The association between region of birth and sexually transmitted infections among people of black Caribbean ethnicity attending sexual health services in England, 2015
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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DOI：
10.1371/journal.pone.0228654
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发表时间：
2020-02-21
期刊：
影响因子：
3.7
通讯作者：
Hughes, Gwenda
中科院分区：
文献类型：
--
作者：
Harb, Ana K.;Mohammed, Hamish;Hughes, Gwenda
背景/介绍在英格兰，加勒比黑人（BC）种族的人不成比例地受到性传播感染（STI）的影响，但目前还不清楚这是否因其出生地区而异。Aim（s）/ObjectivesTo examine differences in STI diagnosis among UK- and Caribbean-born BC people.MethodsData on STI diagnosis in BC people attending specialist sexual health services（SHS）在2015年期间和生活在英格兰的人从GUMCAD STI监测系统获得，该系统是英格兰国家STI监测系统。在英国或加勒比地区出生和几个STI诊断之间的关联进行了检查，使用单变量和多变量广义估计方程logistic回归模型调整性取向，居住地（伦敦与非伦敦），艾滋病毒状态，地区水平的剥夺，和STI诊断在过去的一年。所有的分析分层的年龄（< 25 vs. >= 25岁）。ResultsIn 2015年，63,568 BC人在专科SHS的108,881出席;这些出席的81.9%是由英国出生的BC。英国出生的人的中位年龄（岁）为26岁，加勒比出生的人为35岁（p = 25，与加勒比出生的人相比，英国出生的人更有可能被诊断为衣原体感染（AOR 1.15 [95% C.I. 1.04-1.27]）;淋病（AOR 1.23 [95% C.I. 1.06-1.45]）和生殖器疱疹（AOR 1.23 [95% C.I. 1.10-1.56]）和不太可能被诊断为NSGI（AOR 0.89 [95% C.I. 0.80-0.99]）和毛癣菌病（AOR 0.84 [95%CI 0.71-0.99]）.Discussion/ConclusionSTI诊断BC人年龄>= 25参加专科SHS不同的出生地区。出生国可能会影响社会和性网络，从而影响性传播感染的传播。
Background/IntroductionIn 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.Aim(s)/ObjectivesTo examine differences in STI diagnoses among UK- and Caribbean-born BC people.MethodsData 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 (< 25 vs. >= 25 years).ResultsIn 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 = 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]).Discussion/ConclusionSTI 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.