Sexual health inequalities among women aged 16-24
Introduction Gonorrhoea is the second most commonly diagnosed sexually transmitted infection in England, and diagnoses among young women increased 31% between 2018 and 2019. Understanding the patterns of testing and diagnosis among young women is likely to aid prevention among the most vulnerable se...
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| Veröffentlicht in: | European journal of public health 2022-10, Vol.32 (Supplement_3) |
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| creator | Solomon, D Gibbs, J Burns, F Mohammed, H Migchelsen, SJ Sabin, CA |
| description | Introduction
Gonorrhoea is the second most commonly diagnosed sexually transmitted infection in England, and diagnoses among young women increased 31% between 2018 and 2019. Understanding the patterns of testing and diagnosis among young women is likely to aid prevention among the most vulnerable segments of this population.
Methods
Data on gonorrhoea diagnoses at sexual health services among women aged 16-24 in England were obtained using the GUMCAD STI Surveillance System. We investigated the relationship between two exposure variables (deprivation and ethnicity), and two outcome variables (number of gonorrhoea tests and number of gonorrhoea diagnoses). Poisson regression was used to calculate rate ratios for the relationship between the exposure and outcome variables. The testing analysis was offset for the size of the population, and the diagnosis analysis was offset for the number of tests within the population.
Results
Between 2012 and 2019, gonorrhoea testing and diagnosis rates were highest among women living in the most deprived areas. The rate of testing in the least deprived 10% of neighbourhoods was significantly lower than that seen in the most deprived 10% of neighbourhoods (rate ratio (RR) 0.79; 95% confidence interval 0.79 - 0.80), and the rate of diagnosis in the least deprived 10% of neighbourhoods was around a third of that seen in the most deprived 10% of neighbourhoods (0.35; 0.33 - 0.36). When compared to White British women, the rate of gonorrhoea diagnosis was lower among Bangladeshi (RR 0.89; 0.75 - 1.05), Indian (0.76; 0.68 - 0.84), Pakistani (0.87; 0.77 - 1.00) and Chinese women (0.60; 0.51 - 0.71) and was highest among Black Caribbean (2.26; 2.18 - 2.33) and Black African (1.40; 1.34 - 1.45) women.
Conclusions
This analysis found inequalities in the distribution of gonorrhoea among young women in England that may indicate structural barriers to STI prevention that are affecting Black women and those living within the most deprived populations.
Key messages
• Gonorrhoea testing rates among young women in England are highest among women from deprived areas and Black women.
• Gonorrhoea diagnosis rates among young women in England are highest among women from deprived areas and Black women. |
| doi_str_mv | 10.1093/eurpub/ckac129.158 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9831346</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/eurpub/ckac129.158</oup_id><sourcerecordid>2854901152</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2578-3eadcf0abeb60e2c904d5318f102952175fa6ef0c5ac049ab14f70e7c9b9dc953</originalsourceid><addsrcrecordid>eNqNkE1PwzAMhiMEEmPwBzhV4lxmp0nbXJDQxJc0iQMgcYvS1N062mZLVz7-PUGdkLhxsi2_fmy_jJ0jXCKoZEaD3wzFzL4Zi1xdoswP2ARFKuIkhdfDkCNgjDzlx-yk79cAILOcTxg-0edgmmhFptmtorqjbSjrXU19ZFrXLaMP11IXmSWVEaYxF6fsqDJNT2f7OGUvtzfP8_t48Xj3ML9exJYHdJyQKW0FpqAiBeJWgShlgnmFwJXkmMnKpFSBlcaCUKZAUWVAmVWFKq2SyZRdjdzwWEulpW7nTaM3vm6N_9LO1Ppvp6tXeunetcoTTEQaABd7gHfbgfqdXrvBd-FmzXMpFCBKHlR8VFnv-t5T9bsBQf94q0dv9d5bHbwNQ_E45IbNf_TfUYp_HA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2854901152</pqid></control><display><type>article</type><title>Sexual health inequalities among women aged 16-24</title><source>Oxford Journals Open Access Collection</source><source>DOAJ Directory of Open Access Journals</source><source>PAIS Index</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Solomon, D ; Gibbs, J ; Burns, F ; Mohammed, H ; Migchelsen, SJ ; Sabin, CA</creator><creatorcontrib>Solomon, D ; Gibbs, J ; Burns, F ; Mohammed, H ; Migchelsen, SJ ; Sabin, CA</creatorcontrib><description>Introduction
Gonorrhoea is the second most commonly diagnosed sexually transmitted infection in England, and diagnoses among young women increased 31% between 2018 and 2019. Understanding the patterns of testing and diagnosis among young women is likely to aid prevention among the most vulnerable segments of this population.
Methods
Data on gonorrhoea diagnoses at sexual health services among women aged 16-24 in England were obtained using the GUMCAD STI Surveillance System. We investigated the relationship between two exposure variables (deprivation and ethnicity), and two outcome variables (number of gonorrhoea tests and number of gonorrhoea diagnoses). Poisson regression was used to calculate rate ratios for the relationship between the exposure and outcome variables. The testing analysis was offset for the size of the population, and the diagnosis analysis was offset for the number of tests within the population.
Results
Between 2012 and 2019, gonorrhoea testing and diagnosis rates were highest among women living in the most deprived areas. The rate of testing in the least deprived 10% of neighbourhoods was significantly lower than that seen in the most deprived 10% of neighbourhoods (rate ratio (RR) 0.79; 95% confidence interval 0.79 - 0.80), and the rate of diagnosis in the least deprived 10% of neighbourhoods was around a third of that seen in the most deprived 10% of neighbourhoods (0.35; 0.33 - 0.36). When compared to White British women, the rate of gonorrhoea diagnosis was lower among Bangladeshi (RR 0.89; 0.75 - 1.05), Indian (0.76; 0.68 - 0.84), Pakistani (0.87; 0.77 - 1.00) and Chinese women (0.60; 0.51 - 0.71) and was highest among Black Caribbean (2.26; 2.18 - 2.33) and Black African (1.40; 1.34 - 1.45) women.
Conclusions
This analysis found inequalities in the distribution of gonorrhoea among young women in England that may indicate structural barriers to STI prevention that are affecting Black women and those living within the most deprived populations.
Key messages
• Gonorrhoea testing rates among young women in England are highest among women from deprived areas and Black women.
• Gonorrhoea diagnosis rates among young women in England are highest among women from deprived areas and Black women.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckac129.158</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Black people ; Black women ; Confidence intervals ; Deprivation ; Diagnosis ; Ethnicity ; Gonorrhea ; Health disparities ; Health services ; Inequalities ; Neighborhoods ; Parallel Programme ; Prevention ; Public health ; Sexual health ; Sexually transmitted diseases ; Statistical analysis ; STD ; Surveillance ; Surveillance systems</subject><ispartof>European journal of public health, 2022-10, Vol.32 (Supplement_3)</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2578-3eadcf0abeb60e2c904d5318f102952175fa6ef0c5ac049ab14f70e7c9b9dc953</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831346/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831346/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1598,27843,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Solomon, D</creatorcontrib><creatorcontrib>Gibbs, J</creatorcontrib><creatorcontrib>Burns, F</creatorcontrib><creatorcontrib>Mohammed, H</creatorcontrib><creatorcontrib>Migchelsen, SJ</creatorcontrib><creatorcontrib>Sabin, CA</creatorcontrib><title>Sexual health inequalities among women aged 16-24</title><title>European journal of public health</title><description>Introduction
Gonorrhoea is the second most commonly diagnosed sexually transmitted infection in England, and diagnoses among young women increased 31% between 2018 and 2019. Understanding the patterns of testing and diagnosis among young women is likely to aid prevention among the most vulnerable segments of this population.
Methods
Data on gonorrhoea diagnoses at sexual health services among women aged 16-24 in England were obtained using the GUMCAD STI Surveillance System. We investigated the relationship between two exposure variables (deprivation and ethnicity), and two outcome variables (number of gonorrhoea tests and number of gonorrhoea diagnoses). Poisson regression was used to calculate rate ratios for the relationship between the exposure and outcome variables. The testing analysis was offset for the size of the population, and the diagnosis analysis was offset for the number of tests within the population.
Results
Between 2012 and 2019, gonorrhoea testing and diagnosis rates were highest among women living in the most deprived areas. The rate of testing in the least deprived 10% of neighbourhoods was significantly lower than that seen in the most deprived 10% of neighbourhoods (rate ratio (RR) 0.79; 95% confidence interval 0.79 - 0.80), and the rate of diagnosis in the least deprived 10% of neighbourhoods was around a third of that seen in the most deprived 10% of neighbourhoods (0.35; 0.33 - 0.36). When compared to White British women, the rate of gonorrhoea diagnosis was lower among Bangladeshi (RR 0.89; 0.75 - 1.05), Indian (0.76; 0.68 - 0.84), Pakistani (0.87; 0.77 - 1.00) and Chinese women (0.60; 0.51 - 0.71) and was highest among Black Caribbean (2.26; 2.18 - 2.33) and Black African (1.40; 1.34 - 1.45) women.
Conclusions
This analysis found inequalities in the distribution of gonorrhoea among young women in England that may indicate structural barriers to STI prevention that are affecting Black women and those living within the most deprived populations.
Key messages
• Gonorrhoea testing rates among young women in England are highest among women from deprived areas and Black women.
• Gonorrhoea diagnosis rates among young women in England are highest among women from deprived areas and Black women.</description><subject>Black people</subject><subject>Black women</subject><subject>Confidence intervals</subject><subject>Deprivation</subject><subject>Diagnosis</subject><subject>Ethnicity</subject><subject>Gonorrhea</subject><subject>Health disparities</subject><subject>Health services</subject><subject>Inequalities</subject><subject>Neighborhoods</subject><subject>Parallel Programme</subject><subject>Prevention</subject><subject>Public health</subject><subject>Sexual health</subject><subject>Sexually transmitted diseases</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Surveillance</subject><subject>Surveillance systems</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>7TQ</sourceid><recordid>eNqNkE1PwzAMhiMEEmPwBzhV4lxmp0nbXJDQxJc0iQMgcYvS1N062mZLVz7-PUGdkLhxsi2_fmy_jJ0jXCKoZEaD3wzFzL4Zi1xdoswP2ARFKuIkhdfDkCNgjDzlx-yk79cAILOcTxg-0edgmmhFptmtorqjbSjrXU19ZFrXLaMP11IXmSWVEaYxF6fsqDJNT2f7OGUvtzfP8_t48Xj3ML9exJYHdJyQKW0FpqAiBeJWgShlgnmFwJXkmMnKpFSBlcaCUKZAUWVAmVWFKq2SyZRdjdzwWEulpW7nTaM3vm6N_9LO1Ppvp6tXeunetcoTTEQaABd7gHfbgfqdXrvBd-FmzXMpFCBKHlR8VFnv-t5T9bsBQf94q0dv9d5bHbwNQ_E45IbNf_TfUYp_HA</recordid><startdate>20221025</startdate><enddate>20221025</enddate><creator>Solomon, D</creator><creator>Gibbs, J</creator><creator>Burns, F</creator><creator>Mohammed, H</creator><creator>Migchelsen, SJ</creator><creator>Sabin, CA</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>TOX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>5PM</scope></search><sort><creationdate>20221025</creationdate><title>Sexual health inequalities among women aged 16-24</title><author>Solomon, D ; Gibbs, J ; Burns, F ; Mohammed, H ; Migchelsen, SJ ; Sabin, CA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2578-3eadcf0abeb60e2c904d5318f102952175fa6ef0c5ac049ab14f70e7c9b9dc953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Black people</topic><topic>Black women</topic><topic>Confidence intervals</topic><topic>Deprivation</topic><topic>Diagnosis</topic><topic>Ethnicity</topic><topic>Gonorrhea</topic><topic>Health disparities</topic><topic>Health services</topic><topic>Inequalities</topic><topic>Neighborhoods</topic><topic>Parallel Programme</topic><topic>Prevention</topic><topic>Public health</topic><topic>Sexual health</topic><topic>Sexually transmitted diseases</topic><topic>Statistical analysis</topic><topic>STD</topic><topic>Surveillance</topic><topic>Surveillance systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Solomon, D</creatorcontrib><creatorcontrib>Gibbs, J</creatorcontrib><creatorcontrib>Burns, F</creatorcontrib><creatorcontrib>Mohammed, H</creatorcontrib><creatorcontrib>Migchelsen, SJ</creatorcontrib><creatorcontrib>Sabin, CA</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Solomon, D</au><au>Gibbs, J</au><au>Burns, F</au><au>Mohammed, H</au><au>Migchelsen, SJ</au><au>Sabin, CA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual health inequalities among women aged 16-24</atitle><jtitle>European journal of public health</jtitle><date>2022-10-25</date><risdate>2022</risdate><volume>32</volume><issue>Supplement_3</issue><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Introduction
Gonorrhoea is the second most commonly diagnosed sexually transmitted infection in England, and diagnoses among young women increased 31% between 2018 and 2019. Understanding the patterns of testing and diagnosis among young women is likely to aid prevention among the most vulnerable segments of this population.
Methods
Data on gonorrhoea diagnoses at sexual health services among women aged 16-24 in England were obtained using the GUMCAD STI Surveillance System. We investigated the relationship between two exposure variables (deprivation and ethnicity), and two outcome variables (number of gonorrhoea tests and number of gonorrhoea diagnoses). Poisson regression was used to calculate rate ratios for the relationship between the exposure and outcome variables. The testing analysis was offset for the size of the population, and the diagnosis analysis was offset for the number of tests within the population.
Results
Between 2012 and 2019, gonorrhoea testing and diagnosis rates were highest among women living in the most deprived areas. The rate of testing in the least deprived 10% of neighbourhoods was significantly lower than that seen in the most deprived 10% of neighbourhoods (rate ratio (RR) 0.79; 95% confidence interval 0.79 - 0.80), and the rate of diagnosis in the least deprived 10% of neighbourhoods was around a third of that seen in the most deprived 10% of neighbourhoods (0.35; 0.33 - 0.36). When compared to White British women, the rate of gonorrhoea diagnosis was lower among Bangladeshi (RR 0.89; 0.75 - 1.05), Indian (0.76; 0.68 - 0.84), Pakistani (0.87; 0.77 - 1.00) and Chinese women (0.60; 0.51 - 0.71) and was highest among Black Caribbean (2.26; 2.18 - 2.33) and Black African (1.40; 1.34 - 1.45) women.
Conclusions
This analysis found inequalities in the distribution of gonorrhoea among young women in England that may indicate structural barriers to STI prevention that are affecting Black women and those living within the most deprived populations.
Key messages
• Gonorrhoea testing rates among young women in England are highest among women from deprived areas and Black women.
• Gonorrhoea diagnosis rates among young women in England are highest among women from deprived areas and Black women.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/eurpub/ckac129.158</doi><oa>free_for_read</oa></addata></record> |
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| source | Oxford Journals Open Access Collection; DOAJ Directory of Open Access Journals; PAIS Index; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Black people Black women Confidence intervals Deprivation Diagnosis Ethnicity Gonorrhea Health disparities Health services Inequalities Neighborhoods Parallel Programme Prevention Public health Sexual health Sexually transmitted diseases Statistical analysis STD Surveillance Surveillance systems |
| title | Sexual health inequalities among women aged 16-24 |
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