Evidence map›Paper›PMID 41761163›Full record

ArticleBMC public health2026

Findings from a transformer-based prediction model: social norms and confidentiality are associated with STIs risk in British men and women.

Wei Yu, Yijin Chen, Bingyang Liu, Endai Huang, Fei Guo

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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Wei Yu *Ningbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, 315040, China.
Yijin Chen *Ningbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, 315040, China.
Bingyang LiuNingbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, 315040, China.
Endai HuangResearch Institute of Medical and Biological Engineering, Ningbo University, Ningbo, Zhejiang, 315040, China.
Fei GuoNingbo Institute of Innovation for Combined Medicine and Engineering (NIIME), The affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, 315040, China. lhlguofei@nbu.edu.cn.

Funding

The Doctoral Development Foundation of Lihuili Hospital 2021BSKY-GF
6 · The paper itself

Abstract

backgroundWomen were disproportionately affected by sexually transmitted infections (STIs), both physically and psychologically. The underlying reasons are likely multifaceted, ranging from individual behavior to relationship power, gender norms, and economic inequities. This study aims to identify predictors of STIs risk in women and men and to explore gender differences in the behavioral patterns that may contribute to STIs risk.

methodsWe analyzed the data from the third United Kingdom National Survey of Sexual Attitudes and Lifestyles, including 15,162 participants aged 16–74 from 2010 to 2012. According to the five levels of individual, interpersonal, community, institutional, and structural in the socio-ecological model (SEM), we selected 119 features from the dataset. Then we applied three deep learning algorithms and two traditional machine learning algorithms to address the influential factors of STIs. To evaluate the performance, we computed the metrics such as the area under the receiver operating characteristic curve (AUC), accuracy, precision, and recall. The results interpretation of the best model is based on feature importance analysis within the context of SEM.

resultsThe tabular transformer model, FT-transformer, demonstrated excellent performance in predicting STIs risk in British males (AUC = 0.843, Accuracy = 87.0%) and females (AUC = 0.879, Accuracy = 87.5%) among five models. The top 10 influential factors to predict STIs risk for British males and females are different. The most influential factor for males is perceived social norms, and for females is guaranteed confidentiality.

conclusionThe high accuracy of the transformer model in predicting STIs risk highlights the need to use multi-level factors to identify gender-specific risk factors, which could be used in the future to formulate gender-tailored interventions in STIs prevention, diagnosis, and treatment.

Indexed as

ConfidentialitySexually Transmitted DiseasesSocial NormsAdolescentAdultAgedFemaleHumansMaleMiddle AgedPrediction AlgorithmsPredictive Learning ModelsRisk AssessmentRisk FactorsSex FactorsSexual BehaviorDeep learningNatsal-3Predictive modelSexually transmitted infections

Identifiers

PMID41761163
PMCPMC13049863

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.