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

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. To examine differences in STI diagnoses among UK- and Caribbean-born BC people. Data on STI diagnoses in BC...

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Published in:PloS one 2020-02, Vol.15 (2), p.e0228654-e0228654
Main Authors: Harb, Ana K, Mohammed, Hamish, Furegato, Martina, Wayal, Sonali, Mercer, Catherine H, Hughes, Gwenda
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Analysis
Birth
Caribbean Region
Chlamydia
Deprivation
Disease transmission
Ethnicity
Facilities and Services Utilization - statistics & numerical data
Female
Gender
Genital herpes
Gonorrhea
Health aspects
Health care industry
Health services
Health surveillance
Herpesvirus infections
HIV
Human immunodeficiency virus
Humans
Infections
Intelligence gathering
Male
Medical diagnosis
Medical research
Medicine and health sciences
Minority & ethnic groups
People and places
Population
Public health
Regression analysis
Regression models
Sexual behavior
Sexual health
Sexual identity
Sexual orientation
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - ethnology
Social organization
Sociodemographics
STD
Surveillance
Surveillance equipment
Syphilis
Transients and Migrants - statistics & numerical data
Trichomoniasis
United Kingdom
Warts
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cited_by cdi_FETCH-LOGICAL-c692t-d97b4eff1abb1fe52ec18e11dcea14fabd48985b52bc34e8ab77b0c9cd0230083
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creator Harb, Ana K
Mohammed, Hamish
Furegato, Martina
Wayal, Sonali
Mercer, Catherine H
Hughes, Gwenda
description 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. To examine differences in STI diagnoses among UK- and Caribbean-born BC people. 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 (
doi_str_mv 10.1371/journal.pone.0228654
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To examine differences in STI diagnoses among UK- and Caribbean-born BC people. 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 (&lt;25 vs. ≥25 years). 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 under 25, no significant differences in STIs were found between UK- and Caribbean-born people. Among BCs aged ≥25, compared to Caribbean-born people, those who were UK-born were more likely to be diagnosed with chlamydia (AOR 1.15 [95%C.I. 1.04-1.27]); gonorrhoea (AOR 1.23 [95%C.I. 1.06-1.45]) and genital herpes (AOR 1.23 [95% C.I. 1.10-1.56]) and less likely to be diagnosed with NSGI (AOR 0.89 [95% C.I. 0.80-0.99]) and Trichomoniasis (AOR 0.84 [95% C.I. 0.71-0.99]). STI diagnoses in BC people aged ≥25 attending specialist SHSs vary by region of birth. 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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 under 25, no significant differences in STIs were found between UK- and Caribbean-born people. Among BCs aged ≥25, compared to Caribbean-born people, those who were UK-born were more likely to be diagnosed with chlamydia (AOR 1.15 [95%C.I. 1.04-1.27]); gonorrhoea (AOR 1.23 [95%C.I. 1.06-1.45]) and genital herpes (AOR 1.23 [95% C.I. 1.10-1.56]) and less likely to be diagnosed with NSGI (AOR 0.89 [95% C.I. 0.80-0.99]) and Trichomoniasis (AOR 0.84 [95% C.I. 0.71-0.99]). STI diagnoses in BC people aged ≥25 attending specialist SHSs vary by region of birth. Country of birth may have an influence on social and sexual networks and therefore transmission of STIs.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Analysis</subject><subject>Birth</subject><subject>Caribbean Region</subject><subject>Chlamydia</subject><subject>Deprivation</subject><subject>Disease transmission</subject><subject>Ethnicity</subject><subject>Facilities and Services Utilization - statistics &amp; numerical data</subject><subject>Female</subject><subject>Gender</subject><subject>Genital herpes</subject><subject>Gonorrhea</subject><subject>Health aspects</subject><subject>Health care industry</subject><subject>Health services</subject><subject>Health surveillance</subject><subject>Herpesvirus infections</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Intelligence gathering</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical research</subject><subject>Medicine and health sciences</subject><subject>Minority &amp; 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Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agriculture Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harb, Ana K</au><au>Mohammed, Hamish</au><au>Furegato, Martina</au><au>Wayal, Sonali</au><au>Mercer, Catherine H</au><au>Hughes, Gwenda</au><au>Peters, Remco PH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between region of birth and sexually transmitted infections among people of black Caribbean ethnicity attending sexual health services in England, 2015</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-02-21</date><risdate>2020</risdate><volume>15</volume><issue>2</issue><spage>e0228654</spage><epage>e0228654</epage><pages>e0228654-e0228654</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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. To examine differences in STI diagnoses among UK- and Caribbean-born BC people. 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 (&lt;25 vs. ≥25 years). 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 under 25, no significant differences in STIs were found between UK- and Caribbean-born people. Among BCs aged ≥25, compared to Caribbean-born people, those who were UK-born were more likely to be diagnosed with chlamydia (AOR 1.15 [95%C.I. 1.04-1.27]); gonorrhoea (AOR 1.23 [95%C.I. 1.06-1.45]) and genital herpes (AOR 1.23 [95% C.I. 1.10-1.56]) and less likely to be diagnosed with NSGI (AOR 0.89 [95% C.I. 0.80-0.99]) and Trichomoniasis (AOR 0.84 [95% C.I. 0.71-0.99]). STI diagnoses in BC people aged ≥25 attending specialist SHSs vary by region of birth. Country of birth may have an influence on social and sexual networks and therefore transmission of STIs.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32084155</pmid><doi>10.1371/journal.pone.0228654</doi><tpages>e0228654</tpages><orcidid>https://orcid.org/0000-0003-2090-7702</orcidid><orcidid>https://orcid.org/0000-0001-8188-225X</orcidid><oa>free_for_read</oa></addata></record>
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issn 1932-6203
1932-6203
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source Open Access: PubMed Central; Publicly Available Content Database
subjects Adolescent
Adult
Age
Analysis
Birth
Caribbean Region
Chlamydia
Deprivation
Disease transmission
Ethnicity
Facilities and Services Utilization - statistics & numerical data
Female
Gender
Genital herpes
Gonorrhea
Health aspects
Health care industry
Health services
Health surveillance
Herpesvirus infections
HIV
Human immunodeficiency virus
Humans
Infections
Intelligence gathering
Male
Medical diagnosis
Medical research
Medicine and health sciences
Minority & ethnic groups
People and places
Population
Public health
Regression analysis
Regression models
Sexual behavior
Sexual health
Sexual identity
Sexual orientation
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - ethnology
Social organization
Sociodemographics
STD
Surveillance
Surveillance equipment
Syphilis
Transients and Migrants - statistics & numerical data
Trichomoniasis
United Kingdom
Warts
title 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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