Please use this identifier to cite or link to this item:
https://observatorio.fm.usp.br/handle/OPI/34128
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | AICKEN, Catherine R. H. | |
dc.contributor.author | WAYAL, Sonali | |
dc.contributor.author | BLOMQUIST, Paula B. | |
dc.contributor.author | FABIANE, Stella M. | |
dc.contributor.author | GERRESSU, Makeda | |
dc.contributor.author | HUGHES, Gwenda | |
dc.contributor.author | MERCER, Catherine H. | |
dc.date.accessioned | 2019-11-06T18:50:28Z | |
dc.date.available | 2019-11-06T18:50:28Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | BMC HEALTH SERVICES RESEARCH, v.19, n.1, article ID 668, 13p, 2019 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/34128 | |
dc.description.abstract | Background In England, people of Black Caribbean (BC) ethnicity are disproportionately affected by sexually transmitted infections (STI). We examined whether differences in sexual healthcare behaviours contribute to these inequalities. Methods We purposively selected 16 sexual health clinics across England with high proportions of attendees of BC ethnicity. During May-September 2016, attendees at these clinics (of all ethnicities) completed an online survey that collected data on health service use and sexual behaviour. We individually linked these data to routinely-collected surveillance data. We then used multivariable logistic regression to compare reported behaviours among BC and White British/Irish (WBI) attendees (n = 627, n = 1411 respectively) separately for women and men, and to make comparisons by gender within these ethnic groups. Results BC women's sexual health clinic attendances were more commonly related to recent bacterial STI diagnoses, compared to WBI women's attendances (adjusted odds ratio, AOR 3.54, 95% CI 1.45-8.64, p = 0.009; no gender difference among BC attendees), while BC men were more likely than WBI men (and BC women) to report attending because of a partner's symptoms or diagnosis (AOR 1.82, 95% CI 1.14-2.90; AOR BC men compared with BC women: 4.36, 95% CI 1.42-13.34, p = 0.014). Among symptomatic attendees, BC women were less likely than WBI women to report care-seeking elsewhere before attending the sexual health clinic (AOR 0.60, 95% CI 0.38-0.97, p = 0.039). No ethnic differences, or gender differences among BC attendees, were observed in symptom duration, or reporting sex whilst symptomatic. Among those reporting previous diagnoses with or treatment for bacterial STI, no differences were observed in partner notification. Conclusions Differences in STI diagnosis rates observed between BC and WBI ethnic groups were not explained by the few ethnic differences which we identified in sexual healthcare-seeking and use. As changes take place in service delivery, prompt clinic access must be maintained - and indeed facilitated - for those at greatest risk of STI, regardless of ethnicity. | eng |
dc.description.sponsorship | National Institute for Health Research Health Protection Research Units (NIHR HPRU) funding programme - NIHR HPRU in Blood Borne and Sexually Transmitted Infections at UCL | |
dc.description.sponsorship | Public Health England (PHE) | |
dc.description.sponsorship | London School of Hygiene and Tropical Medicine | |
dc.language.iso | eng | |
dc.publisher | BMC | eng |
dc.relation.ispartof | BMC Health Services Research | |
dc.rights | openAccess | eng |
dc.subject | Ethnicity | eng |
dc.subject | Black Caribbean | eng |
dc.subject | Sexually transmitted infections | eng |
dc.subject | Health inequalities | eng |
dc.subject | Sexual health clinics | eng |
dc.subject | Healthcare behaviour | eng |
dc.subject | Health behaviour | eng |
dc.subject.other | genitourinary medicine clinics | eng |
dc.subject.other | transmitted infections | eng |
dc.subject.other | ethnic variations | eng |
dc.subject.other | risk behaviors | eng |
dc.subject.other | gonorrhea | eng |
dc.subject.other | britain | eng |
dc.subject.other | rates | eng |
dc.subject.other | chlamydia | eng |
dc.subject.other | provision | eng |
dc.subject.other | attitudes | eng |
dc.title | Pathways to, and use of, sexual healthcare among Black Caribbean sexual health clinic attendees in England: evidence from cross-sectional bio-behavioural surveys | eng |
dc.type | article | eng |
dc.rights.holder | Copyright BMC | eng |
dc.identifier.doi | 10.1186/s12913-019-4396-3 | |
dc.identifier.pmid | 31533716 | |
dc.subject.wos | Health Care Sciences & Services | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.author.external | AICKEN, Catherine R. H.:UCL, Ctr Populat Res Sexual Hlth & HIV, Inst Global Hlth, Mortimer Market Ctr, London WC1E 6JB, England; London Sch Hyg & Trop Med, Natl Inst Hlth Res Hlth Protect Res Unit NIHR HPR, PHE, London, England; Univ Brighton, Sch Hlth Sci, Village Way, Brighton BN1 9PH, E Sussex, England | |
hcfmusp.author.external | WAYAL, Sonali:UCL, Ctr Populat Res Sexual Hlth & HIV, Inst Global Hlth, Mortimer Market Ctr, London WC1E 6JB, England; London Sch Hyg & Trop Med, Natl Inst Hlth Res Hlth Protect Res Unit NIHR HPR, PHE, London, England | |
hcfmusp.author.external | BLOMQUIST, Paula B.:PHE, HIV & STI Dept, Ctr Infect Dis Surveillance & Control, 61 Colindale Ave, London NW9 5EQ, England; London Sch Hyg & Trop Med, Natl Inst Hlth Res Hlth Protect Res Unit NIHR HPR, PHE, London, England | |
hcfmusp.author.external | FABIANE, Stella M.:UCL, Ctr Populat Res Sexual Hlth & HIV, Inst Global Hlth, Mortimer Market Ctr, London WC1E 6JB, England; London Sch Hyg & Trop Med, Natl Inst Hlth Res Hlth Protect Res Unit NIHR HPR, PHE, London, England | |
hcfmusp.author.external | GERRESSU, Makeda:UCL, Ctr Populat Res Sexual Hlth & HIV, Inst Global Hlth, Mortimer Market Ctr, London WC1E 6JB, England | |
hcfmusp.author.external | MERCER, Catherine H.:UCL, Ctr Populat Res Sexual Hlth & HIV, Inst Global Hlth, Mortimer Market Ctr, London WC1E 6JB, England; London Sch Hyg & Trop Med, Natl Inst Hlth Res Hlth Protect Res Unit NIHR HPR, PHE, London, England | |
hcfmusp.description.articlenumber | 668 | |
hcfmusp.description.issue | 1 | |
hcfmusp.description.volume | 19 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000487103800001 | |
hcfmusp.origem.id | 2-s2.0-85072394271 | |
hcfmusp.publisher.city | LONDON | eng |
hcfmusp.publisher.country | ENGLAND | eng |
hcfmusp.relation.reference | Aicken CRH, 2011, BMC HEALTH SERV RES, V11, DOI 10.1186/1472-6963-11-30 | eng |
hcfmusp.relation.reference | Aicken Catherine Rh, 2019, Sex Transm Infect, DOI 10.1136/sextrans-2018-053739 | eng |
hcfmusp.relation.reference | Aicken CRH., 2018, REMOTE SELF TESTING | eng |
hcfmusp.relation.reference | [Anonymous], 2016, LOND SEX HLTH TRANSF | eng |
hcfmusp.relation.reference | Bhopal R, 1997, BRIT MED J, V314, P1751, DOI 10.1136/bmj.314.7096.1751 | eng |
hcfmusp.relation.reference | Clifton Soazig, 2018, EClinicalMedicine, V2-3, P29, DOI 10.1016/j.eclinm.2018.08.001 | eng |
hcfmusp.relation.reference | Clifton S, 2017, SEX TRANSM INFECT, V93, P276, DOI 10.1136/sextrans-2016-052719 | eng |
hcfmusp.relation.reference | Coleman Lester, 2006, Sex Health, V3, P169, DOI 10.1071/SH06004 | eng |
hcfmusp.relation.reference | Connell P M C., 2001, CULTURE HLTH SEXUALI, V3, P311 | eng |
hcfmusp.relation.reference | Dabrera G, 2013, INT J STD AIDS, V24, P233, DOI 10.1177/0956462412472449 | eng |
hcfmusp.relation.reference | Evans B, 2001, SEX TRANSM INFECT, V77, P390, DOI 10.1136/sti.77.5.390-c | eng |
hcfmusp.relation.reference | Fenton KA, 2005, LANCET, V365, P1246, DOI 10.1016/S0140-6736(05)74813-3 | eng |
hcfmusp.relation.reference | Furegato M, 2016, EPIDEMIOL INFECT, V144, P3253, DOI 10.1017/S0950268816001679 | eng |
hcfmusp.relation.reference | Gerressu M, 2012, J PUBLIC HEALTH-UK, V34, P411, DOI 10.1093/pubmed/fds007 | eng |
hcfmusp.relation.reference | Gerver SM, 2011, INT J STD AIDS, V22, P85, DOI 10.1258/ijsa.2010.010301 | eng |
hcfmusp.relation.reference | Hughes G, 2000, SEX TRANSM INFECT, V76, P18, DOI 10.1136/sti.76.1.18 | eng |
hcfmusp.relation.reference | Johnson AM, 2001, AIDS, V15, P111, DOI 10.1097/00002030-200101050-00016 | eng |
hcfmusp.relation.reference | Karlsen S, 2002, SOCIOL HEALTH ILL, V24, P1, DOI 10.1111/1467-9566.00001 | eng |
hcfmusp.relation.reference | Low N, 2001, SEX TRANSM INFECT, V77, P15, DOI 10.1136/sti.77.1.15 | eng |
hcfmusp.relation.reference | Mathews C, 2009, BMJ CLIN EVID, V2009, P1605 | eng |
hcfmusp.relation.reference | McClean H, 2013, INT J STD AIDS, V24, P253, DOI 10.1177/0956462412472804 | eng |
hcfmusp.relation.reference | Mercer CH, 2013, INT J STD AIDS, V24, P110, DOI 10.1177/0956462412472301 | eng |
hcfmusp.relation.reference | Mercer CH, 2007, SEX TRANSM INFECT, V83, P400, DOI 10.1136/sti.2006.024554 | eng |
hcfmusp.relation.reference | Mercer CH, 2012, SEX TRANSM INFECT, V88, P9, DOI 10.1136/sextrans-2011-050257 | eng |
hcfmusp.relation.reference | Office for National Statistics, 2015, 2011 CENS AN ETHN RE | eng |
hcfmusp.relation.reference | Office of National Statistics, 2012, ETHN NAT ID ENGL WAL | eng |
hcfmusp.relation.reference | PHE, 2019, HLTH PROTECTION REPO, V13, P1 | eng |
hcfmusp.relation.reference | Prescott T, 2015, SEX TRANSM INFECT, V91, pA6, DOI 10.1136/sextrans-2015-052126.16 | eng |
hcfmusp.relation.reference | Richens J, 2010, SEX TRANSM INFECT, V86, P310, DOI 10.1136/sti.2010.043422 | eng |
hcfmusp.relation.reference | Robertson R., 2017, UNDERSTANDING NHS FI | eng |
hcfmusp.relation.reference | Sonnenberg P, 2013, LANCET, V382, P1795, DOI 10.1016/S0140-6736(13)61947-9 | eng |
hcfmusp.relation.reference | Tanton C, 2018, SEX TRANSM INFECT, V94, P267, DOI 10.1136/sextrans-2017-053193 | eng |
hcfmusp.relation.reference | Wayal S, BMC PUBLIC HLTH | eng |
hcfmusp.relation.reference | Wayal S, 2018, PLOS ONE, V13, DOI 10.1371/journal.pone.0208315 | eng |
hcfmusp.relation.reference | Wayal Sonali, 2018, JMIR Public Health Surveill, V4, pe52, DOI 10.2196/publichealth.9010 | eng |
hcfmusp.relation.reference | Wayal S, 2017, LANCET PUBLIC HEALTH, V2, pE458, DOI 10.1016/S2468-2667(17)30159-7 | eng |
hcfmusp.relation.reference | White PJ, 2005, J INFECT DIS, V192, P824, DOI 10.1086/432004 | eng |
dc.description.index | MEDLINE | eng |
dc.identifier.eissn | 1472-6963 | |
hcfmusp.citation.scopus | 5 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/Outros Artigos e Materiais de Revistas Científicas - ODS/03 Artigos e Materiais de Revistas Científicas - ODS/05 Artigos e Materiais de Revistas Científicas - ODS/10 |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
art_AICKEN_Pathways_to_and_use_of_sexual_healthcare_among_2019.PDF | publishedVersion (English) | 831.95 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.