{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T03:47:18Z","timestamp":1777175238713,"version":"3.51.4"},"reference-count":24,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T00:00:00Z","timestamp":1678060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K01DA046716"],"award-info":[{"award-number":["K01DA046716"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K08DA045575"],"award-info":[{"award-number":["K08DA045575"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>In the United States, rates of sexually transmitted infections (STIs) have increased year after year for the past six consecutive years. Even so, the majority of research has focused on younger populations with little work examining infections and prevention methods among older adults.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Data come from the Columbus Health Aging Project (N = 794). This study was designed to assess several domains of health among adults aged 50 years and older in Columbus, Ohio with a particular focus on addressing disparities based on sexual and gender identity. Multivariable logistic regression models were used to examine the association between sociodemographic factors and risk of STI acquisition, HIV diagnosis, and several common prevention methods, adjusting for known confounders.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Key results suggest that cisgender women, intersex individuals, and transgender women are less likely to use condoms relative to cisgender men. Meanwhile, white individuals were least likely to use condoms while bisexual individuals were most likely. Transgender women and those living with family\/roommates were most likely to use PrEP\/PEP relative to cisgender men and those living with a spouse or partner. Cisgender women, compared to cisgender men, were most likely to report not using any prevention method.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This study highlights the need for better research among older adults in order to ascertain how interventions may be targeted to specific populations. Future research should aim to educate individuals differently based on their specific needs rather than treating older adults as a homogenous population or ignoring their sexually active nature entirely.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0282702","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T18:30:11Z","timestamp":1678127411000},"page":"e0282702","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Differences in infection and prevention of HIV and other sexually transmitted infections among older adults in Columbus, Ohio"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7189-680X","authenticated-orcid":true,"given":"Ethan","family":"Morgan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Dyar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian A.","family":"Feinstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,3,6]]},"reference":[{"key":"pone.0282702.ref001","volume-title":"Sexually Transmitted Disease Surveillance 2018","author":"Centers for Disease Control and Prevention","year":"2019"},{"key":"pone.0282702.ref002","volume-title":"Sexually Transmitted Disease Surveillance 2019","author":"Centers for Disease Control and Prevention","year":"2021"},{"key":"pone.0282702.ref003","volume-title":"1 in 5 people in the US. have a sexually transmitted infection","author":"Centers for Disease Control and Prevention","year":"2021"},{"issue":"22","key":"pone.0282702.ref004","first-page":"801","volume":"70","author":"K. Bosh","year":"2021","journal-title":"Estimated Annual Number of HIV Infections"},{"issue":"11","key":"pone.0282702.ref005","doi-asserted-by":"crossref","first-page":"3637","DOI":"10.1007\/s10461-018-2122-5","article-title":"Threefold Increase in PrEP Uptake Over Time with High Adherence Among Young Men Who Have Sex With Men in Chicago","volume":"22","author":"E. Morgan","year":"2018","journal-title":"AIDS Behav"},{"issue":"8","key":"pone.0282702.ref006","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1056\/NEJMoa067423","article-title":"A Study of Sexuality and Health among Older Adults in the United States","volume":"357","author":"S.T. Lindau","year":"2007","journal-title":"New England Journal of Medicine"},{"issue":"4","key":"pone.0282702.ref007","first-page":"330","article-title":"Patients fifty years and older attending two sexually transmitted disease clinics in Baltimore, Maryland. International journal of STD &","volume":"28","author":"S.A. Tuddenham","year":"2017","journal-title":"AIDS"},{"issue":"5","key":"pone.0282702.ref008","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1007\/s10461-019-02664-9","article-title":"PrEP Use and Sexually Transmitted Infections Are Not Associated Longitudinally in a Cohort Study of Young Men Who Have Sex with Men and Transgender Women in Chicago","volume":"24","author":"E. Morgan","year":"2020","journal-title":"AIDS Behav"},{"issue":"13","key":"pone.0282702.ref009","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1080\/10826084.2016.1197265","article-title":"Marijuana use among young Black men who have sex with men and the HIV care continuum: Findings from the uConnect cohort","volume":"51","author":"E. Morgan","year":"2016","journal-title":"Subst Use Misuse"},{"key":"pone.0282702.ref010","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.socscimed.2013.12.034","article-title":"A new HIV prevention network approach: Sociometric peer change agent selection","volume":"125","author":"J.A. Schneider","year":"2015","journal-title":"Soc Sci Med"},{"issue":"6","key":"pone.0282702.ref011","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1089\/apc.2012.0468","article-title":"HIV information and behavioral skills moderate the effects of relationship type and substance use on HIV risk behaviors among African American youth","volume":"27","author":"B. Mustanski","year":"2013","journal-title":"AIDS Patient Care STDS"},{"key":"pone.0282702.ref012","author":"B. Mustanski","year":"2012","journal-title":"A Healthy Chicago for LGBT Youth: An IMPACT Program White paper on Health Disparities in Chicago\u2019s LGBT Youth"},{"key":"pone.0282702.ref013","author":"Centers for Disease Control and Prevention","year":"2022","journal-title":"HIV and Men"},{"key":"pone.0282702.ref014","author":"Centers for Disease Control and Prevention","year":"2022","journal-title":"HIV and Women: HIV Diagnoses"},{"issue":"1","key":"pone.0282702.ref015","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1177\/1055329003252051","article-title":"HIV: Associated Transmission Risks in Older Adults\u2013An Integrative Review of the Literature","volume":"15","author":"A.M. 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Smith","year":"2020","journal-title":"International journal of environmental research and public health"},{"issue":"11","key":"pone.0282702.ref021","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1016\/j.socscimed.2003.08.025","article-title":"General practitioner attitudes to discussing sexual health issues with older people","volume":"58","author":"M. Gott","year":"2004","journal-title":"Social Science & Medicine"},{"issue":"4","key":"pone.0282702.ref022","first-page":"S221","article-title":"Gender and Ethnic\/Racial Disparities in Health Care Utilization Among Older Adults. The Journals of Gerontology","volume":"57","author":"D.D. Dunlop","year":"2002","journal-title":"Series B"},{"key":"pone.0282702.ref023","doi-asserted-by":"crossref","first-page":"103566","DOI":"10.1016\/j.ijnurstu.2020.103566","article-title":"Barriers to older adults seeking sexual health advice and treatment: A scoping review","volume":"107","author":"I. Ezhova","year":"2020","journal-title":"International Journal of Nursing Studies"},{"issue":"1","key":"pone.0282702.ref024","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1177\/0091415019843456","article-title":"The Global Impact of HIV on Sexual and Gender Minority Older Adults: ChallengesProgress, and Future Directions","volume":"89","author":"C.A. Emlet","year":"2019","journal-title":"The International Journal of Aging and Human Development"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0282702","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T18:30:25Z","timestamp":1678127425000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0282702"}},"subtitle":[],"editor":[{"given":"Anthony J.","family":"Santella","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,3,6]]},"references-count":24,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3,6]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0282702","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,6]]}}}