Ethnic variations in sexual partnerships and mixing, and their association with STI diagnosis: findings from a cross-sectional biobehavioural survey of attendees of sexual health clinics across England
| العنوان: | Ethnic variations in sexual partnerships and mixing, and their association with STI diagnosis: findings from a cross-sectional biobehavioural survey of attendees of sexual health clinics across England |
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| المؤلفون: | Stella M. Fabiane, Catherine H Mercer, Paula Blomquist, Gwenda Hughes, Sonali Wayal, Makeda Gerressu, Catherine R H Aicken |
| المصدر: | Sexually Transmitted Infections |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, Sexual health clinic, Casual, Adolescent, Epidemiology, Sexual Behavior, Population, Ethnic group, Sexually Transmitted Diseases, Black People, Dermatology, Logistic regression, infectious diseases, Risk Assessment, White People, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Ethnicity, Medicine, Humans, 030212 general & internal medicine, education, epidemiology (general), Reproductive health, education.field_of_study, 030505 public health, Trichomoniasis, business.industry, Attendance, sexual behaviour, Middle Aged, medicine.disease, Cross-Sectional Studies, England, Female, 0305 other medical science, business, Demography |
| الوصف: | ObjectivesEthnic differences in partnership types and sexual mixing patterns may contribute to elevated STI diagnosis rates among England’s Black Caribbean (BC) population. We examined the differences between BC and White British/Irish (WBI) sexual health clinic (SHC) attendees’ reported partnerships and sexual mixing, and whether these differences could explain ethnic inequalities in STI, focusing on attendees reporting only opposite-sex partners (past year).MethodsWe surveyed attendees at 16 SHCs across England (May to September 2016), and linked their survey responses to routinely collected data on diagnoses of bacterial STI or trichomoniasis ±6 weeks of clinic attendance (‘acute STI’). Behaviourally-heterosexual BC and WBI attendees (n=1790) reported details about their ≤3 most recent opposite-sex partners (past 3 months, n=2503). We compared BC and WBI attendees’ reported partnerships and mixing, in gender-stratified analyses, and used multivariable logistic regression to examine whether they independently explained differences in acute STI.ResultsWe observed differences by ethnic group. BC women’s partnerships were more likely than WBI women’s partnerships to involve age-mixing (≥5 years age difference; 31.6% vs 25.5% partnerships, p=0.013); BC men’s partnerships were more often ‘uncommitted regular’ (35.4% vs 20.7%) and less often casual (38.5% vs 53.1%) than WBI men’s partnerships (pConclusionWe found that differences in sexual partnerships and mixing do not appear to explain elevated risk of acute STI diagnosis among behaviourally-heterosexual BC women SHC attendees, but this may reflect the measures used. Better characterisation of ‘high transmission networks’ is needed, to improve our understanding of influences beyond the individual level, as part of endeavours to reduce population-level STI transmission. |
| وصف الملف: | application/pdf |
| تدمد: | 1472-3263 1368-4973 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f4f100e4f18809dc993431c77e17f488 https://pubmed.ncbi.nlm.nih.gov/31422350 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f4f100e4f18809dc993431c77e17f488 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14723263 13684973 |
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