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    Default Viagra-popping seniors lead the pack for STDs

    Viagra-popping seniors lead the pack for STDs

    In fact, they report in the Annals of Internal Medicine, the rate of sexually transmitted diseases (STDs) in older men taking erectile dysfunction drugs like Viagra is twice as high as in their non-medicated peers.
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    Default Re: Viagra-popping seniors lead the pack for STDs

    Hey, a person might just start thinking, well, I ain't got that much longer anyway. If an STD don't get me, somethin' will.

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    Default Re: Viagra-popping seniors lead the pack for STDs

    Senior is a bit of a attention getter as they did men over 40.

    Plus its most likely a somewhat biased study. Men on Viagra by default would be getting some so to speak, or there isn't much value in taking it. I'm also going to just guess that Viagra is more used in the divorced crowd, which again, will have a greater chance of picking up an STD.

    Basically its a study about lifestyle and nothing to do with Viagra.

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    Better than Ice Cream two4youinswva's Avatar
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    Default Re: Viagra-popping seniors lead the pack for STDs

    Among the few percent of men who had filled prescriptions for erectile dysfunction drugs, more than two in a thousand had been treated for an STD in the year before they got the drug.

    A year later, the number dropped to half that, suggesting that Viagra and its chemical cousins didn't fuel STDs.


    OK, what am I missing here? Been a long day, and my comprehension isn't the best right now.
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    Default Re: Viagra-popping seniors lead the pack for STDs

    My guess is that Chicup is right. Guys who have a need for viagra are more sexually active.

    If you ain't gettin' some, you ain't needin' none.

    Alura
    "They may call me a rube and a hick, but I'd a lot rather be the man who bought the Brooklyn Bridge than the man who sold it."
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    Default Re: Viagra-popping seniors lead the pack for STDs

    Quote Originally Posted by two4youinswva View Post
    Among the few percent of men who had filled prescriptions for erectile dysfunction drugs, more than two in a thousand had been treated for an STD in the year before they got the drug.

    A year later, the number dropped to half that, suggesting that Viagra and its chemical cousins didn't fuel STDs.


    OK, what am I missing here? Been a long day, and my comprehension isn't the best right now.
    That confused me as well. I think it's just a poorly written article. The sentence after your quote just adds to the confusion for me:

    However, the risk of contracting an STD turned out to be more than twice as high in men taking erectile dysfunction drugs compared with those who didn't.

    So the rates of STDs for people taking viagra dropped, but this means that even though it dropped by half, it's still far higher than those not taking viagra? The point was poorly explained.

    I also think the writer made a bad choice of words in another section:

    The problem, however, is that older adults appear to flaunt safe sex practices. For instance, the researchers note, 50-year-olds are six times less likely to use a condom than men in their 20s.

    As far as I know, to flaunt is to show something off. So if I said that someone flaunted safe sex practices then wouldn't they be showing off their safe sex practices? And I just looked it up; apparently it's an acceptable practice, although one likely stemming from confusion with the word 'flout'. Bad choice for a writer though I think. Most are going to be confused by the seemingly inappropriate usage.

  7. Back To Top | #7

    Default Re: Viagra-popping seniors lead the pack for STDs

    Here's the abstract. PM me if you want to see the full report.

    Sexually Transmitted Diseases Among Users of Erectile Dysfunction Drugs: Analysis of Claims Data

    1. Anupam B. Jena, MD, PhD;
    2. Dana P. Goldman, PhD;
    3. Amee Kamdar, PhD;
    4. Darius N. Lakdawalla, PhD; and
    5. Yang Lu, PhD

    + Author Affiliations

    1.
    From Harvard Medical School, Boston, Massachusetts; University of Southern California, Los Angeles, California; University of Chicago Booth Graduate School of Business, Chicago, Illinois; and RAND, Santa Monica, California.

    Abstract

    Background: Pharmacologic treatments for erectile dysfunction (ED) have gained popularity among middle-aged and older men. Increased sexual activity among those who use these drugs raises concerns about sexually transmitted diseases (STDs).

    Objective: To examine the rates of STDs in men who use and do not use ED drugs.

    Design: Retrospective cohort study.

    Setting: Database of claims from 1997 to 2006 for 1 410 806 men older than age 40 years with private, employer-based insurance from 44 large companies.

    Patients: 33 968 men with at least 1 filled prescription for an ED drug and 1 376 838 patients with no prescription.

    Measurements: STD prevalence among users and nonusers of ED drugs.

    Results: Users of ED drugs had higher rates of STDs than nonusers the year before initiating ED drug therapy (214 vs. 106 annually per 100 000 persons; P = 0.003) and the year after (105 vs. 65; P = 0.004). After adjustment for age and other comorbid conditions, users of ED drugs had an odds ratio (OR) for an STD of 2.80 (95% CI, 2.10 to 3.75) in the year before initiating drug therapy; the OR was 2.65 (CI, 1.84 to 3.81) in the year after. These differences were largely due to infections with HIV. The OR for HIV infection was 3.32 (CI, 2.38 to 4.36) in the year before and 3.19 (CI, 2.11 to 4.83) in the year after an ED drug prescription was filled. Significant changes in STD rates from the year before to the year after the first ED drug prescription was filled were not documented (adjusted OR for STD for users before vs. after the first ED drug prescription was filled, 0.96 [CI, 0.87 to 1.06]).

    Limitation: Selection bias precludes conclusions about whether use of ED treatments directly leads to increases in STDs.

    Conclusion: Men who use ED drugs have higher rates of STDs, particularly HIV infection, both in the year before and after use of these drugs. The observed association between ED drug use and STDs may have more to do with the types of patients using ED drugs rather than a direct effect of ED drug availability on STD rates. Counseling about safe sexual practices and screening for STDs should accompany the prescription of ED drugs.

  8. Back To Top | #8

    Default Re: Viagra-popping seniors lead the pack for STDs

    Thanks for the abstract, much easier to decipher the high-level points. The interesting thing to me was that HIV was one of the main STDs involved. I wouldn't have expected it to be as prevalent as it was.

  9. Back To Top | #9
    Better than Ice Cream two4youinswva's Avatar
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    Default Re: Viagra-popping seniors lead the pack for STDs

    Quote Originally Posted by Fundamental Law View Post
    Here's the abstract...............
    Thanks for the assist!
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  10. Back To Top | #10

    Default Re: Viagra-popping seniors lead the pack for STDs

    This just seems like a 'duh' type of study.

    Men getting laid have a greater chance of catching an STD, news at 11.

  11. Back To Top | #11

    Default Re: Viagra-popping seniors lead the pack for STDs

    Yeah, I know, right? If you don't have sex you have practically no chance of getting an STD. If you have sex, you do have that chance. Seniors are more likely to use Viagra to help extend their sex lives....

    To echo, "duh".
    Through every dead and living thing, Time runs, like a fuse. -- Jackson Browne

  12. Back To Top | #12

    Default Re: Viagra-popping seniors lead the pack for STDs

    Quote Originally Posted by Chicup View Post
    This just seems like a 'duh' type of study.

    Men getting laid have a greater chance of catching an STD, news at 11.
    Best post and conclusion yet!

    Maybe someone would want to use that theroy when making up the "Sex Ratings" of people. You have sex, high risk, you don't have sex, low risk!
    New Temptations You are the Party

  13. Back To Top | #13

    Default Re: Viagra-popping seniors lead the pack for STDs

    One of the problems of retrospective studies is that they can only suggest hypotheses, they can never prove them. Moreover, this study was performed using administrative databases compiled for different purposes. The observation that patients who went on to obtain a viagra prescription were sexually active before and after that prescription should not be surprising. The observation that sexual activity is associated with STDs is also not surprising.

    An important question arises: these are administrative data collected a decade ago. Today, what are the relative and absolute risks for getting HIV for middle aged and senior Americans who are not monogamous?

  14. Back To Top | #14

    Default Re: Viagra-popping seniors lead the pack for STDs

    In fact, they report in the Annals of Internal Medicine, the rate of sexually transmitted diseases (STDs) in older men taking erectile dysfunction drugs like Viagra is twice as high as in their non-medicated peers.

    In both groups, however, the numbers are swelling. According to the Centers for Disease Control and Prevention, there were more than six new cases of STDs per 10,000 men over 40 in 2008, up almost 50 percent since 1996.
    So there were 3 in 10,000 before and then 6 new cases in 10,000 after Viagra came out. Thats not exactly alarming, or surprising....

    Yea, a "duh" (more sex equals higher risk) from your village idiot also.


    I wonder if they are suing Viagra ? It wouldn't surprise me these days.


    fun4ds

  15. Back To Top | #15

    Default Re: Viagra-popping seniors lead the pack for STDs

    I have a different take on this article. There was no mention of the sexual orientation of the men over 40 that use ED medication. I have been working with criminal offenders both straight and "gay" for several years. I understand that many homosexuals use viagra and crystal meth or crack in order to party "all night long". This many have led to the increase in AIDS cases. I do remember an article last year concerning an increase in STD's at the retirement complex in Florida called the Villages but nothing was mentioned about an increase in AIDS cases.

  16. Back To Top | #16

    Default Re: Viagra-popping seniors lead the pack for STDs

    The headline is a bit misleading. Older guys still have a low STD risk rate-it is is just growing relative to other populations.

    I haven't checked out this journal reference yet. What I remember from elsewhere:
    there are serious claims that viagra etc. may have a slight increase in per coital risk of STD transmission when other factors are held constant.

    This is a rather tricky area of research in part because of the drug interactions are complicated.

    Also, this study didn't compare per coital risk of viagra users vs. non-users. It is entirely plausible to me that viagra users simply have more sex.

    The question in part becomes:
    what kind of STD prevention techniques are appropriate for older folks?

    I personally think it is _nutty_ to promote old fashioned male condoms in that population. If guys are having troubles with erections, that male condom isn't going to help that problem at all.

    My own favorites for STD/STI reduction in this population include:
    a) promotion of use of female condoms(which really can make a huge
    difference for guys with an erectile problem)
    b) more frequent testing among older men and their partners
    c) increased education(i.e. training folks to spot risk factors and STD
    symptoms).

  17. Back To Top | #17

    Default Re: Viagra-popping seniors lead the pack for STDs

    Here is a related article from The Body:

    According to recent studies, sexually active
    heterosexual adults over 50 are one-sixth as likely to
    use condoms and one-fifth as likely to get tested as
    younger, sexually active age groups.
    .....
    Older womens’ thinning vaginal walls also increases their
    susceptibility to HIV and other STDs.
    .......
    Studies indicate that 40% of primary
    care physicians do not assess HIV risk in
    persons over 50. Yet the University of Chicago
    conducted a survey on the sexual behaviors of older
    individuals and found that 60% of men and 37% of
    women reported engaging in sexual intercourse a
    few times per month.


    The claim on increased susceptibility of older women is somewhat at odds compared to some studies looking at African populations. I personally wouldn't be surprised if we have a U curve here with both older and younger populations being more vulnerable-but I suspect the effect is more profound for very young women.

    The pattern of activity suggests that either

    a) a few older women are markedly more active than the rest

    b) older men are more active with younger women-which
    might include a disproportionate number of prostitutes.
    Prostitution is tricky because:
    Early studies suggest that Canadian female prostitutes are no more likely to be infected with HIV or other sexually transmitted diseases than other women, unless they are also intravenous drug users.
    US prostitutes might vary because of the differences in the health
    care system and public health in general.

  18. Back To Top | #18

    Default Re: Viagra-popping seniors lead the pack for STDs

    Quote Originally Posted by highlander View Post
    US prostitutes might vary because of the differences in the health care system and public health in general.
    Doubtful, I'm going to hazard a guess and say most differences are going to be due to 'cultural' ones of the populations being studied.

    Prostitute won't really cover it either. We have those making 6 figure incomes bonking ex-governors and crack whores.

    Really I think this is a no brainier type of study, and I stand by that. Being involved in more sex partners will increase the chance of catching an STD period.

    Look how many guys on this forum have used or use and ED drug in swinging, I'm going to guess that most are over 40, and would have been part of the 'senior' group for this study.

    Part of my training which I found most useful was reading paper after paper and tearing them apart.

    This paper made a very minor and not very surprising conclusion, it just seems that the news, as usual decided to run with it. The only medical issue to me is to remind doctors to talk about safe sex with their older patients and not forget they need STD screening just like 20 year olds.

  19. Back To Top | #19

    Default Re: Viagra-popping seniors lead the pack for STDs

    Quote Originally Posted by Chicup View Post
    Doubtful, I'm going to hazard a guess and say most differences are going to be due to 'cultural' ones of the populations being studied.

    Prostitute won't really cover it either. We have those making 6 figure incomes bonking ex-governors and crack whores.
    There are a lot of variables there. I tend to think overall STD/HIV level in the surrounding community is a huge variable there. The thing about canada:
    getting drugs for something like Chlamydia is pretty easy compared to parts of the US(i.e. like the parts of the US in the South where HIV is starting to spread more rapidly)-and you see substantial variation in STD rates in various parts of the US. I don't think that has much to do with how many sex partners people have in different regions--but I'd be happy to look at evidence to the contrary.

    I've seen the general studies that talk about how HIV and STD's decrease with income/education. I have NEVER seen good studies that look at the VERY high end environments. I Know I sure saw a lot of cocaine and opiates in places like Silicon Valley and the financial district of San Francisco. My own personal experience/prejudice is to think of those sorts of things as concentrated among both the very poor and the very rich.


    Really I think this is a no brainier type of study, and I stand by that. Being involved in more sex partners will increase the chance of catching an STD period.
    The studies I've seen show something an "adjusted odds ratio" of 1.09 for each additional partner for HIV--which is really a pretty small incremental risk. I'd suspect that is different if we are talking a more highly contagious disease like Chlamydia. The thing is is, those numbers get swamped by other things like the pool of partners we are talking about. A porn actor having sex with folks that have test results less than 30 days old has a VERY different overall risk profile than someone dating IV drug users in Miami.

    Lots of things influence overall susceptibility to HIV-stuff like whether someone smokes, whether they are an alcoholic(about 40% of all HIV positive folks qualify BTW), a cocaine user, do they use condoms regularly. What is their past history for other STD's.


    This paper made a very minor and not very surprising conclusion, it just seems that the news, as usual decided to run with it. The only medical issue to me is to remind doctors to talk about safe sex with their older patients and not forget they need STD screening just like 20 year olds.
    The question that is emerging:
    what kinds of testing intervals make sense for various populations-and how are folks that are higher risk to be best identified? I

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