Sexually Transmitted Disease Rates and High-Risk Sexual Behaviors in Borderline Personality Disorder Versus Borderline Personality Disorder With Substance Use Disorder

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Abstract

Abstract:

We examined the rates of sexually transmitted diseases (STDs) in women with borderline personality disorder (BPD) (using PDE and SCID-II) and substance abuse or dependence (SCID-I) (BPD-SUD) (N = 82) compared with those with BPD-only (N = 102), exploring mediators of this relationship. Participants were interviewed about STD history (gonorrhea, genital herpes, syphilis, trichomonas, human papillomavirus, and HIV), condom use, number of sexual partners, poverty, and prostitution. BPD-SUD appeared to be particularly at high risk for STDs, reporting significantly more STDs than BPD (F[1,172]= 11.74, p = 0.001, d =.27), particularly for gonorrhea, trichomonas, and human papillomavirus. The relationship between BPD-SUD and STDs is mediated by poverty, prostitution in the last year, recent unprotected sex with two or more partners, and >20 lifetime partners (z = –2.16 which is p= 0.03), with prostitution alone making a significant contribution to this relationship (z = –2.49, p = 0.01).

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