Black Caribbean adults with HIV in England, Wales, and Northern Ireland: an emerging epidemic?

Abstract:

BACKGROUND:HIV is now well established in the Caribbean, with prevalence in several countries being surpassed only by those of sub-Saharan Africa. Continuing inward migration from the Caribbean and a high incidence of some bacterial STIs among Britain's black Caribbean communities, suggests a considerable potential for HIV spread. METHODS:Data from three national HIV/AIDS surveillance systems were reviewed, providing information on new HIV diagnoses, numbers accessing treatment and care services, and HIV prevalence. RESULTS:Between 1997 and 2001, 528 black Caribbean adults were newly diagnosed with HIV; 62 new diagnoses in 1997, rising to 176 in 2001. Probable heterosexual acquisition accounted for 335 (63%) infections (161 (48%) males, 174 females), and sex between men 171 (32%). Infection was acquired both in the Caribbean and in the United Kingdom. Numbers of black Caribbeans accessing treatment and care services more than doubled between 1997 (294) and 2001 (691). In 2001, 528 (76%) black Caribbeans accessing services were London residents. Among the Caribbean born previously undiagnosed heterosexuals, HIV prevalence was 0.7%; among men who have sex with men (MSM) it was 10.4%. Of those born in the Caribbean, 73% of male heterosexuals, 50% of female heterosexuals, and 65% of MSM who were previously undiagnosed left the clinic unaware of their HIV infection. CONCLUSIONS:Numbers of black Caribbean adults newly diagnosed and accessing treatment and care services in England, Wales, and Northern Ireland increased between 1997 and 2001. Despite a high prevalence of diagnosed bacterial STIs, prevalence among Caribbean born heterosexuals remains low, but it is high among MSM. Surveillance data highlight the need for targeted HIV prevention among black Caribbeans.

journal_name

Sex Transm Infect

authors

Dougan S,Payne LJ,Brown AE,Fenton KA,Logan L,Evans BG,Gill ON

doi

10.1136/sti.2003.006163

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

18-23

issue

1

eissn

1368-4973

issn

1472-3263

journal_volume

80

pub_type

杂志文章
  • Sexual behaviour and early coitarche in a national sample of 17 year old Swedish girls.

    abstract:OBJECTIVE:To evaluate sexual behaviour in 17 year old girls, using data from a national survey on adolescent sexuality. METHOD:The study was based on two samples of 17 year olds, comprising 2% of the population born in 1973 and carried out in 1990. A school sample and a sample of school non-attenders were recruited in...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.76.2.98

    authors: Edgardh K

    更新日期:2000-04-01 00:00:00

  • Factors associated with sex trade involvement among male participants in a prospective study of injection drug users.

    abstract:OBJECTIVES:While much research to date has examined female sex trade work, little has been done to evaluate factors associated with male sex trade involvement or to assess their health service needs. This is particularly true for male sex trade workers who are also injection drug users (IDUs). Therefore, the present an...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2004.011106

    authors: Kuyper LM,Lampinen TM,Li K,Spittal PM,Hogg RS,Schechter MT,Wood E

    更新日期:2004-12-01 00:00:00

  • HSV-2 seroincidence among Mexican college students: the delay of sexual debut is not enough to avoid risky sexual behaviours and virus transmission.

    abstract:OBJECTIVES:Early sexual debut is a behaviour that has been associated with acquiring sexually transmitted infections. Higher schooling may delay sexual debut, thus the university population is categorised with low-risk sexual behaviours. The rate ratio of herpes simplex virus type 2 (HSV-2) seroincidence according to d...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2010.042333

    authors: Sánchez-Alemán MA,Uribe-Salas FJ,Lazcano-Ponce EC,García-Cisneros S,Eguiza-Fano S,Conde-Glez CJ

    更新日期:2010-12-01 00:00:00

  • Genetic diversity in Trichomonas vaginalis.

    abstract::Recent advances in genetic characterisation of Trichomonas vaginalis isolates show that the extensive clinical variability in trichomoniasis and its disease sequelae are matched by significant genetic diversity in the organism itself, suggesting a connection between the genetic identity of isolates and their clinical ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sextrans-2013-051098

    authors: Meade JC,Carlton JM

    更新日期:2013-09-01 00:00:00

  • The role of core groups in the emergence and dissemination of antimicrobial-resistant N gonorrhoeae.

    abstract::Core groups contain individuals who are regularly infected with Neisseria gonorrhoeae and are able to transmit their infection to a large number of sexual partners. Classical core groups, such as sex workers and their male partners, or men who have sex with men (MSM), have contributed to the emergence and spread of an...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sextrans-2013-051020

    authors: Lewis DA

    更新日期:2013-12-01 00:00:00

  • Is confirmatory testing of Roche cobas 4800 CT/NG test Neisseria gonorrhoeae positive samples required? Comparison of the Roche cobas 4800 CT/NG test with an opa/pap duplex assay for the detection of N gonorrhoeae.

    abstract:OBJECTIVES:Recently marketed nucleic acid amplification tests (NAAT) for the detection of Neisseria gonorrhoeae (NG) have improved specificity over previous generation assays. A study to assess the necessity for confirmation of Roche cobas 4800 NG positive samples was undertaken by the Public Health Wales Microbiology ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2013-051410

    authors: Perry MD,Jones RN,Corden SA

    更新日期:2014-06-01 00:00:00

  • Prospective study on cervical neoplasia: presence of HPV DNA in cytological smears precedes the development of cervical neoplastic lesions.

    abstract:OBJECTIVES:The principal aim of the study was to verify whether HPV infection in healthy women, as determined by HPV DNA detection, was associated with an increased risk of development of cervical lesions. METHODS:Cervical smears collected at enrolment into the prospective study conducted in Prague during 1975-83 were...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.79.3.191

    authors: Tachezy R,Saláková M,Hamsíková E,Kanka J,Havránková A,Vonka V

    更新日期:2003-06-01 00:00:00

  • Condom effectiveness for prevention of Chlamydia trachomatis infection.

    abstract:BACKGROUND/OBJECTIVES:A growing body of evidence is increasingly demonstrating the effectiveness of condoms for sexually transmitted infection (STI) prevention. The purpose of the present analysis was to provide a disease specific estimate for the effectiveness of condoms in preventing Chlamydia trachomatis infection w...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2004.012799

    authors: Niccolai LM,Rowhani-Rahbar A,Jenkins H,Green S,Dunne DW

    更新日期:2005-08-01 00:00:00

  • High yield of reinfections by home-based automatic rescreening of Chlamydia positives in a large-scale register-based screening programme and determinants of repeat infections.

    abstract:INTRODUCTION:In a systematic internet-based Chlamydia Screening Implementation Programme in The Netherlands, all chlamydia-positive participants automatically received a testkit after 6 months to facilitate early detection of repeat infections. The authors describe participation in repeat testing and prevalence and det...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2011-050455

    authors: Götz HM,van den Broek IV,Hoebe CJ,Brouwers EE,Pars LL,Fennema JS,Koekenbier RH,van Ravesteijn S,Op de Coul EL,van Bergen J

    更新日期:2013-02-01 00:00:00

  • Population and dyadic-based seroincidence of herpes simplex virus-2 and syphilis in southern India.

    abstract:OBJECTIVES:Herpes simplex virus-2 (HSV-2) and syphilis are associated with increased risk of HIV, highlighting the importance of understanding their transmission dynamics. In India, most studies of HSV-2 and syphilis incidence are in high-risk populations and may not accurately reflect infectious activity. In this stud...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2014-051708

    authors: Hochberg CH,Schneider JA,Dandona R,Lakshmi V,Kumar GA,Sudha T,Akbar M,Ahmed GM,Ramgopal SP,Armbruster B,Alary M,Dandona L

    更新日期:2015-08-01 00:00:00

  • Diagnosis of sexually transmitted infections in female prostitutes in Dakar, Senegal.

    abstract:OBJECTIVE:To study the validity and performance of a number of rapid indicators for the diagnosis of sexually transmitted infections (STIs) in female prostitutes in Dakar, Senegal; characteristics of these indicators were rapidly obtainable, easy to perform, accurate, useful at district level, and reasonable cost. MET...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:

    authors: Ndoye I,Mboup S,De Schryver A,Van Dyck E,Moran J,Samb ND,Sakho ML,Thior I,Wade A,Heymann DL,Meheus A

    更新日期:1998-06-01 00:00:00

  • Estimating the number of men who have sex with men in low and middle income countries.

    abstract:OBJECTIVES:To collect and analyse published and unpublished surveillance and research data on the prevalence of same sex sexual activity among male adults (including male-to-female transgenders and sex workers) in low and middle income countries. METHODS:Key indicators were operationalised (ever sex with a man, sex wi...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sti.2005.019489

    authors: Cáceres C,Konda K,Pecheny M,Chatterjee A,Lyerla R

    更新日期:2006-06-01 00:00:00

  • Comparison of risk factors in HIV-infected men who have sex with men, coinfected or not with hepatitis C virus (ANRS VESPA2 French cross-sectional national survey).

    abstract:OBJECTIVES:HIV-infected men who have sex with men (HIV-MSM) are at high risk of hepatitis C virus (HCV) infection. This study aimed to compare risk factors between HIV-MSM coinfected with HCV and those who are not, in a national representative survey conducted in France. METHODS:The ANRS VESPA2 survey (April 2011-Janu...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2014-051542

    authors: Marcellin F,Lorente N,Demoulin B,Carrieri MP,Suzan-Monti M,Roux P,Lert F,Sagaon-Teyssier L,Dray-Spira R,Spire B,ANRS VESPA2 Study Group.

    更新日期:2015-02-01 00:00:00

  • Condom deserts: geographical disparities in condom availability and their relationship with rates of sexually transmitted infections.

    abstract:BACKGROUND:Identifying predictors that contribute to geographical disparities in sexually transmitted infections (STIs) is necessary. This study assesses the spatial relationship between condom availability to locations of STIs in order to better understand these geographical disparities. OBJECTIVES:We conducted a con...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2015-052144

    authors: Shacham E,Nelson EJ,Schulte L,Bloomfield M,Murphy R

    更新日期:2016-05-01 00:00:00

  • Do young women engage in greater sexual risk behaviour with biological fathers of their children?

    abstract:OBJECTIVES:Qualitative research suggests that young women's relationships with the biological fathers of their children (BFRs), known colloquially as 'baby daddy' relationships, enable risk for pregnancy and STI/HIV. Our study compared partner characteristics and sexual risk within dyads based on BFR, among a sample of...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2015-052157

    authors: Decker MR,Chung SE,Ellen JM,Sherman SG

    更新日期:2016-06-01 00:00:00

  • Systematic reviews of point-of-care tests for the diagnosis of urogenital Chlamydia trachomatis infections.

    abstract:BACKGROUND:WHO estimates that 131 million new cases of urogenital Chlamydia trachomatis (CT) infections occur globally every year. Most infections are asymptomatic. Untreated infection in women can lead to severe complications. Screening and treatment of at-risk populations is a priority for prevention and control. OB...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sextrans-2016-053067

    authors: Kelly H,Coltart CEM,Pant Pai N,Klausner JD,Unemo M,Toskin I,Peeling RW

    更新日期:2017-12-01 00:00:00

  • Comparison of risk factors for four sexually transmitted infections: results from a study of attenders at three genitourinary medicine clinics in England.

    abstract:OBJECTIVE:To compare the risk factors for four common sexually transmitted infections (STIs) in attenders at three large urban genitourinary medicine (GUM) clinics in England. METHODS:Clinical, demographic, and behavioural data on attenders at two clinics in London and one in Sheffield were collected. Risk factors ass...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.76.4.262

    authors: Hughes G,Catchpole M,Rogers PA,Brady AR,Kinghorn G,Mercey D,Thin N

    更新日期:2000-08-01 00:00:00

  • Prevalence, incidence and associated risk factors of STIs during pregnancy in South Africa.

    abstract:OBJECTIVE:STIs during pregnancy increase adverse pregnancy and birth outcomes and may increase HIV risk. STI syndromic management is standard of care in South Africa. Our study evaluated the prevalence and incidence of STIs in pregnant women and the associated risk factors. METHODS:We combined data from two prospectiv...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2020-054631

    authors: Nyemba DC,Medina-Marino A,Peters RPH,Klausner JD,Ngwepe P,Myer L,Johnson LF,Davey DJ

    更新日期:2020-10-01 00:00:00

  • Usage of purchased self-tests for HIV infections among migrants living in the UK, France and the Netherlands: a cross-sectional study.

    abstract:OBJECTIVES:Self-tests are performed and interpreted autonomously by a person without involving a healthcare professional or a certified laboratory. To gain insight into the usage of purchased HIV self-tests (HIVST) among migrants living in high-income countries, we studied the prevalence and determinants of HIVST usage...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2018-053583

    authors: Bil JP,Prins M,Fakoya I,Volny-Anne A,Burns F,Zuure FR

    更新日期:2019-12-01 00:00:00

  • Trends and associations of Trichomonas vaginalis infection in men and women with genital discharge syndromes in Johannesburg, South Africa.

    abstract:OBJECTIVES:To better understand the epidemiology of Trichomonas vaginalis infection, we investigated the association between T vaginalis and demographic, clinical, microbiological and behavioural characteristics of patients presenting with genital discharges to a primary healthcare clinic in Johannesburg, South Africa....

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2013-051049

    authors: Lewis DA,Marsh K,Radebe F,Maseko V,Hughes G

    更新日期:2013-09-01 00:00:00

  • Non-response bias in estimates of HIV prevalence due to the mobility of absentees in national population-based surveys: a study of nine national surveys.

    abstract:OBJECTIVES:To measure the bias in national estimates of HIV prevalence in population-based surveys caused by mobility and refusal to test. METHODS:Data from nine demographic and health surveys and AIDS indicator surveys were used. Non-responders were divided into three groups: (i) "refusals" who were interviewed but n...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.2008.030353

    authors: Marston M,Harriss K,Slaymaker E

    更新日期:2008-08-01 00:00:00

  • Oral examination: a screening tool for HIV infection?

    abstract:OBJECTIVE:To estimate the predictive values for HIV infection of diagnosis of oral manifestations of the infection. METHOD:Prevalence of oral manifestations was compared in cross sectional blinded clinical examinations of homosexual men attending a genitourinary medicine clinic. Data were extrapolated to populations i...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.74.5.345

    authors: Robinson PG,Challacombe SJ,Sheiham A

    更新日期:1998-10-01 00:00:00

  • Levels of anxiety and distress following receipt of positive screening tests in Australia's HPV-based cervical screening programme: a cross-sectional survey.

    abstract:OBJECTIVE:From December 2017, the Australian National Cervical Screening Program commenced 5 yearly primary human papillomavirus (HPV) screening; one of the first high-income countries to implement primary HPV screening. This study aimed to examine the psychosocial impact of self-reporting testing HPV positive in a sam...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2019-054290

    authors: Dodd RH,Mac O,Brotherton JML,Cvejic E,McCaffery KJ

    更新日期:2020-05-01 00:00:00

  • Herpes simplex virus type 2 serological testing and psychosocial harm: a systematic review.

    abstract:BACKGROUND:Serological testing for herpes simplex virus (HSV) type 2 in persons without a history of genital herpes is not recommended, partly because of concerns that an HSV-2 diagnosis would lead to negative psychosocial sequelae. This review aimed to examine the evidence regarding the psychosocial effects of HSV-2 s...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sextrans-2011-050099

    authors: Ross K,Johnston C,Wald A

    更新日期:2011-12-01 00:00:00

  • Prevalence and associations of recent physical intimate partner violence among women attending an Australian sexual health clinic.

    abstract:BACKGROUND:The Sydney Sexual Health Centre in Australia uses a proforma tool to screen all new female clients for recent physical intimate partner violence (IPV). This study describes the prevalence and associations of recent physical IPV among women attending a sexual health clinic. METHOD:The clinic database was use...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2010.043109

    authors: Lockart I,Ryder N,McNulty AM

    更新日期:2011-03-01 00:00:00

  • Patterns and trends in Pakistan's heterogeneous HIV epidemic.

    abstract:BACKGROUND:Considerable HIV transmission occurs among injection drug users (IDUs) in Pakistan and recently the HIV prevalence has been increasing among male (MSW), hijra (transgender; HSW) and female (FSW) sex workers. We describe past and estimate future patterns of HIV emergence among these populations in several cit...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2012-050872

    authors: Reza T,Melesse DY,Shafer LA,Salim M,Altaf A,Sonia A,Jayaraman GC,Emmanuel F,Thompson LH,Blanchard JF

    更新日期:2013-09-01 00:00:00

  • Sexually transmitted infections among married women in Dhaka, Bangladesh: unexpected high prevalence of herpes simplex type 2 infection.

    abstract:OBJECTIVES:To document the prevalence of reproductive tract infections (RTI) and sexually transmitted infections (STI) among women attending a basic healthcare clinic in Dhaka, Bangladesh, to identify risk factors associated with the diseases and to estimate the incidence of syphilis, hepatitis C (HCV), hepatitis B (HB...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.77.2.114

    authors: Bogaerts J,Ahmed J,Akhter N,Begum N,Rahman M,Nahar S,Van Ranst M,Verhaegen J

    更新日期:2001-04-01 00:00:00

  • Clinical predictors of rectal lymphogranuloma venereum infection: results from a multicentre case-control study in the U.K.

    abstract:OBJECTIVE:Since 2003, over 2000 cases of lymphogranuloma venereum (LGV) have been diagnosed in the U.K. in men who have sex with men (MSM). Most cases present with proctitis, but there are limited data on how to differentiate clinically between LGV and other pathology. We analysed the clinical presentations of rectal L...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sextrans-2013-051401

    authors: Pallawela SN,Sullivan AK,Macdonald N,French P,White J,Dean G,Smith A,Winter AJ,Mandalia S,Alexander S,Ison C,Ward H

    更新日期:2014-06-01 00:00:00

  • Time trends of syphilis and HSV-2 co-infection among men who have sex with men in the German HIV-1 seroconverter cohort from 1996-2007.

    abstract:OBJECTIVES:Numbers of newly diagnosed HIV infections among men who have sex with men (MSM) in Germany increased after the year 2000. We sought to explore trends in STI co-infections around the time of HIV seroconversion in patients from the German HIV-1 seroconverter cohort from 1996-2007. METHODS:MSM from the cohort ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.2009.040857

    authors: Spielmann N,Münstermann D,Hagedorn HJ,an der Heiden M,Houareau C,Gunsenheimer-Bartmeyer B,Kücherer C,Keeren K,Hamouda O,Marcus U,German HIV-1 Seroconverter Study Group.

    更新日期:2010-10-01 00:00:00

  • The potential role of serology in diagnosing chronic lymphogranuloma venereum (LGV): a case of LGV mimicking Crohn's disease.

    abstract::We present the case of a 26 year old HIV positive homosexual man who was managed for suspected Crohn's disease for over 1 year before lymphogranuloma venereum (LGV) was clinically diagnosed. He had presented with constipation, secondary to acute haemorrhagic proctitis, and subsequently had two chlamydia negative recta...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2005.016667

    authors: Forrester B,Pawade J,Horner P

    更新日期:2006-04-01 00:00:00