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Ethnicity and sexual risk in heterosexual people attending sexual health clinics in England: a cross-sectional, self-administered questionnaire study.

Coyle, RM; Miltz, AR; Lampe, FC; Sewell, J; Phillips, AN; Speakman, A; Dhar, J; Sherr, L; Sadiq, ST; Taylor, S; et al. Coyle, RM; Miltz, AR; Lampe, FC; Sewell, J; Phillips, AN; Speakman, A; Dhar, J; Sherr, L; Sadiq, ST; Taylor, S; Ivens, DR; Collins, S; Elford, J; Anderson, J; Rodger, A; AURAH Study Group (2018) Ethnicity and sexual risk in heterosexual people attending sexual health clinics in England: a cross-sectional, self-administered questionnaire study. Sex Transm Infect, 94 (5). pp. 384-391. ISSN 1472-3263 https://doi.org/10.1136/sextrans-2017-053308
SGUL Authors: Sadiq, Syed Tariq

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Abstract

OBJECTIVES: In the UK, people of black ethnicity experience a disproportionate burden of HIV and STI. We aimed to assess the association of ethnicity with sexual behaviour and sexual health among women and heterosexual men attending genitourinary medicine (GUM) clinics in England. METHODS: The Attitudes to and Understanding of Risk of Acquisition of HIV is a cross-sectional, self-administered questionnaire study of HIV negative people recruited from 20 GUM clinics in England, 2013-2014. Modified Poisson regression with robust SEs was used to calculate adjusted prevalence ratios (aPR) for the association between ethnicity and various sexual risk behaviours, adjusted for age, study region, education and relationship status. RESULTS: Questionnaires were completed by 1146 individuals, 676 women and 470 heterosexual men. Ethnicity was recorded for 1131 (98.8%) participants: 550 (48.6%) black/mixed African, 168 (14.9%) black/mixed Caribbean, 308 (27.2%) white ethnic groups, 105 (9.3%) other ethnicity. Compared with women from white ethnic groups, black/mixed African women were less likely to report condomless sex with a non-regular partner (aPR (95% CI) 0.67 (0.51 to 0.88)), black/mixed African and black/mixed Caribbean women were less likely to report two or more new partners (0.42 (0.32 to 0.55) and 0.44 (0.29 to 0.65), respectively), and black/mixed Caribbean women were more likely to report an STI diagnosis (1.56 (1.00 to 2.42)). Compared with men from white ethnic groups, black/mixed Caribbean men were more likely to report an STI diagnosis (1.91 (1.20 to 3.04)), but did not report risk behaviours more frequently. Men and women of black/mixed Caribbean ethnicity remained more likely to report STI history after adjustment for sexual risk behaviours. DISCUSSION: Risk behaviours were reported less frequently by women of black ethnicity; however, history of STI was more prevalent among black/mixed Caribbean women. In black/mixed Caribbean men, higher STI history was not explained by ethnic variation in reported risk behaviours. The association between STI and black/mixed Caribbean ethnicity remained after adjustment for risk behaviours.

Item Type: Article
Additional Information: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
Keywords: ethnic groups, sexual behaviour, sexual networks, sexually transmitted diseases, Public Health, 1103 Clinical Sciences, 1117 Public Health And Health Services, 1108 Medical Microbiology
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: Sex Transm Infect
ISSN: 1472-3263
Language: eng
Dates:
DateEvent
August 2018Published
8 March 2018Published Online
22 December 2017Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
RP-PG-0608-10142National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
PubMed ID: 29519911
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/109835
Publisher's version: https://doi.org/10.1136/sextrans-2017-053308

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