Factors influencing delay in treatment seeking by first-time attenders at a genitourinary clinic.

Abstract:

:We examined treatment-seeking behaviours amongst a consecutive sample of 188 first-time attenders at a busy genitourinary (GU) clinic in a general hospital. Participants were interviewed and completed a battery of questionnaires prior to receiving diagnosis or treatment. Delay in treatment seeking was measured in 3 ways: utilization delay, illness behaviour delay and appraisal delay. Appraisal delay and illness behaviour were significantly related, but were unrelated to utilization delay. Substantial delays were reported before seeking treatment, with a median of 30 days elapsing between first noticing symptoms and attending the clinic. Analysis of age groups indicated that the oldest groups--45 and above were likely to delay longest, on all 3 measures of delay.

journal_name

Int J STD AIDS

authors

Pitts MK,Woolliscroft J,Cannon S,Johnson I,Singh G

doi

10.1258/0956462001916083

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

375-8

issue

6

eissn

0956-4624

issn

1758-1052

journal_volume

11

pub_type

杂志文章
  • Acceptability and preferences for safer conception HIV prevention strategies: a qualitative study.

    abstract::Safer conception strategies to reduce the HIV transmission risk include antiretroviral therapy for HIV-positive partners, pre-exposure prophylaxis for HIV-negative partners, condomless sex limited to fertile periods, and home-based self-insemination. Resistance to taking treatment or cultural concerns may limit uptake...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462415604091

    authors: Schwartz SR,West N,Phofa R,Yende N,Sanne I,Bassett J,Van Rie A

    更新日期:2016-10-01 00:00:00

  • Hepatitis B revaccination in HIV-infected vaccine non-responders: is double dosing always necessary?

    abstract::Limited data exist on hepatitis B revaccination strategies for HIV-infected individuals who do not develop immunity after the first vaccination series. A retrospective cohort study was conducted to assess the immunogenicity of the second series of hepatitis B vaccine given in standard dosing (SD) and double dosing (DD...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462415596498

    authors: Chatkittikunwong G,Khawcharoenporn T

    更新日期:2016-09-01 00:00:00

  • Self sampling as part of screening for sexually transmitted diseases in clinic attenders. A preliminary study.

    abstract::Self sampling of the secretions of the female genital tract for microbiological investigations for Neisseria gonorrhoeae, Chlamydia trachomatis and Trichomonas vaginalis was assessed in female attenders of the genitourinary medicine clinic in Coventry and Warwickshire Hospital. The purpose of the study was to evaluate...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249400500411

    authors: Markos AR,Wade AA,Walzman M,Shahmanesh M

    更新日期:1994-07-01 00:00:00

  • Management of sexually transmitted diseases in urban pharmacies in The Gambia.

    abstract::This study aimed to describe the quality and costs of sexually transmitted disease (STD) case management in urban pharmacies in The Gambia, and explore pharmacy workers' (PWs) willingness to improve the STD care they provide. PWs from 24 registered pharmacies were interviewed in order to collect information on their k...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462011923471

    authors: Leiva A,Shaw M,Paine K,Manneh K,McAdam K,Mayaud P

    更新日期:2001-07-01 00:00:00

  • Efficacy of raltegravir-containing regimens in antiretroviral-naïve and -experienced individuals in routine clinical practice.

    abstract::Raltegravir is one of the standard antiretroviral therapy (ART) options in treatment-experienced and -naïve patients. However, efficacy data from clinical practice are scarce. Therefore, the efficacy of raltegravir-containing ART in clinical practice was investigated retrospectively. In all, 295 treatment-naïve and -e...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462415610678

    authors: Jaeckle M,Khaykin P,Haberl A,De Leuw P,Schüttfort G,Stephan C,Wolf T

    更新日期:2016-11-01 00:00:00

  • Prevalence of urogenital Chlamydia trachomatis infection in El Salvador. II. Gynaecology outpatients.

    abstract::The prevalence of urogenital infection caused by Chlamydia trachomatis was examined in 100 non-pregnant women with cervicitis, and 100 healthy women, in San Salvador City, El Salvador. Pharmacia Chlamydia EIA test was used for the detection of chlamydial antigen in urethral and cervical specimens from all the women. D...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249200300607

    authors: Cañas Posada AB,Jonasson J,de Linares L,Bygdeman S

    更新日期:1992-11-01 00:00:00

  • Detection of male genital infection with Chlamydia trachomatis and Neisseria gonorrhoeae using an automated multiplex PCR system (Cobas Amplicor).

    abstract::We evaluated Cobas Amplicor, a highly automated polymerase chain reaction (PCR) system, to test first-void urine (FVU) and urethral swab specimens for Chlamydia trachomatis and Neisseria gonorrhoeae in men attending a sexually transmitted infection (STI) clinic. Results were compared against an in-house radioimmune do...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462981921594

    authors: Higgins SP,Klapper PE,Struthers JK,Bailey AS,Gough AP,Moore R,Corbitt G,Bhattacharyya MN

    更新日期:1998-01-01 00:00:00

  • Can a clinical prediction tool guide HIV-testing decisions? Experience at a national hospital in Guatemala.

    abstract::The USA and international recommendations no longer emphasize using risk factors to target groups for HIV-testing. Using a Guatemalan database of HIV tests, we developed a clinical prediction rule to guide decisions on HIV-testing. Prior to HIV-testing, data were collected on demographics, risk factors and prior testi...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2008.008223

    authors: Anderson MR,Samayoa B,O'Sullivan LF,Fletcher J,Arathoon E

    更新日期:2009-01-01 00:00:00

  • Treatment outcome, mortality and their predictors among HIV-associated tuberculosis patients.

    abstract::The risk of death is significantly higher in HIV-infected patients with tuberculosis (TB). This study aims to evaluate the impact of demographic, clinical and laboratory characteristics on the treatment outcome and mortality of TB/HIV co-infected patients in a tertiary TB centre in Iran. In total, 111 patients were re...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2009.009093

    authors: Tabarsi P,Chitsaz E,Moradi A,Baghaei P,Farnia P,Marjani M,Shamai M,Amiri M,Nikaein S,Mansouri D,Masjedi M,Altice F

    更新日期:2012-09-01 00:00:00

  • Marginal validity of syndromic management for reproductive tract infections among pregnant women in Jamaica.

    abstract::We assessed the validity of a syndromic case management approach for reproductive tract infections (RTIs) among 371 pregnant women attending antenatal care facilities in Kingston, Jamaica, using an algorithm previously validated in high-risk Jamaican women. For our antenatal attenders, the algorithm had low sensitivit...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646204774195209

    authors: Hylton-Kong T,Brathwaite AR,Del Rosario GR,Kristensen S,Kamara P,Jolly PE,Hook EW 3rd,Figueroa JP,Vermund SH

    更新日期:2004-06-01 00:00:00

  • Evaluating the care cascade after antiretroviral therapy initiation in Latin America.

    abstract::Accelerating antiretroviral therapy (ART) administration, improving retention, and achieving viral suppression in low- and middle-income countries must be prioritized. We evaluated trends and disparities in these milestones in a large Latin American cohort. Adults starting ART (ARTstart) from 2003 to 2014 at Caribbean...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462417714094

    authors: Wolff MJ,Cortes CP,Mejìa FA,Padgett D,Belaunzarán-Zamudio P,Grinsztejn B,Giganti MJ,McGowan CC,Rebeiro PF,Caribbean, Central and South America network for HIV epidemiology (CCASAnet).

    更新日期:2018-01-01 00:00:00

  • Predictors of AIDS knowledge, condom use and high-risk sexual behaviour among women in Dar-es-Salaam, Tanzania.

    abstract::Reducing the number of sex partners and using condoms are the major means for individuals to protect themselves from STDs and AIDS in sub-Saharan Africa. To identify predictors of having only one sex partner in the last year and to assess knowledge and use of condoms among women of reproductive age in Dar-es-Salaam, T...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249500600307

    authors: Kapiga SH,Lwihula GK,Shao JF,Hunter DJ

    更新日期:1995-05-01 00:00:00

  • Recombinant human interferon-beta for condylomata acuminata: a randomized, double-blind, placebo-controlled study of intralesional therapy.

    abstract::To assess the efficacy of a novel glycosylated mammalian cell derived recombinant human interferon-beta (r-hIFN-beta-1a) in the intralesional treatment of genital condylomata acuminata. The study was randomized, double-blind and placebo-controlled. Patients (n=60) with up to 8 distinct condylomata acuminata were rando...

    journal_title:International journal of STD & AIDS

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1258/0956462971918878

    authors: Bornstein J,Pascal B,Zarfati D,Goldshmid N,Abramovici H

    更新日期:1997-10-01 00:00:00

  • Primary HIV infection presenting as limbic encephalitis and rhabdomyolysis.

    abstract::Recognising the initial clinical presentation of acute HIV infection could enable earlier initiation of antiretroviral therapy and appropriate counselling to reduce the risk of transmission to others. Herein, we describe an unusual case of acute HIV infection presenting as limbic encephalitis and rhabdomyolysis. ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462414560777

    authors: Ferrada MA,Xie Y,Nuermberger E

    更新日期:2015-10-01 00:00:00

  • Provision of HIV test results by telephone is both safe and efficient for men who have sex with men.

    abstract::The aim of this study was to assess the impact of delivering HIV test results by telephone on HIV testing and subsequent risk behaviour of men, as well as saving on clinic consultation time. It was conducted at the Melbourne Sexual Health Centre, the main public sexual health clinic servicing Victoria, Australia. In 2...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462415623912

    authors: Bissessor M,Bradshaw CS,Fairley CK,Chen MY,Chow EP

    更新日期:2017-01-01 00:00:00

  • Racial and ethnic differences in knowledge and willingness to participate in HIV vaccine trials in an urban population in the Southeastern US.

    abstract::Racial/ethnic minorities in the Southeastern USA are disproportionately affected by HIV, and would benefit from a preventive vaccine. We conducted a cross-sectional survey of 220 community college students in Atlanta to evaluate racial/ethnic differences in knowledge and willingness to participate in HIV vaccine trial...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646206775455667

    authors: Priddy FH,Cheng AC,Salazar LF,Frew PM

    更新日期:2006-02-01 00:00:00

  • Lubricant use among men who have sex with men reporting receptive anal intercourse in Peru: implications for rectal microbicides as an HIV prevention strategy.

    abstract::This study assessed lubricant use during receptive anal intercourse (RAI) among Peruvian men who have sex with men (MSM) and willingness to use a hypothetical rectal microbicide (RM) formulated as a lubricant to prevent HIV infection. Data were collected from 843 Peruvian MSM for the 2008 HIV Sentinel Surveillance usi...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2010.010134

    authors: Kinsler JJ,Galea JT,Peinado J,Segura P,Montano SM,Sánchez J

    更新日期:2010-08-01 00:00:00

  • Factors associated with anxiety disorders among HIV-positive attendees of an HIV clinic in Lagos, Nigeria.

    abstract::Anxiety disorders (ADs) occurring in people living with HIV/AIDS (PLWHA) are often poorly identified in spite of the untold consequences that may result if not diagnosed and treated promptly. This study aimed to describe factors associated with ADs among PLWHA. Three hundred participants were administered sociodemogra...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2011.011200

    authors: Olagunju AT,Adeyemi JD,Erinfolami AR,Ogundipe OA

    更新日期:2012-06-01 00:00:00

  • Differences in implementation of HIV/AIDS clinical research in developed versus developing world: an evidence-based review on protease inhibitor use among women and minorities.

    abstract::The aim of this revision is to evaluate ethnicity and gender rate of enrolment in registrative clinical trials of the protease inhibitors (Pls) from 1996 to 2009. Company-sponsored, phase II or III registrative clinical trials of PIs were evaluated. Forty-nine clinical trials were included. Clinical trials were conduc...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章,评审

    doi:10.1258/ijsa.2012.012047

    authors: Seminari E,De Silvestri A,Scudeller L,Scotti V,Tinelli C

    更新日期:2012-12-01 00:00:00

  • What are the needs of asylum seekers attending an STI clinic and are they significantly different from those of British patients?

    abstract::To elicit the needs of asylum seekers attending the Royal Hallamshire genitourinary medicine clinic for the first time in 2002 and whether these differed from British patients, a search of patient records for 2002 identified 43 asylum seekers (21 female, 22 male) who were paired with 43 British patients matched by age...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462041558230

    authors: Rogstad KE,Dale H

    更新日期:2004-08-01 00:00:00

  • A novel use of AIDS surveillance data to assess the impact of initial treatment regimen on survival.

    abstract::The expense in time and money limit the use of randomized clinical trials (RCT) and cohort studies for evaluating long-term AIDS treatment outcomes. We conducted a case-control study to characterize predictors of AIDS mortality after the availability of highly active antiretroviral therapy (HAART) in San Francisco, in...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2008.008381

    authors: Chen SY,Moss WJ,Pipkin SS,McFarland W

    更新日期:2009-05-01 00:00:00

  • Gonorrhoea in a south London genitourinary medicine department.

    abstract::The management and outcome of all cases of gonorrhoea which presented to a south London genitourinary medicine clinic during 1999 were assessed and compared with published national guidelines. The incidence of penicillin resistance was calculated, as was the rate of co-infection with chlamydia and trichomonas. Informa...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646203322301095

    authors: Newell A,Herbert E,Vigus J,Grieg A,Rodgers ME

    更新日期:2003-09-01 00:00:00

  • Confound it: latent lessons from the Mwanza trial of STD treatment to reduce HIV transmission.

    abstract::In 1995, an international team reported that improved syndromic management of sexually transmitted disease (STD) in Mwanza, Tanzania, had reduced HIV incidence by 38% in intervention compared to control communities. However, the team has not addressed confound: project interventions might have reduced HIV transmission...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646203762869188

    authors: Gisselquist D,Potterat JJ

    更新日期:2003-03-01 00:00:00

  • Rationalization of microscopy in the detection of Neisseria gonorrhoeae in women.

    abstract::This study looks at the sensitivity of microscopy in the diagnosis of Neisseria gonorrhoeae (NG), the effect of microscopy on time to treatment of NG and the added value of microscopy in the management of gonorrhoea. Women diagnosed with NG at an inner city genitourinary (GU) medicine clinic between August 2005 and Ju...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646207782193876

    authors: Forbes KM,Vaze U,Wheeler HL

    更新日期:2007-10-01 00:00:00

  • Distribution of HIV and acute hepatitis B infection among drug injectors in Glasgow.

    abstract::This study compared the distributions of known human immunodeficiency virus (HIV) and acute hepatitis B virus (HBV) infection among drug injectors in Glasgow over a 3.5 year period. Data were obtained from all relevant laboratory request forms submitted to Glasgow's 3 virology laboratories during the period 1 January ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249100200509

    authors: Gruer LD,Peedle M,Carrington D,Clements GB,Follett EA

    更新日期:1991-09-01 00:00:00

  • A dedicated clinic for HIV-positive individuals over 50 years of age: a multidisciplinary experience.

    abstract::The HIV-infected population is ageing. Issues including polypharmacy and co-morbidities led us to develop a dedicated clinic for HIV-infected individuals over 50. We describe our service evaluation after two years. The over 50 clinic commenced in January 2009. The team comprises a registrar, consultant, nurse practiti...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2012.011412

    authors: Waters L,Patterson B,Scourfield A,Hughes A,de Silva S,Gazzard B,Barton S,Asboe D,Pozniak A,Boffito M

    更新日期:2012-08-01 00:00:00

  • Symptomatic HIV viraemia during a drug holiday: an argument against treatment interruption?

    abstract::An HIV-positive African woman developed severe constitutional symptoms associated with rebound viraemia during a planned antiretroviral treatment interruption, requiring reinitiation of highly active antiretroviral therapy. ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462041558131

    authors: Freedman E,Dhaliwal K,Estcourt C,Baily G

    更新日期:2004-08-01 00:00:00

  • Fever of unknown origin in patients with HIV infection in Thailand: an observational study and review of the literature.

    abstract::Fever of unknown origin (FUO) is a common presentation for patients with advanced human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS). We prospectively followed 72 patients, consecutively admitted to a Thai regional hospital with FUO and HIV infection to identify aetiologies and...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2007.007191

    authors: Kitkungvan D,Apisarnthanarak A,Plengpart P,Mundy LM

    更新日期:2008-04-01 00:00:00

  • AIDS-defining illness diagnosed within 90 days after starting highly active antiretroviral therapy among patients from the TREAT Asia HIV Observational Database.

    abstract::Using data from TREAT Asia HIV Observational Database (TAHOD), this paper aims to assess the rate of, and factors associated with the diagnosis of new AIDS-defining illness (ADI) within 90 days after antiretroviral treatment. Patients starting three or more antiretroviral combinations and having subsequent follow-up w...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646207781147283

    authors: Zhou J,Paton NI,Ditangco R

    更新日期:2007-07-01 00:00:00

  • Prevalence of HIV-1 subtypes among men who have sex with men in China: a systematic review.

    abstract::The distribution of prevalent HIV-1 strains are still complex in China. Men who have sex with men (MSM) play an important bridging role in spreading HIV. The aim of our study was to quantitatively evaluate the prevalence of HIV-1 subtypes among the MSM population in China from published studies. Relevant studies were ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章,meta分析,评审

    doi:10.1177/0956462414543841

    authors: Zhang L,Wang YJ,Wang BX,Yan JW,Wan YN,Wang J

    更新日期:2015-04-01 00:00:00