Conversations Between Lovers: Talking about Sexually Transmitted Infections

Photo: A man and a woman looking surprised in bed

Talking about sexually transmitted infections with a (new) partner can be very difficult, a study finds; © ltd

The study, to be discussed during the American Public Health Association's annual meeting, found a disconnect between the public health messages that promote STI testing as a way to prevent STIs such as HIV and chlamydia and the conversations -- or lack of them -- occurring in bedrooms.

"Talking to partners about STIs is an important conversation to have," said Margo Mullinax, lead researcher "However, findings from this study suggest public health campaigns need to promote specific messages, concrete tips and tools around sexual health conversations stratified by relationship status. Campaigns should also address STI stigma and promote messages of normalcy with regard to talking about STIs."

STIs, if untreated, can lead to a range of health problems including infertility, so a growing public health emphasis has been on preventing STIs through testing. Mullinax said little was known, however, about how STI testing figured into actual conversations between lovers, particularly among the college-age crowd that accounts for a disproportionate number of new STI cases nationwide.

She recruited 181 sexually active men and women, average age 26, to take an anonymous online questionnaire that probed the issue, looking for insights into how conversations about STIs might influence behavior and decision-making.

She described the sample as highly educated, with many participants who commented on their own work in sexual health education. More than half were in monogamous relationships. Most of the participants were white and identified themselves as heterosexual or straight.

"Participants who reported talking to their partners about STIs say it affected their decision to engage in certain behaviors in that it made them feel more comfortable and led them to stop using condoms," she said. "But this finding concerns me given that many participants did not also report routinely getting tested nor having detailed conversations with partners about STIs."

Mullinax said just a little more than half of study participants reported feeling "very comfortable" talking to partners about how to prevent STIs. Less than half felt "very comfortable" talking with a partner about sexual histories. Comfort levels improved -- and conversations became easier -- when people felt better informed about STIs and had practice talking about STIs with partners.

"Take time to get informed," she said. "It will only make your conversation more comfortable and ensure that you are really protecting your health."; Source: Indiana University