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South Asians with HIV in London: is it time to rethink sexual health service delivery to meet the needs of heterosexual ethnic minorities?
  1. G Sethi1,
  2. C J Lacey1,
  3. K A Fenton2,
  4. I G Williams2,
  5. E Fox3,
  6. C A Sabin4,
  7. A Shaw5,
  8. M Kapembwa5
  1. 1St Mary’s Hospital, London W2 1NY, UK
  2. 2Department of Sexually Transmitted Diseases, Royal Free and University, College Medical School, London WC1E 6AU, UK
  3. 3St George’s Hospital, London SW17 0RE, UK
  4. 4Department of Epidemiology and Population Sciences, Royal Free and University College Medical School, London, UK
  5. 5Northwick Park Hospital, Harrow HA1 3UJ, UK
  1. Correspondence to:
 Dr Gulshan Sethi
 Jefferiss Wing, St Mary’s Hospital, London W1 2NY, UK;

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Recent conservative estimates suggest that at the end of 2002, 4.8 million people were living with HIV/AIDS in south Asia including 4.58 million in India.1 In the United Kingdom there are estimated to be 1.5 million people of south Asian ethnicity. While the National Strategy for Sexual Health aims to improve health care in those who have HIV through earlier diagnosis,2 studies have shown that that other ethnic minority groups present with advanced disease and not through routine genitourinary medicine (GUM) screening.3,4 We studied the case notes of all adults self defining as of Indian, Pakistani, Bangladeshi, or Sri Lankan ethnicity diagnosed HIV positive from January 1985 to December 2002 attending four HIV treatment centres in London. Information was collected on demography, mode of …

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