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Sexual behaviour and HIV/sexually transmitted infection risk behaviours in the general population of Slovenia, a low HIV prevalence country in central Europe
  1. I Klavs1,
  2. L C Rodrigues2,
  3. K Wellings2,
  4. H A Weiss2,
  5. R Hayes2
  1. 1
    Institute of Public Health of the Republic of Slovenia, Ljubljana, Slovenia
  2. 2
    London School of Hygiene and Tropical Medicine, London, UK
  1. Professor I Klavs, AIDS/STI/HAI Unit, Communicable Diseases Department, Institute of Public Health of the Republic of Slovenia, Trubarjeva 2, 1000 Ljubljana, Slovenia; Irena.Klavs{at}ivz-rs.si

Abstract

Objectives: To describe sexual and HIV/sexually transmitted infection (STI) risk behaviours in Slovenia.

Methods: A nationally representative cross-sectional survey of the general population aged 18–49 years in 1999–2001 was conducted. The data were collected by face-to-face interviews and anonymous self-administered questionnaires. Statistical methods for complex survey data were used.

Results: 849 men and 903 women were interviewed. In the past 5 years, both men and women reported a median of one heterosexual partner (means 3.2, 1.5, respectively), concurrent heterosexual partnerships were reported by 24.4% of men and 8.2% of women, heterosexual sex with non-Slovenian partners by 12.6% of men and 12.2% of women, forced sex by 4.8% of women, paid heterosexual sex by 2.6% of men, sex with another man by 0.6% of men and heterosexual sex with an injecting drug user by 1.2% of men and 1.3% of women. In the past year, 22.7% of men and 9.5% of women reported forming at least one new heterosexual partnership. The mean numbers of episodes of heterosexual sex in the previous 4 weeks were 6.1 for men and 6.0 for women. Consistent and inconsistent condom use was reported more frequently among men reporting multiple female partners and those not married or cohabiting.

Conclusions: Recent patterns of reported sexual behaviour are consistent with a low risk of HIV and STI transmission in Slovenia. The results will inform Slovenian sexual health policies including HIV/STI prevention, and are particularly valuable because population-based data on HIV/STI risk behaviour have not previously been available in low HIV prevalence countries of central Europe.

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Footnotes

  • Funding: The study was supported by grants from the Slovenian Ministry of Health, Ministry of Higher Education, Science and Technology, Slovenian Research Agency, City Council of Ljubljana, Health Insurance Institute of Slovenia, Merc and Dohme Idea Inc.

  • Competing interests: None.

  • Ethics approval: Ethics approval was obtained from the ethics committees of the Ministry of Health of the Republic of Slovenia and the London School of Hygiene and Tropical Medicine.

  • Contributors: IK designed and coordinated the implementation of this study, analysed and interpreted the data and wrote the manuscript; LCR, KW and RH participated in the design of the study, interpretation of the results and preparation of this paper; HAW provided statistical advice, participated in the interpretation of the results and the preparation of this paper.