Abstract
Objectives: To compare normative beliefs about sexual health in young men and women from black Caribbean, black African, and white ethnic groups in order to better understand ethnic inequalities in sexual health.
Methods: Focus group discussions with young people living in an area with known high prevalence of gonorrhoea and chlamydia. Groups were stratified by sex and self defined ethnicity.
Results: 22 male and 20 female 16–25 year olds of black Caribbean, black African, and white ethnicity took part in eight discussions. Participants from black ethnic groups were more aware of gonorrhoea than white participants but all ethnic groups regarded these as being less important than unplanned pregnancy or HIV/AIDS. Most participants believed that they would have obvious symptoms if they had a sexually transmitted infection and could determine the cleanliness of sexual partners by visual or behavioural cues. Black Caribbean women were alone in acknowledging the likelihood of their partners having concurrent sexual relationships. Some black Caribbean women described negative attitudes of staff in genitourinary medicine clinics who were from the same ethnic background.
Conclusion: In this focus group study we identified ethnic differences in terminology, awareness of sexually transmitted infections, non-exclusive sexual relationships, and experience of sexual health services but gender had a greater influence on normative beliefs. The similarities in norms for all ethnic groups might reflect common social and cultural exposures. The low priority given to sexually transmitted infections by young people from all ethnic groups needs to be addressed if they are to be tackled successfully.
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Selected References
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- Aral S. O., Hughes J. P., Stoner B., Whittington W., Handsfield H. H., Anderson R. M., Holmes K. K. Sexual mixing patterns in the spread of gonococcal and chlamydial infections. Am J Public Health. 1999 Jun;89(6):825–833. doi: 10.2105/ajph.89.6.825. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bhopal R. Is research into ethnicity and health racist, unsound, or important science? BMJ. 1997 Jun 14;314(7096):1751–1756. doi: 10.1136/bmj.314.7096.1751. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ellen J. M., Aral S. O., Madger L. S. Do differences in sexual behaviors account for the racial/ethnic differences in adolescents' self-reported history of a sexually transmitted disease? Sex Transm Dis. 1998 Mar;25(3):125–129. doi: 10.1097/00007435-199803000-00002. [DOI] [PubMed] [Google Scholar]
- Fenton K. A. Strategies for improving sexual health in ethnic minorities. Curr Opin Infect Dis. 2001 Feb;14(1):63–69. doi: 10.1097/00001432-200102000-00011. [DOI] [PubMed] [Google Scholar]
- Lambert H. Methods and meanings in anthropological, epidemiological and clinical encounters: the case of sexually transmitted disease and human immunodeficiency virus control and prevention in India. Trop Med Int Health. 1998 Dec;3(12):1002–1010. doi: 10.1046/j.1365-3156.1998.00336.x. [DOI] [PubMed] [Google Scholar]
- Laumann E. O., Youm Y. Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: a network explanation. Sex Transm Dis. 1999 May;26(5):250–261. doi: 10.1097/00007435-199905000-00003. [DOI] [PubMed] [Google Scholar]
- Low N., Connell P., McKevitt C., Baggili Tamara, Tenant-Flowers Melinda, More Christine, Zuckerman Mark, Hamilton Michael, Jones Jef, Blake Mark. 'You can't tell by looking': pilot study of a community-based intervention to detect asymptomatic sexually transmitted infections. Int J STD AIDS. 2003 Dec;14(12):830–834. doi: 10.1258/095646203322556174. [DOI] [PubMed] [Google Scholar]
- Low N., Daker-White G., Barlow D., Pozniak A. L. Gonorrhoea in inner London: results of a cross sectional study. BMJ. 1997 Jun 14;314(7096):1719–1723. doi: 10.1136/bmj.314.7096.1719. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Power R. The application of qualitative research methods to the study of sexually transmitted infections. Sex Transm Infect. 2002 Apr;78(2):87–89. doi: 10.1136/sti.78.2.87. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shahmanesh M., Gayed S., Ashcroft M., Smith R., Roopnarainsingh R., Dunn J., Ross J. Geomapping of chlamydia and gonorrhoea in Birmingham. Sex Transm Infect. 2000 Aug;76(4):268–272. doi: 10.1136/sti.76.4.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thomas J. C., Thomas K. K. Things ain't what they ought to be: social forces underlying racial disparities in rates of sexually transmitted diseases in a rural North Carolina county. Soc Sci Med. 1999 Oct;49(8):1075–1084. doi: 10.1016/s0277-9536(99)00197-5. [DOI] [PubMed] [Google Scholar]