The importance of distinguishing between black Caribbeans and Africans in understanding sexual risk and care-seeking behaviours for sexually transmitted infections: evidence from a large survey of people attending genitourinary medicine clinics in England

Gerressu, Makeda; Mercer, Catherine H; Cassell, Jackie A; Brook, Gary; Dave, S S

doi:10.1093/pubmed/fds007

Cited by 15 publications

(25 citation statements)

References 16 publications

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“…Some of those findings are consistent with previous studies in London and elsewhere in England (16)(17)(18)(19)(20), although few specifically looked at patterns of STI care for gonorrhoea and few addressed GUM access for the population as a whole, focusing instead on particular population groups such as teenagers, 16 MSM 17,18 or black ethnic minority groups. 19 The finding that MSM tend to travel to non-local services is consistent with studies on HIV care in London and elsewhere in England, the majority of whom are MSM.…”

Section: Discussionsupporting

confidence: 86%

“…19 The finding that MSM tend to travel to non-local services is consistent with studies on HIV care in London and elsewhere in England, the majority of whom are MSM. 17 Our results suggest that local service access could be improved by adapting opening hours, consultation modes and services targeting particular population groups such as young people.…”

Section: Discussionsupporting

confidence: 79%

See 1 more Smart Citation

Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009–10

Waroux

Hughes²,

Maguire

et al. 2013

Int J STD AIDS

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We analysed factors associated with travelling to non-local genitourinary medicine clinics for gonorrhoea care in London. We used surveillance data on London residents attending genitourinary medicine clinics in 2009-10 and calculated distances between patients' areas of residence and both the nearest genitourinary medicine clinic and the clinic attended. Non-local clinics were attended by 5408 (46.7%) patients. Men having sex with men attended non-local services more than heterosexuals (OR 3.83, p < 0.001). Among heterosexual men, black Africans and black Caribbeans were more likely, and South Asians less likely, to attend non-local services compared to whites (OR [95%CI] 1.33 [1.04-1.72], 1.36 [1.11-1.67] and 0.46 [0.31-0.70] respectively). Similar associations, although not statistically significant, were found in women. People were more likely to attend local services if their local clinic provided walk-in and young people's services, weekend consultations and long opening hours. These findings could help design services meeting local population needs and facilitate prompt and equitable access to care.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 79%

Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009–10

Waroux

Hughes²,

Maguire

et al. 2013

Int J STD AIDS

View full text Add to dashboard Cite

show abstract

“…African-descended groups in the UK (primarily people with origins in Africa and the Caribbean) experience poorer outcomes against a number of key social and health indicators. [8][9][10][11][12] They are more likely to be diagnosed with psychotic illnesses and are over-represented in inpatient psychiatric services. 13 There is also evidence that they are confronted with ethnically based prejudice and discrimination by health professionals.…”

Section: Mental Illness In Minority Groupsmentioning

confidence: 99%

“…African‐descended groups in the UK (primarily people with origins in Africa and the Caribbean) experience poorer outcomes against a number of key social and health indicators . They are more likely to be diagnosed with psychotic illnesses and are over‐represented in inpatient psychiatric services .…”

Section: Introductionmentioning

confidence: 99%

Exploring the relationship between stigma and help‐seeking for mental illness in African‐descended faith communities in the UK

Mantovani

Pizzolati

Edge

2016

Health Expectations

104

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BackgroundStigma related to mental illness affects all ethnic groups, contributing to the production and maintenance of mental illness and restricting access to care and support. However, stigma is especially prevalent in minority communities, thus potentially increasing ethnically based disparities. Little is known of the links between stigma and help‐seeking for mental illness in African‐descended populations in the UK.Objective and study designBuilding on the evidence that faith‐based organizations (FBOs) can aid the development of effective public health strategies, this qualitative study used semi‐structured interviews with faith groups to explore the complex ways in which stigma influences help‐seeking for mental illness in African‐descended communities. A thematic approach to data analysis was applied to the entire data set.Setting and participantsTwenty‐six men and women who had varying levels of involvement with Christian FBOs in south London were interviewed (e.g. six faith leaders, thirteen ‘active members’ and seven ‘regular attendees’).ResultsKey factors influencing help‐seeking behaviour were as follows: beliefs about the causes of mental illness; ‘silencing’ of mental illness resulting from heightened levels of ideological stigma; and stigma (re)production and maintenance at community level. Individuals with a diagnosis of mental illness were likely to experience a triple jeopardy in terms of stigma.Discussion and conclusion‘One‐size‐fits‐all’ approaches cannot effectively meet the needs of diverse populations. To ensure that services are more congruent with their needs, health and care organizations should enable service users, families and community members to become active creators of interventions to remove barriers to help‐seeking for mental illness.

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“…Further investigation of behavioural factors may explain the differences in STI risk by region of birth. The potential role of partnership concurrency in maintaining high rates of bacterial STIs in BC populations has been documented [25][26][27]. It is possible that the differences in the risk of STIs by region of birth are related to different background prevalence of different STIs in different countries [10], and perhaps Caribbean-born who are residents in the UK travel more frequently to the Caribbean than the UK-born BC people, therefore more likely to be exposed there.…”

Section: Discussionmentioning

confidence: 99%

The association between region of birth and sexually transmitted infections among people of black Caribbean ethnicity attending sexual health services in England, 2015

et al. 2020

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Background/Introduction In England, people of Black Caribbean (BC) ethnicity are disproportionately affected by sexually transmitted infections (STIs), but it is unclear whether this varies by their region of birth. Aim(s)/Objectives To examine differences in STI diagnoses among UK-and Caribbean-born BC people. Methods Data on STI diagnoses in BC people attending specialist sexual health services (SHSs) during 2015 and living in England were obtained from the GUMCAD STI surveillance system, the national surveillance system for STIs in England. Associations between being UK-or Caribbean-born and each of several STI diagnoses were examined, using univariate and multivariable generalised estimated equations logistic regression models adjusted for sexual orientation, place of residence (London vs. non-London), HIV status, area-level deprivation, and STI diagnosis in the last year. All analyses were stratified by age (<25 vs. �25 years). Results In 2015, 63,568 BC people made 108,881 attendances at specialist SHSs; 81.9% of these attendances were made by UK-born BCs. The median age (years) was 26 for UK-born and 35 for Caribbean-born people (p�0.001). Chlamydia, gonorrhoea and non-specific genital infection (NSGI) were the most commonly diagnosed STIs among UK-(5.8%, 2.1% and 2.8%) and Caribbean-born people (4.5%, 1.7% and 3.5%) respectively. Among BCs aged

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The importance of distinguishing between black Caribbeans and Africans in understanding sexual risk and care-seeking behaviours for sexually transmitted infections: evidence from a large survey of people attending genitourinary medicine clinics in England

Abstract: Our analyses highlight the importance of distinguishing between black ethnic groups and the need for future studies to ensure sufficiently large samples to permit such analyses.

Cited by 15 publications

References 16 publications

Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009–10

Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009–10

Exploring the relationship between stigma and help‐seeking for mental illness in African‐descended faith communities in the UK

The association between region of birth and sexually transmitted infections among people of black Caribbean ethnicity attending sexual health services in England, 2015

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