Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours.

BACKGROUND: Sexual behaviour is a major determinant of sexual and reproductive health. We did a National Survey of Sexual Attitudes and Lifestyles (Natsal 2000) in 1999-2001 to provide population estimates of behaviour patterns and to compare them with estimates from 1990-91 (Natsal 1990). METHODS: We did a probability sample survey of men and women aged 16-44 years who were resident in Britain, using computer-assisted interviews. Results were compared with data from respondents in Natsal 1990. FINDINGS: We interviewed 11161 respondents (4762 men, 6399 women). Patterns of heterosexual and homosexual partnership varied substantially by age, residence in Greater London, and marital status. In the past 5 years, mean numbers of heterosexual partners were 3.8 (SD 8.2) for men, and 2.4 (SD 4.6) for women; 2.6% (95% CI 2.2-3.1) of both men and women reported homosexual partnerships; and 4.3% (95% CI 3.7-5.0) of men reported paying for sex. In the past year, mean number of new partners varied from 2.04 (SD 8.4) for single men aged 25-34 years to 0.05 (SD 0.3) for married women aged 35-44 years. Prevalence of many reported behaviours had risen compared with data from Natsal 1990. Benefits of greater condom use were offset by increases in reported partners. Changes between surveys were generally greater for women than men and for respondents outside London. INTERPRETATION: Our study provides updated estimates of sexual behaviour patterns. The increased reporting of risky sexual behaviours is consistent with changing cohabitation patterns and rising incidence of sexually transmitted infections. Observed differences between Natsal 1990 and Natsal 2000 are likely to result from a combination of true change and greater willingness to report sensitive behaviours in Natsal 2000 due to improved survey methodology and more tolerant social attitudes

Combining Time-Triggered Plans with Priority Scheduled Task Sets

The final publication is available at Springer via http://dx.doi.org/10.1007/978-3-319-39083-3_13Time-triggered and concurrent priority-based scheduling are the two major approaches in use for real-time and embedded systems. Both approaches have their own advantages and drawbacks. On the one hand, priority-based systems facilitate separation of concerns between functional and timing requirements by relying on an underlying real- time operating system that takes all scheduling decisions at run time. But this is at the cost of indeterminism in the exact timing pattern of execution of activities, namely variable release jitter. On the other hand, time-triggered schedules are more intricate to design since all schedul- ing decisions must be taken beforehand in the design phase, but their advantage is determinism and more chances for minimisation of release jitter. In this paper we propose a software architecture that enables the combined and controlled execution of time-triggered plans and priority- scheduled tasks. We also describe the implementation of an Ada library supporting it. Our aim is to take advantage of the best of both ap- proaches by providing jitter-controlled execution of time-triggered tasks (e.g., control tasks), coexisting with a set of priority-scheduled tasks, with less demanding jitter requirements.This work has been partly supported by the Spanish Government’s project M2C2 (TIN2014-56158-C4-1-P-AR) and the European Commission’s project EMC2 (ARTEMIS-JU Call 2013 AIPP-5, Contract 621429).Real Sáez, JV.; Sáez Barona, S.; Crespo, A. (2016). Combining Time-Triggered Plans with Priority Scheduled Task Sets. En Reliable Software Technologies – Ada-Europe 2016. Springer. 195-212. https://doi.org/10.1007/978-3-319-39083-3_13S195212Liu, C., Layland, J.: Scheduling algorithms for multiprogramming in a hard real-time environment. J. ACM 20(1), 46–61 (1973)Martí, P., Fuertes, J., Fohler, G.: Jitter compensation for real-time control systems. In: Real-Time Systems Symposium (2001)Dobrin, R.: Combining off-line schedule construction and fixed priority scheduling in real-time computer systems. Ph.D. thesis. Mälardalen University (2005)Cervin, A.: Integrated control and real-time scheduling. Ph.D. thesis. Lund Institute of Technology, April 2003Balbastre, P., Ripoll, I., Vidal, J., Crespo, A.: A task model to reduce control delays. Real-Time Syst. 27(3), 215–236 (2004)Hong, S., Hu, X., Lemmon, M.: Reducing delay jitter of real-time control tasks through adaptive deadline adjustments. In: 22nd Euromicro Conference on Real-Time Systems - ECRTS, pp. 229–238. IEEE Computer Society (2010)ISO/IEC-JTC1-SC22-WG9: Ada Reference Manual ISO/IEC 8652:2012(E) (2012). http://www.ada-europe.org/manuals/LRM-2012.pdfBaker, T.P., Shaw, A.: The cyclic executive model and Ada. In: Proceedings IEEE Real Time Systems Symposium 1988, Huntsville, Alabama, pp. 120–129 (1988)Liu, J.W.S.: Real-Time Systems. Prentice-Hall Inc., Upper Saddle River (2000)Pont, M.J.: The Engineering of Reliable Embedded Systems: LPC1769. SafeTTy Systems Limited, Skelmersdale (2014). ISBN: 978-0-9930355-0-0Aldea Rivas, M., González Harbour, M.: MaRTE OS: an Ada kernel for real-time embedded applications. In: Strohmeier, A., Craeynest, D. (eds.) Ada-Europe 2001. LNCS, vol. 2043, pp. 305–316. Springer, Heidelberg (2001)Palencia, J., González-Harbour, M.: Schedulability analysis for tasks with static and dynamic offsets. In: 9th IEEE Real-Time Systems Symposium (1998)Wellings, A.J., Burns, A.: A framework for real-time utilities for Ada 2005. Ada Lett. XXVI XXVII(2), 41–47 (2007)Real, J., Crespo, A.: Incorporating operating modes to an Ada real-time framework. Ada Lett. 30(1), 73–85 (2010)Sáez, S., Terrasa, S., Crespo, A.: A real-time framework for multiprocessor platforms using Ada 2012. In: Romanovsky, A., Vardanega, T. (eds.) Ada-Europe 2011. LNCS, vol. 6652, pp. 46–60. Springer, Heidelberg (2011

Salivary Testosterone and Sexual Function and Behavior in Men and Women: Findings from the Third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

Using data from the third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) we examined associations between salivary testosterone (Sal-T) and sexual function and behavior. Single morning saliva samples were self-collected from a subsample of participants aged 18–74 years and analyzed using mass spectrometry. 1,599 men and 2,123 women were included in the analysis (40.6% of those invited to provide a sample). We adjusted for confounders in a stepwise manner: in model 1 we adjusted for age only; model 2 for age, season and relationship status, and model 3 we added BMI and self-reported health. In the fully adjusted models, among men, Sal-T was positively associated with both partnered sex (vaginal sex and concurrent partners) and masturbation. Among women, Sal-T was positively associated with masturbation, the only association with partnered sex was with ever experience of same-sex sex. We found no clear association between Sal-T and sexual function. Our study contributes toward addressing the sparsity of data outside the laboratory on the differences between men and women in the relationship between T and sexual function and behavior. To our knowledge, this is the first population study, among men and women, using a mass spectrometry Sal-T assay to do so

Medicated sex in Britain: evidence from the third National Survey of Sexual Attitudes and Lifestyles

Objectives: To describe the prevalence of medication use to assist sexual performance in Britain and to identify associated factors. / Methods: Cross-sectional probability sample, undertaken in 2010–2012, of 15 162 people aged 16–74 years, resident in Britain, of whom, 5617 men and 8095 women reported sexual experience (ever) and 4817 men were sexually-active (reported sex in the last year). / Results: Ever use of medication to assist sexual performance (medicated sex) was more commonly reported by men than women (12.9% (95% CI 11.9% to 13.9%) vs 1.9% (95% CI 1.7% to 2.3%)) and associated with older age in men and younger age in women. It was associated with reporting smoking, and use of alcohol and recreational drugs, as well as unsafe sex (≥2 partners and no condom use in the last year) in both men and women. Among men, the proportion reporting medicated sex in the last year was higher among those reporting erectile difficulties (ED) than those not doing so (28.4% (95% CI 24.4% to 32.8%) vs 4.1% (95% CI 3.4% to 4.9%)). In all men, medicated sex was associated with more frequent sexual activity, meeting a partner on the internet, unsafe sex and recent sexually transmitted infections diagnosis; associations that persisted after adjusting for same-sex behaviour and ED. However, there were significant interactions with reporting ED, indicating that among men with ED, medicated sex is not associated with same-sex behaviour and ever use of recreational drugs. / Conclusions: A substantial minority of people in Britain report medicated sex, and the association between medicated sex and risky sexual behaviour is not confined to high-risk groups

Estimating the Prevalence of Sexual Function Problems: The Impact of Morbidity Criteria

Establishing the clinical significance of symptoms of sexual dysfunction is challenging. To address this, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) introduced two new morbidity criteria (duration and symptom severity) to the existing criteria of distress. This study sought to establish the impact of these three criteria on the population prevalence of sexual function problems. The data come from a national probability survey (Natsal-3) and are based on 11,509 male and female participants aged 16-74, reporting at least one sexual partner in the past year. The key outcomes were: proportion of individuals reporting proxy measures of DSM-5 problems, and the proportion of those meeting morbidity criteria. We found that among sexually active men, the prevalence of reporting one or more of four specific sexual problems was 38.2%, but 4.2% after applying the three morbidity criteria; corresponding figures for women reporting one or more of three specific sexual problems, were 22.8% and 3.6%. Just over a third of men and women reporting a problem meeting all three morbidity criteria had sought help in the last year. We conclude that the DSM-5 morbidity criteria impose a focus on clinically significant symptoms

Is chlamydia screening and testing in Britain reaching young adults at risk of infection? Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

In the context of widespread opportunistic chlamydia screening among young adults, we aimed to quantify chlamydia testing and diagnosis among 16-24 year olds in Britain in relation to risk factors for prevalent chlamydia infection

Asking about Sex in General Health Surveys: Comparing the Methods and Findings of the 2010 Health Survey for England with Those of the Third National Survey of Sexual Attitudes and Lifestyles

Including questions about sexual health in the annual Health Survey for England (HSE) provides opportunities for regular measurement of key public health indicators, augmenting Britain's decennial National Survey of Sexual Attitudes and Lifestyles (Natsal). However, contextual and methodological differences may limit comparability of the findings. We examine the extent of these differences between HSE 2010 and Natsal-3 and investigate their impact on parameter estimates

Salivary Testosterone and Sexual Function and Behavior in Men and Women: Findings from the Third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3).

Using data from the third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) we examined associations between salivary testosterone (Sal-T) and sexual function and behavior. Single morning saliva samples were self-collected from a subsample of participants aged 18-74 years and analyzed using mass spectrometry. 1,599 men and 2,123 women were included in the analysis (40.6% of those invited to provide a sample). We adjusted for confounders in a stepwise manner: in model 1 we adjusted for age only; model 2 for age, season and relationship status, and model 3 we added BMI and self-reported health. In the fully adjusted models, among men, Sal-T was positively associated with both partnered sex (vaginal sex and concurrent partners) and masturbation. Among women, Sal-T was positively associated with masturbation, the only association with partnered sex was with ever experience of same-sex sex. We found no clear association between Sal-T and sexual function. Our study contributes toward addressing the sparsity of data outside the laboratory on the differences between men and women in the relationship between T and sexual function and behavior. To our knowledge, this is the first population study, among men and women, using a mass spectrometry Sal-T assay to do so

Consistency in reporting sensitive sexual behaviours in Britain: change in reporting bias in the second and third National Surveys of Sexual Attitudes and Lifestyles (Natsal-2 and Natsal-3).

Britain's second National Survey of Sexual Attitudes and Lifestyles (Natsal-2) was conducted in 1999-2001 and the third (Natsal-3) was conducted in 2010-2012 to update prevalence estimates of sexual behaviours and assess changes over time. We investigated whether there was a change in reporting bias between these two cross-sectional surveys