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A sexual affiliation network of swingers,heterosexuals practicing risk behaviours that potentiate the spread of sexually transmitted infections: A two-mode approach
Authors:Anne-Marie Niekamp  Liesbeth A.G. Mercken  Christian J.P.A. Hoebe  Nicole H.T.M. Dukers-Muijrers
Affiliation:1. Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, PO Box 2022, 6160 HA Geleen, The Netherlands;2. Department of Medical Microbiology, School of Public Health and Primary Care (CAPHRI), Maastricht University Medical Center (MUMC+), PO Box 5800, 6202 AZ Maastricht, The Netherlands;3. Department of Health Promotion, School of Public Health and Primary Care (CAPHRI), Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
Abstract:
Using the example of the sexual affiliation networks of swingers, this paper examines how the analysis of sexual affiliation networks can contribute to the development of sexually transmitted infection (STI) prevention strategies. Two-mode network methodology and ERGMs are applied to describe the structural composition of the affiliation network and analyse attribute effects. Swingers were found to recruit their sex partners through one large, moderately cohesive network component. Swingers who used drugs or had a longer history of swinging tended to frequent websites instead of clubs. This study confirms the relevance of studying sexual affiliation networks and its additional value for STI epidemiology.
Keywords:Sexual affiliation networks   Swingers   Exponential random graph models (ERGMs)   Sexually transmitted infections (STIs)   Risk behaviour   Two-mode methodology
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