Table 1

 Variations in patient delay* and provider delay† by selected factors

Median time to seek help, days (mean)% Experiencing patient delayCrude OR (95% CI) for experiencing patient delayAdjusted OR‡ (95% CI) for experiencing patient delayDenominator*Median time taken to be seen in study GUM clinic, days (mean)% Experiencing provider delayCrude OR (95% CI) for experiencing provider delayAdjusted OR‡ (95% CI) for experiencing provider delayDenominator†
All7 (26.3)45.7%9167 (16.8)55.0%2971
*Patient delay is defined as reporting waiting >7 days to seek help from any health professional among those reporting symptoms at clinic visit or that they had had symptoms, and a valid number of days since their symptoms began and first seeking help/advice.
†Provider delay is defined as reporting waiting >4 days from first trying to contact any health professional and being seen at the study clinic –among all respondents.
‡Odds ratio (OR) adjusting for all factors in table 1.
§Acute STIs are defined as infectious syphilis (KC60 codes: A1, A2), uncomplicated gonorrhoea (KC60 codes: B1, B2), complicated gonorrhoea (KC60 code: B5), chancroid/lymphogranuloma venereum (LGV)/donovanosis (KC60 codes: C1, C2 & C3); chlamydial infection (uncomplicated/complicated) (KC60 codes: C4a, C4b, C4c); uncomplicated non-gonoccocal/non-specific urethritis in males (KC60 code: C4h); complicated non-gonoccocal/non-specific infection (KC60 code: C5); herpes simplex (first attack) (KC60 code: C10a); genital warts (first attack) (KC60 code: C11a); trichomoniasis (KC60 code: C6a).
¶To enable the denominator to be all respondents for the ‘provider delay’ outcome, those who did not report symptoms at clinic visit are included as not reporting to have self-treated symptoms. This has no significant impact on the results.
Gender:p = 0.324p = 0.225p = 0.531p = 0.984
    Male7 (22.3)44.3%1.001.004767 (16.2)54.1%1.001.001487
    Female7 (30.7)47.3%1.13 (0.82–1.55)1.21 (0.81–1.81)4407 (17.3)55.9%1.08 (0.78–1.49)1.00 (0.55–1.81)1484
Age:p = 0.718p = 0.937p = 0.898p = 0.985
    <257 (28.1)47.0%1.001.003896 (15.6)53.6%1.001.001327
    25–347 (25.6)45.8%0.95 (0.50–1.81)1.00 (0.38–2.66)3067 (18.3)56.3%1.11 (0.55–2.25)1.01 (0.61–1.66)1031
    35+6 (24.3)43.6%0.87 (0.46–1.66)1.08 (0.49–2.37)2207 (16.1)56.2%1.11 (0.60–2.07)0.94 (0.39–2.29)610
Ethnicity:p = 0.316p = 0.633p = 0.818p = 0.865
    White7 (27.9)47.0%1.001.005477 (18.1)56.6%1.001.001715
    Black African7 (19.3)39.4%0.73 (0.51–1.05)0.67 (0.30–1.50)333 (14.5)48.0%0.71 (0.23–2.22)1.07 (0.47–2.46)125
    Black Caribbean6 (22.2)40.4%0.76 (0.55–1.05)0.77 (0.37–1.60)577 (14.3)53.6%0.88 (0.18–4.34)0.69 (0.26–1.85)237
    Asian10 (27.8)54.5%1.35 (0.70–2.63)1.49 (0.91–2.44)555 (13.3)50.3%0.77 (0.31–1.94)0.75 (0.30–1.88)177
    Other/mixed5 (23.9)40.8%0.78 (0.38–1.61)0.78 (0.44–1.38)1202 (11.3)42.8%0.57 (0.17–1.99)0.93 (0.37–2.35)418
Walk-in or booked an appointment:p = 0.009p = 0.003p<0.001p = 0.002
    Walk-in6 (19.6)38.8%1.001.005521 (8.2)27.3%1.001.001411
    Booked an appointment10 (37.3)56.4%2.04 (1.41–2.96)1.98 (1.57–2.49)35314 (25.3)82.4%12.4 (8.10–19.1)10.6 (4.84–23.0)1479
Acute STI(s) diagnosed at GUM clinic:§p = 0.361p = 0.956p = 0.598p = 0.185
    No7 (30.2)46.3%1.001.004827 (17.1)55.6%1.001.001998
    Yes7 (22.0)45.2%0.96 (0.84–1.09)1.01 (0.60–1.69)4346 (16.0)53.9%0.93 (0.64–1.37)0.88 (0.68–1.12)973
Registered with a GP:p = 0.747p = 0.403p = 0.108p = 0.592
    No7 (17.8)44.4%1.001.00814 (13.9)49.1%1.001.00275
    Yes7 (27.3)45.8%1.06 (0.64–1.76)0.80 (0.38–1.67)8297 (16.9)55.9%1.32 (0.89–1.93)0.86 (0.39–1.90)2600
Tried to use general practice:p = 0.815p = 0.796p = 0.007p = 0.001
    No7 (25.3)46.3%1.001.005604 (11.8)49.7%1.001.002063
    Yes6 (25.9)45.3%0.96 (0.59–1.56)1.02 (0.79–1.32)32910 (29.8)69.9%2.36 (1.56–3.57)3.50 (2.61–4.69)815
Have/had symptoms:N/AN/AN/AN/Ap = 0.828p = 0.129
    No7 (15.5)55.8%1.001.001354
    Yes6.5 (18.2)54.7%0.95 (0.51–1.78)1.53 (0.80–2.91)1512
Self-treated symptoms:p = 0.917p = 0.771p = 0.613p = 0.794
    No¶7 (25.4)45.7%1.001.006375 (14.7)51.9%1.001.001059
    Yes6.5 (28.6)45.1%0.98 (0.53–1.79)0.93 (0.43–1.99)2686 (23.6)55.5%1.16 (0.51–2.62)1.13 (0.30–4.20)380