Evidence map›Paper›PMID 29519911›Full record

ArticleSexually transmitted infections2018

Ethnicity and sexual risk in heterosexual people attending sexual health clinics in England: a cross-sectional, self-administered questionnaire study.

Rachel Margaret Coyle, Ada Rose Miltz, Fiona C Lampe, Janey Sewell, Andrew N Phillips, Andrew Speakman, Jyoti Dhar, Lorraine Sherr, S Tariq Sadiq, Stephen Taylor and 6 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

16 authors at 6 institutions in 1 country.

Rachel Margaret CoyleResearch Department of Infection and Population Health, University College London, Royal Free Hospital, London, UK.
Ada Rose MiltzResearch Department of Infection and Population Health, University College London, Royal Free Hospital, London, UK.ORCID 0000-0003-2771-7880
Fiona C LampeResearch Department of Infection and Population Health, University College London, Royal Free Hospital, London, UK.
Janey SewellResearch Department of Infection and Population Health, University College London, Royal Free Hospital, London, UK.
Andrew N PhillipsResearch Department of Infection and Population Health, University College London, Royal Free Hospital, London, UK.
Andrew SpeakmanResearch Department of Infection and Population Health, University College London, Royal Free Hospital, London, UK.
Jyoti DharStaffordshire and Stoke on Trent Partnership NHS Trust, Leicester, UK.
Lorraine SherrResearch Department of Infection and Population Health, University College London, Royal Free Hospital, London, UK.
S Tariq SadiqInstitute for Infection and Immunity, St George's, University of London, London, UK.
Stephen TaylorBirmingham Heartlands Hospital, Heart of England NHS Foundation Trust, Birmingham, UK.
Daniel R IvensMarlborough Department of Sexual Health, Royal Free Hospital, London, UK.
Simon CollinsHIV i-Base, London, UK.
Jonathan ElfordSchool of Health Sciences, City University London, London, UK.
Jane AndersonCentre for the Study of Sexual Health and HIV, Homerton University Hospital NHS Foundation Trust, London, UK.
Alison RodgerResearch Department of Infection and Population Health, University College London, Royal Free Hospital, London, UK.
AURAH Study Group
The Royal Free Hospital · GBCity, University of London · GBHeart of England NHS Foundation Trust · GBHomerton University Hospital NHS Foundation Trust · GBLeicestershire Partnership NHS Trust · GBSt George's, University of London · GB

Funding

Department of Health RP-PG-0608-10142
6 · The paper itself

Abstract

objectivesIn the UK, people of black ethnicity experience a disproportionate burden of HIV and STI. We aimed to assess the association of ethnicity with sexual behaviour and sexual health among women and heterosexual men attending genitourinary medicine (GUM) clinics in England.

methodsThe Attitudes to and Understanding of Risk of Acquisition of HIV is a cross-sectional, self-administered questionnaire study of HIV negative people recruited from 20 GUM clinics in England, 2013-2014. Modified Poisson regression with robust SEs was used to calculate adjusted prevalence ratios (aPR) for the association between ethnicity and various sexual risk behaviours, adjusted for age, study region, education and relationship status.

resultsQuestionnaires were completed by 1146 individuals, 676 women and 470 heterosexual men. Ethnicity was recorded for 1131 (98.8%) participants: 550 (48.6%) black/mixed African, 168 (14.9%) black/mixed Caribbean, 308 (27.2%) white ethnic groups, 105 (9.3%) other ethnicity. Compared with women from white ethnic groups, black/mixed African women were less likely to report condomless sex with a non-regular partner (aPR (95% CI) 0.67 (0.51 to 0.88)), black/mixed African and black/mixed Caribbean women were less likely to report two or more new partners (0.42 (0.32 to 0.55) and 0.44 (0.29 to 0.65), respectively), and black/mixed Caribbean women were more likely to report an STI diagnosis (1.56 (1.00 to 2.42)). Compared with men from white ethnic groups, black/mixed Caribbean men were more likely to report an STI diagnosis (1.91 (1.20 to 3.04)), but did not report risk behaviours more frequently. Men and women of black/mixed Caribbean ethnicity remained more likely to report STI history after adjustment for sexual risk behaviours. DISCUSSION: Risk behaviours were reported less frequently by women of black ethnicity; however, history of STI was more prevalent among black/mixed Caribbean women. In black/mixed Caribbean men, higher STI history was not explained by ethnic variation in reported risk behaviours. The association between STI and black/mixed Caribbean ethnicity remained after adjustment for risk behaviours.

Indexed as

Risk-TakingAdolescentAdultAmbulatory Care FacilitiesBlack PeopleCross-Sectional StudiesEnglandEthnicityFemaleHeterosexualityHIV InfectionsHumansMaleMiddle AgedRacial GroupsSexual Behaviorethnic groupssexual behavioursexually transmitted diseasessexual networks

Identifiers

PMID29519911
PMCPMC6204969
OpenAlexW2789959174

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.