International Journal of STD & AIDS > Volume 19, Number 8 > Pp. 545-549

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Original research articles

The case for social marketing in gonorrhoea prevention: insights from sexual lifestyles in Glasgow genitourinary medicine clinic attendees

Anne Scoular FRCP MFPH ^* , Kirsty Abu-Rajab MRCP DipGUM , Andy Winter FRCP PhD , Judith Connell MA ^* and Graham Hart PhD ^*

^* MRC Social & Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow G12 8RZ; The Sandyford Initiative, 2–6 Sandyford Place, Glasgow G3 7NB, UK

Correspondence to: Dr Anne Scoular, NHS Greater Glasgow & Clyde, Dalian House, PO Box 15329, 350 St Vincent Street, Glasgow G3 8YZ, UK Email: anne-s{at}sphsu.mrc.ac.uk

We conducted a matched case-control study to investigate social factors associated with gonorrhoea acquisition among genitourinary (GU) medicine clinic attendees, designed to inform appropriate prevention strategies. Detailed social and behavioural data were elicited using a self-completed questionnaire. The effect sizes of these characteristics were quantified using univariate and multivariable conditional logistic regression in 53 cases and 106 matched controls. Homo–bisexual orientation was the strongest independent predictor of gonorrhoea acquisition (Adjusted odds ratio 31.1 (95% confidence intervals, 3.09–312.92). Other independent predictors were not currently being in a relationship and concordant residential characteristics. Three principal implications for sexual health policy were identified; social marketing approaches to gonorrhoea prevention should focus on gay men and individuals not in established relationships; gonorrhoea prevention should be more closely integrated with wider social inclusion policies; finally, more proactive, systematic and theory-based approaches should capitalize on opportunities for sexual health promotion in GU medicine clinic settings.

Key Words: sexually transmitted diseases • gonorrhoea • risk factors • social environment • case-control studies

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