ArticleSexually transmitted infections2007
How much do delayed healthcare seeking, delayed care provision, and diversion from primary care contribute to the transmission of STIs?
Article in Sexually transmitted infections, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Chlamydia prevalence in the general population: is there a sex difference? a systematic review.BMC infectious diseases · 2013Pooled it
- Advanced access scheduling outcomes: a systematic review.Archives of internal medicine · 2011Pooled it
- Developing and testing accelerated partner therapy for partner notification for people with genital Chlamydia trachomatis diagnosed in primary care: a pilot randomised controlled trial.Sexually transmitted infections · 2015Trial
- A methodological review of patient healthcare-seeking journeys from symptom onset to receipt of care.BMJ global health · 2025Review
- WORKING AT THE TOP OF THEIR CAPABILITIES: HOW TEAMWORK SUPPORT ATTENUATES LEADER ROLE CONFLICT.Group dynamics : theory, research, and practice : the official journal of Division 49, Group Psychology and Group Psychotherapy of the American Psychological Association · 2024Article
- Article
- Time to healthcare seeking following the onset of symptoms among men and women attending a sexual health clinic in Melbourne, Australia.Frontiers in medicine · 2022Article
- Genomic epidemiology and population structure ofMicrobial genomics · 2020Article
- Reducing time to treatment of bacterial sexually transmitted infections in an HIV cohort.BMJ open quality · 2020Article
- Express testing for sexually transmitted infections: clinical results.Journal of research in nursing : JRN · 2019Article
- Article
- Pathways to, and use of, sexual healthcare among Black Caribbean sexual health clinic attendees in England: evidence from cross-sectional bio-behavioural surveys.BMC health services research · 2019Article
- Delay in Seeking Health Care Services After Onset of Urethritis Symptoms in Men.Sexually transmitted diseases · 2019Article
- Delayed health care seeking is high among patients presenting with sexually transmitted infections in HIV hotspot areas, Gambella town, Ethiopia.HIV/AIDS (Auckland, N.Z.) · 2019Article
- Healthcare-seeking behaviour of people with sexually transmitted infection symptoms attending a Sexual Health Clinic in New Zealand.The New Zealand medical journal · 2018Article
- The Acceptability and Feasibility of Implementing a Bio-Behavioral Enhanced Surveillance Tool for Sexually Transmitted Infections in England: Mixed-Methods Study.JMIR public health and surveillance · 2018Article
- Should we screen for the sexually-transmitted infection Mycoplasma genitalium? Evidence synthesis using a transmission-dynamic model.Scientific reports · 2017Article
- Understanding sexual healthcare seeking behaviour: why a broader research perspective is needed.BMC health services research · 2017Article
- Estimating Local Chlamydia Incidence and Prevalence Using Surveillance Data.Epidemiology (Cambridge, Mass.) · 2017Article
- Young people's perceptions of smartphone-enabled self-testing and online care for sexually transmitted infections: qualitative interview study.BMC public health · 2016Article
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
objectivesTo quantify the contribution of patient delay, provider delay, and diversion between services to delayed access to genitourinary medicine (GUM) clinics. To describe the factors associated with delay, and their contribution to STI transmission.
methodsCross-sectional survey of 3184 consecutive new patients attending four GUM clinics purposively selected from across England to represent different types of population. Patients completed a short written questionnaire that collected data on sociodemographics, access, and health-seeking behaviour. Questionnaires were then linked to routinely collected individual-level demographic and diagnostic data.
resultsPatient delay is a median of 7 days, and does not vary by demographic or social characteristics, or by clinic. However, attendance at a walk-in appointment was associated with a marked reduction in patient delay and provider delay. Among symptomatics, 44.8% of men and 58.0% of women continued to have sex while awaiting treatment, with 7.0% reporting sex with >1 partner; 4.2% of symptomatic patients reported sex without using condoms with new partner(s) since their symptoms had begun. Approximately 25% of all patients had already sought or received care in general practice, and these patients experienced greater provider delay.
conclusionsWalk-in services are associated with a reduction in patient and provider delay, and should be available to all populations. Patients attending primary care require clear care pathways when referred on to GUM clinics. Health promotion should encourage symptomatic patients to seek care quickly, and to avoid sexual contact before treatment.
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