RESUMO
A prospective survey to assess reasons for requesting HIV tests, perceived HIV risk and sexual behaviour in genitourinary medicine clinic attenders was carried out. Overall 123 (38.6%) were concerned about casual sexual contacts. Homosexual and bisexual men may have changed their sexual behaviour as a result of public health campaigns but publicity had little immediate effect on prompting people to have an HIV test.
Assuntos
Sorodiagnóstico da AIDS , Aceitação pelo Paciente de Cuidados de Saúde , Assunção de Riscos , Bissexualidade , Preservativos/estatística & dados numéricos , Feminino , Homossexualidade Masculina , Humanos , Masculino , Estudos Prospectivos , Fatores de Risco , Comportamento Sexual , Reino UnidoRESUMO
It has been proposed that changes in sexual behaviour arising out of concerns regarding HIV infection can be inferred by changes in the incidence of gonorrhoea. We have reviewed data on gonococcal isolates in Newcastle over the last 13 years and looked at changes in relation to HIV test requests, new cases of HIV infection and media campaigns. HIV testing has been available in the clinic since late 1985. There was a steady decline in cases of gonorrhoea from 1985-1991 and then as in other areas an increase in incidence was seen among homosexual and bisexual men. The majority of this recent increase was due to pharyngeal infection. Sexual behaviour may have changed but this cannot be purely attributed to HIV concerns. HIV testing began after the incidence of gonorrhoea in England was already falling and we found no relationship between trends in gonorrhoea, HIV test requests and new cases of HIV infection.
Assuntos
Gonorreia/epidemiologia , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Comportamento Sexual , Adolescente , Adulto , Biomarcadores , Inglaterra/epidemiologia , Feminino , Educação em Saúde , Humanos , Incidência , Estudos Longitudinais , Masculino , Meios de Comunicação de Massa , Pessoa de Meia-Idade , Vigilância da População , Saúde da População UrbanaRESUMO
A retrospective case note audit, with reference to the recently published central audit group guidelines, was undertaken to assess females with chlamydial infection attending a district general hospital department of genitourinary medicine. Those diagnosed and referred by other agencies (mainly general practitioners (GPs)) were more often symptomatic and those treated before attending was more likely to need retreating. Contact tracing for current and recent partners was more successful than tracing previous partners. We feel that GPs and other agencies should continue to be encouraged to diagnose chlamydial infection and then to refer for immediate management, to limit re-infection/ potential re-infection and the need for retreatment. Contact tracing of casual contacts and previous partners has been of limited success and poses a challenge to meet the standards of the new guidelines.