Background There is evidence to suggest that Asian women in the UK have specific contraceptive and sexual health needs. It has been reported that Asian women may use less reliable contraceptive methods and that cultural influences can affect access to sexual health services. As part of a wider needs assessment project we compared Asian women's usage of our specialist Contraception, Sexual and Reproductive Health Services to that of nonAsian women.Methods An anonymous questionnaire was offered to all service users between October and December 2007. Data were analysed separately for Asian and non-Asian women.
ResultsThe response rate was low for Asian women with only 26% completing questionnaires. There were no significant differences between the groups for proportions of women attending for each contraceptive method. A smaller proportion of Asian women were using the service for contraception and a greater proportion were attending for other sexual health reasons compared to non-Asian women. Confidentiality, female staff and not wanting to see their general practitioner were stated more often as reasons for using our service by Asian women.
137
ConclusionsThe National Strategy for Sexual Health and HIV emphasises the need for services targeted at ethnic minorities. Asian women use our clinics for a variety of their sexual health needs. Our service is used by some in preference to general practice, which may reflect ease of access and the perceived confidentiality that a dedicated Contraception and Sexual Health Service offers. These preferences should be considered by primary care trusts when commissioning services.Keywords Asian, contraception, ethnicity, service provision, sexual health Rutland, which offer level 2 services. In order to improve our service we conducted a needs assessment project in 2007 to determine who was using our service; what for; reasons why; and customer preferences. In view of the high proportion of Asian women in Leicester it was deemed useful to conduct a subanalysis comparing the findings for Asian service users to non-Asian for our central level 3 clinic. The aim of this analysis was to ascertain any differences between the groups and identify specific needs in order to guide service improvement, development and commissioning.
MethodsAn anonymous and voluntary needs assessment questionnaire was offered to service users attending all clinics for a 6-week period between October and December 2007. Questionnaires were double-sided with minimum free text to facilitate ease of response. Demographic factors of age and ethnic group were collected. Reasons for attending clinic were recorded and included both contraceptive and non-contraceptive indications. Contraceptive reasons included any visit relating to the currently available individual contraceptive methods. Further questions addressed reasons for using the service, incorporating preferences for not being seen in general practice. Views on ideal opening times and clinic types were requested. All users were asked if they were h...