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Race, ethnicity and the epidemiology of sexually transmitted infections

Fenton, Kevin Andrew; (2005) Race, ethnicity and the epidemiology of sexually transmitted infections. Doctoral thesis , UCL (University College London). Green open access


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Variations in the incidence and prevalence of diagnosed sexually transmitted infections (STIs) across racial and ethnic groups have been described in many western industrialised settings. The reasons for these variations are unclear. However, an understanding of their determinants is required in order to develop and refine targeted HIV/STI prevention interventions. This thesis brings together a collection of studies exploring the relationship between ethnicity and the epidemiology of STIs (including HIV infection). It is divided into three main sections. Section one outlines the aims and objectives of the thesis explores concepts of race and ethnicity provides an historical and demographic overview of Black and ethnic minority communities in Britain and critically reviews and summarises the research evidence in this field. Section two outlines the rationale, methodology and outcomes of four studies developed to explore and quantify the nature and range of ethnic variations in sexual health outcomes in Britain. The concluding section summarises key themes arising from this work and relates findings back to set objectives. This thesis confirms the existence of variations in the prevalence of diagnosed STIs among Britain's main ethnic groups. The inequalities are found across a variety of settings, for both reported and prevalent diagnosed infections. Compared with the ethnic majority, adverse sexual health outcomes are more prevalent among Black British ethnic groups, and less so among Indians and Pakistanis. The collated studies confirm that ethnic differences in the prevalence and distribution of high-risk behaviours exist (particularly among men) and may, to a large extent, explain the variations in adverse outcomes. However, behaviour alone cannot account for the observed differences. Other factors, including patterns of health-seeking behaviour, genetic susceptibility, patterns of sexual mixing and background prevalence of disease also contribute, to the observed variations in incidence. Recommendations for future studies and interventions in this field are made.

Type: Thesis (Doctoral)
Title: Race, ethnicity and the epidemiology of sexually transmitted infections
Identifier: PQ ETD:594425
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Thesis digitised by ProQuest. Third party copyright material has been removed from the ethesis. Images identifying individuals have been redacted or partially redacted to protect their identity.
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/1446431
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