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How and why do South Asians attend GUM clinics? Evidence from contrasting GUM clinics across England
  1. Jyoti Dhar1,
  2. Catherine A Griffiths2,
  3. Jackie A Cassell3,
  4. Lorna Sutcliffe4,
  5. Gary M Brook5,
  6. Catherine H Mercer2
  1. 1Department of Genitourinary Medicine, Leicester Royal Infirmary, Leicester, UK
  2. 2Centre for Sexual Health and HIV Research, Research Department of Infection & Population Health, University College London, Mortimer Market Centre, London, UK
  3. 3Brighton and Sussex Medical School, Mayfield House, University of Brighton, Falmer, Brighton, UK
  4. 4Centre for Infectious Disease: Sexual Health and HIV, Barts and the London School of Medicine and Dentistry, Barts Sexual Health Centre, St Bartholomew's Hospital, London, UK
  5. 5Patrick Clements Clinic, North West London Hospitals NHS Trust, London, UK
  1. Correspondence to Dr Jyoti Dhar, Department of Genitourinary Medicine, Jarvis Building, Leicester Royal Infirmary, Leicester LE1 5WW, UK; jyoti.dhar{at}uhl-tr.nhs.uk

Abstract

Background Improving access to sexual healthcare is a priority in the UK, especially for ethnic minorities. Though South Asians in the UK report low levels of sexual ill health, few data exist regarding their use of genitourinary medicine (GUM) services.

Objectives To describe reasons for attendance at GUM clinics among individuals of South Asian origin relative to patients of other ethnicities.

Methods 4600 new attendees (5% South Asian; n=226) at seven sociodemographically and geographically contrasting GUM clinics across England completed a questionnaire between October 2004 and March 2005, which were linked to routine clinical data.

Results South Asians were more likely than other groups to be signposted to the GUM clinic by another health service—for example, in women 14% versus 8% respectively (p=0.005) reported doing so from a family planning clinic. These women also reported that they would be less likely to go to the clinic if their symptoms resolved spontaneously compared with other women (51% vs 31%, p=0.024). However, relative to other clinic attendees, no differences in the proportions of South Asians who had acute STI(s) diagnosed at clinic were noted. Furthermore, South Asian men were more likely to report as their reason for attendance that they wanted an HIV test (23.4% vs 14.8%, p=0.005).

Conclusion Despite having similar STI care needs to attendees from other ethnic groups, South Asians, especially women, may be reluctant to seek care from GUM clinics, especially if their symptoms resolve. Sexual health services need to develop locally-delivered and culturally-appropriate initiatives to improve care pathways.

  • South Asians
  • ethnic minorities
  • sexually transmitted infections
  • health services
  • attitudes
  • gum services
  • health serv research
  • womens issue

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Footnotes

  • Funding This study was funded by the Medical Research Council, with funding allocated from the Health Departments, under the aegis of the MRC/UK Health Departments Sexual Health and HIV Research Strategy Committee.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.

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