Factors associated with genitourinary medicine clinic attendance and sexually transmitted infection diagnosis among central and east European migrants in London

Ar, Evans; Mercer, Catherine H; Parutis, Violetta; Hart, Graham; Mole, Richard; Gerry, Christopher J.; Fm, Burns

doi:10.1136/sti.2010.046839

Cited by 9 publications

(13 citation statements)

References 8 publications

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“…The subsequent full-text screening filtered out a further 50 publications to leave 23 articles. An editorial was excluded because it was not a research paper but this revealed three more studies [22][23][24] from a programme of work [25] on sexual risk-taking behaviour among Eastern European men that had already been included. Two other articles were also excluded as not being research papers.…”

Section: Resultsmentioning

confidence: 99%

Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review

Phung

Asghar

Matiti

et al. 2020

BMC Health Serv Res

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Background: The UK has experienced significant immigration from Eastern Europe following European Union (EU) expansion in 2004, which raises the importance of equity and equality for the recent immigrants. Previous research on ethnic health inequalities focused on established minority ethnic groups, whereas Eastern European migrants are a growing, but relatively under-researched group. We aimed to conduct a systematic scoping review of published literature on Eastern European migrants' use and experiences of UK health services. Methods: An initial search of nine databases produced 5997 relevant publications. Removing duplicates reduced the figure to 2198. Title and abstract screening left 73 publications. Full-text screening narrowed this down further to 10 articles, with three more from these publications to leave 13 included publications. We assessed publications for quality, extracted data and undertook a narrative synthesis.Results: The included publications most commonly studied sexual health and family planning services. For Eastern European migrants in the UK, the most commonly cited barriers to accessing and using healthcare were limited understanding of how the system worked and language difficulties. It was also common for migrants to return to their home country to a healthcare system they were familiar with, free from language barriers. Familial and social networks were valuable for patients with a limited command of English in the absence of suitable and available interpreting and translating services. Conclusions:To address limited understanding of the healthcare system and the English language, the NHS could produce information in all the Eastern European languages about how it operates. Adding nationality to the Electronic Patient Report Form (EPRF) may reveal the demand for interpretation and translation services. Eastern European migrants need to be encouraged to register with GPs to reduce A&E attendance for primary care conditions. Many of the issues raised will be relevant to other European countries since the long-term outcomes from Brexit are likely to influence the level of Eastern European and non-Eastern European migration across the continent, not just the UK.

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Section: Resultsmentioning

confidence: 99%

Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review

Phung

Asghar

Matiti

et al. 2020

BMC Health Serv Res

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“…(StatSoft Inc., Tulsa, OK, USA, 2016) and R (R version 3.0.2) software [23]. Our main outcomes were risky sexual behaviors in the UK:

unprotected sexual contact with a casual partner,

sexual contact after the use of alcohol or recreational drugs,

having multiple sexual partners.

in the context of:

the pre- and post- migration comparison (a McNemar’s test was utilized for assessing any significant differences between two correlated proportions, based on the same sample of subjects, i.e., risky sexual behavior in Poland and in the UK).

variables influencing these outcomes while in the UK.

…”

Section: Methodsmentioning

confidence: 99%

A Cross-Sectional Study on Selected Correlates of High risk Sexual Behavior in Polish Migrants Resident in the United Kingdom

Gańczak

Czubińska

Korzeń

et al. 2017

IJERPH

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Objective: To assess the correlates of the high risk sexual behaviors of Polish migrants in the United Kingdom (UK) after 2004, and to compare such behaviors before/after immigration. Methods: In 2013, a cross-sectional study was conducted through the use of a Computer-assisted web interviewing surveying technique with the use of a self-administered questionnaire. Results: Among 408 respondents (56.9% women), with a median age of 32 years, significantly more admitted to having unprotected sexual contact with a casual partner while in the UK (p < 0.0001) than while in Poland; more were engaged in sex after the use of recreational drugs and alcohol (p < 0.0001 and p = 0.001 respectively). Being a male was associated with greater odds of unprotected sex, sex after the use of alcohol, and having multiple partners. Being single and having only been a resident for a short time in the UK, presenting a lower self-esteem, were predictors of unprotected sex. A total of 19.6% of the respondents admitted to having been tested while in Poland, a lower (p < 0.0001) frequency than while in the UK (49.5%); this referred to both genders; 1.2% (95% CI: 0.79–2.83%) reported that they were HIV positive. Conclusions: Migration can create a vulnerability to STIs, especially for single male migrants with low self-esteem, staying in the UK for less than two years. The results point to strengthening strategies which help reduce high risk sexual behavior among Polish migrants, and to introduce interventions to promote an awareness of HIV sero-status.

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“…This study is part of the SALLEE (sexual attitudes and lifestyles of London's Eastern Europeans) project. Papers examining the sexual risk of CEE migrant men who have sex with men5 and CEE migrant attendance at genitourinary medicine clinics and STI diagnoses,6 which arise from this project as well, are also published in this issue of STI.…”

Section: Introductionmentioning

confidence: 99%

Sexual and HIV risk behaviour in Central and Eastern European migrants in London

Burns

Evans

Mercer

et al. 2011

Sexually Transmitted Infections

Self Cite

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Background Accession of 10 Central and Eastern European (CEE) countries to the EU resulted in the largest migratory influx in peacetime British history. No information exists on the sexual behaviour of CEE migrants within the UK. The aim of this study was to assess the sexual lifestyles and health service needs of these communities. Methods A survey, delivered electronically and available in 12 languages, of migrants from the 10 CEE accession countries recruited from community venues in London following extensive social mapping and via the Internet. Reported behaviours were compared with those from national probability survey data. Results 2648 CEE migrants completed the survey. Male CEE migrants reported higher rates of partner acquisition (adjusted OR (aOR) 2.1, 95% CI: 1.3 to 2.1) and paying for sex (aOR 3.2, 95% CI: 2.5 to 4.0), and both male and female CEE migrants reported more injecting drug use (men: aOR 2.2, 95% CI: 1.3 to 3.9; women: aOR 3.0, 95% CI 1.1 to 8.1), than the general population; however, CEE migrants were more likely to report more consistent condom use and lower reported diagnoses of sexually transmitted infections (STI). Just over 1% of respondents reported being HIV positive. Most men and a third of women were not registered for primary care in the UK. Discussion CEE migrants to London report high rates of behaviours associated with increased risk of HIV/STI acquisition and transmission. These results should inform service planning, identify where STI and HIV interventions should be targeted, and provide baseline data to help evaluate the effectiveness of such interventions.

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Factors associated with genitourinary medicine clinic attendance and sexually transmitted infection diagnosis among central and east European migrants in London

Cited by 9 publications

References 8 publications

Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review

Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review

A Cross-Sectional Study on Selected Correlates of High risk Sexual Behavior in Polish Migrants Resident in the United Kingdom

Sexual and HIV risk behaviour in Central and Eastern European migrants in London

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