International Journal of STD & AIDS > Volume 18, Number 8 > Pp. 563-564

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Original research articles

Sexual health services for South Asians in London, UK: a case–control study

S Tariq, S G Edwards, A Nalabanda, H Ward, E Allen, K Fenton, D Mercey and G Sethi

Mortimer Market Centre, Camden Primary Care Trust, London, UK; Mortimer Market Centre, Camden Primary Care Trust, London, UK; Department of Genitourinary Medicine, St Mary's Hospital, London, UK; Department of Infectious Disease Epidemiology, Imperial College, London, UK; United Medical Schools of Royal Free and University College Hospital, London, UK; Health Protection Agency, Communicable Disease Surveillance Centre, London, UK; United Medical Schools of Royal Free and University College Hospital, London, UK; Health Protection Agency, Communicable Disease Surveillance Centre, London, UK; Department of Genitourinary Medicine, Guys and St Thomas' Hospital, London, UK

National guidance on sexual health in England recommends service development to meet the specific needs of ethnic minority populations. Our aim was to evaluate mode of referral, number of sexually transmitted infections (STIs) diagnosed, and the offering and uptake of HIV testing in patients of South Asian ethnicity. A retrospective case–control study was undertaken in two London genito-urinary (GU) medicine clinics.

There were 250 case–control pairs with approximately equal numbers of men and women. South Asians were less likely to have an STI (Odds ratio [OR] 0.66, 95% confidence interval [CI] 0.45, 0.97) or to report risk factors for HIV (OR 0.45, 95% CI 0.28, 0.71). Offering and uptake of HIV antibody testing were high in both South Asian and non-South Asian groups (OR 0.62, 95% CI 0.27, 1.51). South Asians were significantly more likely than controls to have been referred by other medical services rather than self-referred (OR 2.00, 95% CI 1.32, 3.01), which is in keeping with poorer access to GU medicine services in London.

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