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Background: Swingers, heterosexuals who, as couples, practice mate swapping or group sex with other couples or heterosexual singles, are at risk for sexually transmitted infections STIs. Therefore, the aim of this study was to assess changes in sexual behaviour and STI testing behaviour, as well as predictors of STI testing. Methods: Two cross-sectional studies were performed, using the same internet survey in and For trend analysis, sexual behaviour and STI testing behaviour were used.

Socio-demographics, swinger characteristics, sexual behaviour, and psycho-social variables were used to assess predictors of STI testing in the past year, using multivariable regression analysis. Results: A total of participants completed the survey in , and in Conclusions: Swingers exhibit self-selection for STI testing based on their sexual behaviour.

However, STI prevention efforts are still important considering the increasing numbers of reported STIs, the decreased use of condom use, and the one-third of swingers who were not tested in the previous year. Abstract Background: Swingers, heterosexuals who, as couples, practice mate swapping or group sex with other couples or heterosexual singles, are at risk for sexually transmitted infections STIs. Grants and funding.