A Prospective study of genital infections in a family planning clinic: 2. Chlamydia infection - the identification of a high-risk group

Macaulay, M. E.; Riordan, Terrance P.; James, J. M.; Leventhall, P. A.; Morris, E. M.; Neal, B. R.; Ellis, D. A.

doi:10.1017/s0950268800054522

Cited by 22 publications

(2 citation statements)

References 12 publications

(12 reference statements)

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“…Studies that did not differentiate between different ‘black’ ethnic groups were excluded due to variations in STI prevalence among different black communities, and because ‘black’ is a heterogeneous category, including for example, variations in history of migration, risk behaviours, and background STI prevalence in home countries among migrant populations [7]. Additionally, we excluded studies that met the inclusion criteria but provided scant data [16, 17], determined via discussion between two researchers. We also excluded studies not written in English.…”

Section: Methodsmentioning

confidence: 99%

Understanding the burden of bacterial sexually transmitted infections and Trichomonas vaginalis among black Caribbeans in the United Kingdom: Findings from a systematic review

et al. 2018

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BackgroundIn the UK, people of black Caribbean (BC) ethnicity continue to be disproportionately affected by bacterial sexually transmitted infections (STIs) and Trichomonas vaginalis (TV). We systematically reviewed evidence on the association between bacterial STIs/TV and ethnicity (BC compared to white/white British (WB)) accounting for other risk factors; and differences between these two ethnic groups in the prevalence of risk factors associated with these STIs, sexual healthcare seeking behaviours, and contextual factors influencing STI risk.MethodsStudies presenting relevant evidence for participants aged ≥14 years and living in the UK were eligible for inclusion. A pre-defined search strategy informed by the inclusion criteria was developed. Eleven electronic databases were searched from the start date to September-October 2016. Two researchers independently screened articles, extracted data using a standardised proforma and resolved discrepancies in discussion with a third researcher. Descriptive summaries of evidence are presented. Meta-analyses were not conducted due to variation in study designs. Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed.ResultsOf 3815 abstracts identified, 15 articles reporting quantitative data were eligible and included in the review. No qualitative studies examining contextual drivers of STI risk among people of BC ethnicity were identified. Compared to the white/WB ethnic group, the greater STI/TV risk among BCs was partially explained by variations in socio-demographic factors, sexual behaviours, and recreational drug use. The prevalence of reporting early sexual debut (<16 years), concurrency, and multiple partners was higher among BC men compared to white/WB men; however, no such differences were observed for women. People of BC ethnicity were more likely to access sexual health services than those of white/WB ethnicity.ConclusionsFurther research is needed to explore other drivers of the sustained higher STI/TV prevalence among people of BC ethnicity. Developing holistic, tailored interventions that address STI risk and target people of BC ethnicity, especially men, could enhance STI prevention.

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Section: Methodsmentioning

confidence: 99%

Understanding the burden of bacterial sexually transmitted infections and Trichomonas vaginalis among black Caribbeans in the United Kingdom: Findings from a systematic review

et al. 2018

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“…It is established that the risk factors for the acquisition of chlamydia include: a short duration of present relationship, a lack of condom use and the age of the woman, with higher risk being linked to the ages of 18 to 25 years (Fish et al 1989; Macaulay et al 1990). Women with no history of previous genital infection appear also to be in an at risk group (Ramstedt et al 1992).…”

mentioning

confidence: 99%

A randomised controlled trial of prophylaxis of post‐abortal infection: ceftriaxone versus placebo

Wilkinson¹,

Hamilton‐Fairley²

1995

BJOG

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Contraception, Family Planning, and HIV

Hunter

Jk²

1991

AIDS and Women’s Reproductive Health

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A Prospective study of genital infections in a family planning clinic: 2. Chlamydia infection - the identification of a high-risk group

Cited by 22 publications

References 12 publications

Understanding the burden of bacterial sexually transmitted infections and Trichomonas vaginalis among black Caribbeans in the United Kingdom: Findings from a systematic review

Understanding the burden of bacterial sexually transmitted infections and Trichomonas vaginalis among black Caribbeans in the United Kingdom: Findings from a systematic review

A randomised controlled trial of prophylaxis of post‐abortal infection: ceftriaxone versus placebo

Contraception, Family Planning, and HIV

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