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Identifying opportunities for sexually transmitted infection prevention: analysis of critical points in the care pathways of patients with gonorrhoea.

Abu-Rajab, K; Scoular, A; Church, S; Connell, J; Winter, A; Hart, G; (2009) Identifying opportunities for sexually transmitted infection prevention: analysis of critical points in the care pathways of patients with gonorrhoea. Int J STD AIDS , 20 (3) 170 - 175. 10.1258/ijsa.2008.008258.

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Abstract

We applied the principles of Hazard Analysis and Critical Control Points (HACCP) to systematically analyse the care pathway of patients diagnosed with gonorrhoea to identify potential intervention opportunities for preventive action. Data were collected on individuals with culture-positive gonococcal infection during 27 February 2003 to 08 January 2004. Qualitative data were gathered within individual semi-structured interviews. Two hundred and twenty-three gonorrhoea patient episodes were evaluated. The median interval between presentation and treatment was significantly longer in females and men having sex with men (MSM), compared with heterosexual men (P = 0.002). Females were significantly more likely to be in regular relationships at the timepoint of perceived infection acquisition than heterosexuals or MSM (P < 0.0001). Four major themes emerged from the interviews: life-stage and infection risk, determinants of risk perception around sexual encounters, attitudes to preventing re-infection and condom use. These informed three potential 'critical control points': health-related attitudes/behaviours preceding infection; access to appropriate care and optimizing health promotion to prevent further infection.

Type:Article
Title:Identifying opportunities for sexually transmitted infection prevention: analysis of critical points in the care pathways of patients with gonorrhoea.
Location:England
DOI:10.1258/ijsa.2008.008258
Language:English
Keywords:Adolescent, Adult, Aged, Chi-Square Distribution, Female, Gonorrhea, Health Services Accessibility, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Patient Acceptance of Health Care, Risk Factors, Sexual Behavior, Sexually Transmitted Diseases
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health

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