{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T20:03:44Z","timestamp":1770840224588,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"6","funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","award":["ISRCTN51783227"],"award-info":[{"award-number":["ISRCTN51783227"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We explored sexual contact in the interval between the treatment for gonorrhoea and attending for a test of cure (ToC) and identified factors associated with sexual contact in this period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Multivariable analysis of demographic, behavioural and clinical data with self-reported sexual contact prior to attending for a gonorrhoea ToC evaluation among participants recruited into the \u2018Gentamicin for the Treatment of Gonorrhoea\u2019 trial in England, between October 2014 and November 2016. Associations with sexual contact were expressed as prevalence ratios (PR) and their corresponding 95% CI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median time to ToC was 15 days (interquartile range 14\u201320 days). 197\/540 (37%) participants reported sexual contact in the time between treatment and ToC. Of these, 173\/197 (88%) participants reported inconsistent condom use, including with previous partners (133\/197 (68%)). A history of gonorrhoea (adjusted PR (aPR) 1.32 (1.03 to 1.69)) or syphilis (aPR 1.19 (1.08 to 1.32)), being in regular (aPR 1.71 (1.41 to 2.09)) sexual relationships, high number of partners in the last 3 months (aPR 1.77 (1.25 to 2.51))\u2014\u2018more than 5 partners\u2019 vs \u20180 to 1 partner\u2019, and attending for a ToC more than 14 days after treatment (aPR 1.40 (1.08 to 1. 81)) were associated with reporting sexual contact before the ToC appointment. However, age (aPR (1.00 (0.99 to 1.01)) and presenting with specific symptoms at baseline (aPR 1.17 (0.95 to 1.44)) were not associated with sexual contact by the ToC attendance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sexual activity after receiving treatment for gonorrhoea and prior to a ToC evaluation was common. This was associated with previous infection history and specific behavioural characteristics. Knowledge of these factors can help guide safe sex counselling at the time of treatment.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2021-055029","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T17:20:39Z","timestamp":1636132839000},"page":"401-407","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Sexual exposure and sexual behaviour in the interval between gonorrhoea treatment and test of cure: a cross-sectional cohort study"],"prefix":"10.1136","volume":"98","clinical-trial-number":[{"clinical-trial-number":"isrctn51783227","registry":"10.18810\/isrctn"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2097-8949","authenticated-orcid":false,"given":"Oluseyi","family":"Ayinde","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4193-6919","authenticated-orcid":false,"given":"Jonathan D C","family":"Ross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,5]]},"reference":[{"key":"2022101108551048000_98.6.401.1","doi-asserted-by":"publisher","DOI":"10.1177\/0956462419886775"},{"key":"2022101108551048000_98.6.401.2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6404a1"},{"key":"2022101108551048000_98.6.401.3","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1097\/OLQ.0000000000001040","article-title":"Resolution of symptoms and resumption of sex after diagnosis of nongonococcal urethritis among men who have sex with men","volume":"46","author":"Chambers","year":"2019","journal-title":"Sex Transm Dis"},{"key":"2022101108551048000_98.6.401.4","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2012.200312"},{"key":"2022101108551048000_98.6.401.5","doi-asserted-by":"crossref","unstructured":"Sales J , Swartzendruber A , Phillips AL . Adherence to STD post-treatment recommendations among young African-American women. 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Table 2 (b - 1): Number of gonorrhoea diagnoses in England by gender,sexual risk & age group, 2016 to 2020. Public Health England, 2021."},{"key":"2022101108551048000_98.6.401.18","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1080\/00224499.2021.1897067","article-title":"Changes in sexual desire and behaviors among UK young adults during social Lockdown due to COVID-19","volume":"58","author":"Wignall","year":"2021","journal-title":"J Sex Res"},{"key":"2022101108551048000_98.6.401.19","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2020-054768"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2021-055029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T15:55:55Z","timestamp":1665503755000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2021-055029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,5]]},"references-count":19,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,8,22]]},"published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1136\/sextrans-2021-055029"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2021-055029","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,5]]}}}