ArticleBMJ open2016
Integrating gender and sex to unpack trends in sexually transmitted infection surveillance data in British Columbia, Canada: an ethno-epidemiological study.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Inequalities in non-HIV sexually transmitted infections in Uganda: a 22-year sex disaggregated trend analysis using WHO Health Equity Assessment Toolkit data.BMC infectious diseases · 2026Article
- LGBTQ+ Community Center Providers' Perceptions: Tensions and Solutions for Serving LGBTQ+ Youth With Suicidal Thoughts and Behaviors and Their Families.Journal of marital and family therapy · 2026Article
- Epidemiologic Characteristics of 1.4 Million Multiplex PCR Tests for 12 Urogenital and Sexually Transmitted Infection Pathogens in Korea (2021-2024).Pathogens (Basel, Switzerland) · 2025Article
- Differential impact of the COVID-19 pandemic on chlamydia and gonorrhoea cases among youth and young adults in Canada: an interrupted time series analysis.BMJ public health · 2025Article
- Human immunodeficiency virus prevention outcomes associated with arts-based sexual health workshop participation among Northern and Indigenous adolescents in the Northwest Territories, Canada.International journal of STD & AIDS · 2024Article
- Trends in pre-military sexually transmitted infections and associated risk behaviours in Canadian Armed Forces recruits.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2020Article
- Article
- Prevalence of syphilis among people living with HIV who attend a large urban antiretroviral therapy clinic in Panama: a cross-sectional epidemiological study.Therapeutic advances in infectious diseaseArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesSurveillance data frequently indicate that young men and women experience high-yet considerably different-reported rates of sexually transmitted infections (STIs), including bacterial infections such as chlamydia. We examined how several sex-based (eg, biological) and gender-based (eg, sociocultural) factors may interact to influence STI surveillance data trends.
methodsEmploying ethno-epidemiological techniques, we analysed cross-sectional qualitative data collected between 2006 and 2013 about young people's experiences accessing STI testing services in five communities in British Columbia, Canada. These data included 250 semistructured interviews with young men and women aged 15-24 years, as well as 39 clinicians who provided STI testing services.
resultsThe findings highlight how young women are socially and medically encouraged to regularly test, while young men are rarely offered similar opportunities. Instead, young men tend to seek out testing services: (1) at the beginning or end of a sexual relationship; (2) after a high-risk sexual encounter; (3) after experiencing symptoms; or (4) based on concerns about 'abnormal' sexual anatomy. Our results illustrate how institutions and individuals align with stereotypical gender norms regarding sexual health responsibilities, STI testing and STI treatments. While these patterns reflect social phenomena, they also appear to intersect with sex-based, biological experiences of symptomatology in ways that might help to further explain systematic differences between young men's and women's patterns of testing for STIs.
conclusionsThe results point to the importance of taking a social and biological view to understanding the factors that contribute to the gap between young men's and women's routine engagement in STI care.
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