Evidence map›Paper›PMID 28974552›Full record

ArticleSexually transmitted infections2018

Sexual health clinic attendance and non-attendance in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).

Clare Tanton, Rebecca S Geary, Soazig Clifton, Nigel Field, Katie L Heap, Fiona Mapp, Gwenda Hughes, Anne M Johnson, Jackie A Cassell, Pam Sonnenberg and 1 more

Abstract read
In one paragraph

Article in Sexually transmitted infections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Undisclosed Sexual Risk Exposures: Results of a Nationwide Compliance Study among Whole Blood Donors in Germany.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2022
    Article
  15. Article
  16. Review
  17. Minimum dataset for monitoring national human immunodeficiency virus pre-exposure prophylaxis (HIV PrEP) programmes: a five-nation consensus, 2019.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2021
    Article
  18. Article
  19. Article
  20. From silos to buckets: a qualitative study of how sexual health clinics address their clients' mental health needs.Canadian journal of public health = Revue canadienne de sante publique · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Clare TantonInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-4612-1858
Rebecca S GearyInstitute for Global Health, University College London, London, UK.
Soazig CliftonInstitute for Global Health, University College London, London, UK.
Nigel FieldInstitute for Global Health, University College London, London, UK.
Katie L HeapInstitute for Global Health, University College London, London, UK.
Fiona MappInstitute for Global Health, University College London, London, UK.
Gwenda HughesDepartment of HIV and STIs, National Infection Service, Public Health England, London, UK.ORCID 0000-0003-2090-7702
Anne M JohnsonInstitute for Global Health, University College London, London, UK.
Jackie A CassellDivision of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK.
Pam SonnenbergInstitute for Global Health, University College London, London, UK.
Catherine H MercerInstitute for Global Health, University College London, London, UK.

Funding

Medical Research Council G0701757Wellcome TrustWellcome Trust 084840
6 · The paper itself

Abstract

objectivesIn Britain, sexual health clinics (SHCs) are the most common location for STI diagnosis but many people with STI risk behaviours do not attend. We estimate prevalence of SHC attendance and how this varies by sociodemographic and behavioural factors (including unsafe sex) and describe hypothetical service preferences for those reporting unsafe sex.

methodsComplex survey analyses of data from Britain's third National Survey of Sexual Attitudes and Lifestyles, a probability survey of 15 162 people aged 16-74 years, undertaken 2010-2012.

resultsOverall, recent attendance (past year) was highest among those aged 16-24 years (16.6% men, 22.4% women), decreasing with age (<1.5% among those 45-74 years). Approximately 15% of sexually-active 16-74 year olds (n=1002 men; n=1253 women) reported 'unsafe sex' (condomless first sex with a new partner and/or ≥2 partners and no condom use, past year); >75% of these had not attended a SHC (past year). However, of non-attenders aged 16-44 years, 18.7% of men and 39.0% of women reported chlamydia testing (past year) with testing highest in women aged <25 years. Of those aged 16-44 years reporting unsafe sex, the majority who reported previous SHC attendance would seek STI care there, whereas the majority who had not would use general practice.

conclusionWhile most reporting unsafe sex had not attended a SHC, many, particularly younger women, had tested for chlamydia suggesting engagement with sexual health services more broadly. Effective, diverse service provision is needed to engage those at-risk and ensure that they can attend services appropriate to their needs.

Indexed as

AdolescentAdultAgedAge DistributionAmbulatory CareFemaleHealth SurveysHumansLife StyleMaleMiddle AgedNo-Show PatientsPatient PreferenceSex DistributionSexual BehaviorSexual Healthattendancegeneral practiceprevalenceprobability surveysexual behavioursexual health clinicsurveys and questionnairesUnited Kingdomunsafe sex

Identifiers

PMID28974552
PMCPMC5969324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.