International Journal of STD & AIDS > Volume 19, Number 9 > Pp. 617-619

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Original research articles

Black and minority ethnic men who have sex with men: a London genitourinary medicine clinic experience

S Soni MRCP ^* , K Bond MRCP ^* , E Fox FRCP ^*, A P Grieve MSc PhD  and G Sethi MRCP MSc ^*

^* Department of Genito-Urinary Medicine, Guy's and St Thomas' NHS Foundation Trust, Lambeth Palace Road, London SE1 9RT; Department of Genito-Urinary Medicine, Royal Hallamshire Hospital, Sheffield S10 2JF; Department of Public Health Sciences, Kings College London JE1 3QD, London, UK

Correspondence to: Dr Suneeta Soni Email: suneetasoni{at}gmail.com

The aim was to examine sexual behaviour and rates of sexually transmitted infections (STIs) in black and minority ethnic (BME) men who have sex with men (MSM) attending a London genitourinary medicine clinic. A case-note review of BME MSM (n = 203) attending our service between 1 April 2005 and 31 March 2006 was carried out. BME MSM were those who self-identified as being of Black (Caribbean, African or Other), South Asian (Indian, Pakistani, Bangladeshi or Sri Lankan) and Chinese/South-East Asian (Malaysian, Thai, Filipino, Japanese) ethnicities. Consecutively attending self-identified white British (WB) MSM (n = 203) were used as a comparative group. BME MSM were significantly more likely to report unprotected anal intercourse with casual male partners in the preceding three months (P = 0.0016) and were more likely to report female sexual partners (P = 0.0018). Rectal gonorrhoea was more common in WB MSM (P = 0.02). Numbers of other bacterial STIs and HIV infection were similar in both groups.

The higher reported rates of risk behaviour in BME MSM are of concern and support the need for focussed sexual health promotion.

Key Words: MSM • sexually transmitted infections • HIV • ethnicity

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