exemplify this, a model was used to investigate whether HIV infection incidences corresponded to the extent of sexual activity as assessed by a questionnaire-based study. The model suggested between 97 and 486 sexual contacts per German individual during a sexually active lifetime based on the annual HIV incidence of 680 among the heterosexual population reported by the German National Health Authority. This is in line with the estimated 296 sexual contacts during one’s lifetime, which was indicated by questionnaire respondents. The model confirms the correspondence of self-reported sexual activity with HIV incidence as reported by the German National Health Authority. Accordingly, HIV incidence- and prevalence-based modeling of sexual activity in a population provides crude estimations in situations where a range of uncertainty is acceptable. The model’s veracity is limited by a number of assumptions necessitated by the paucity of data. Nevertheless, the model may be suitable in settings where severe reporting bias has to be expected for legal or socio-cultural reasons.

Suggested Citation

  • Andreas Hahn & Christoph Kröger & Christian G. Meyer & Ulrike Loderstädt & Thomas Meyer & Hagen Frickmann & Andreas Erich Zautner, 2020. "Comparison of Self-Reported Sexual Activity Among Heterosexuals with Sexual Spread of Poorly Transmittable Agents: A Minimalistic Approach to Estimating Sexual Activity Based on HIV Incidence," IJERPH, MDPI, vol. 17(15), pages 1-9, July.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5504-:d:391963
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    References listed on IDEAS

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    1. Choi, K.-H. & Catania, J.A. & Dolcini, M.M., 1994. "Extramarital sex and HIV risk behavior among US adults: Results from the National AIDS Behavioral Survey," American Journal of Public Health, American Public Health Association, vol. 84(12), pages 2003-2007.
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