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. 1999 Oct;75(5):306–311. doi: 10.1136/sti.75.5.306

Incidence of gonorrhoea diagnosed in GUM clinics in South Thames (west) region

M Hickman, A Judd, H Maguire, P Hay, A Charlett, M Catchpole, A Nayagam, A Renton
PMCID: PMC1758235  PMID: 10616353

Abstract

OBJECTIVES: To describe the incidence of gonorrhoea diagnosed in genitourinary medicine (GUM) clinics in South Thames (West) between 1995 and 1996, and how it changed among population subgroups. SETTINGS AND SUBJECTS: Cases of uncomplicated and complicated gonorrhoea diagnosed at 13 GUM clinics in the former South Thames West (STW) Regional Health Authority that reported disaggregate data to the South Thames GUM Clinic Collaborative STD Surveillance Scheme. METHODS: Annual incidence rates (per 100,000) of gonorrhoea diagnoses by sex, age group, ethnic group, area of residence, and year were calculated. Poisson regression models were used to calculate risk ratios (RR) to describe the key differences in the variation of gonorrhoea cases by these variables. Relative differences in the incidence of diagnosed gonorrhoea between 1995 and 1996 were investigated by including an interaction between year and the other variables (age group, sex, ethnic group, region) and testing whether any were significant using a likelihood ratio test. RESULTS: Area of residence, sex, age group, and ethnic group were key predictors of the rates of diagnosed gonorrhoea. The risk ratio for gonorrhoea (after adjustment for the other variables) was: 13 times higher among blacks than the white population; twice as high in inner London compared with outer London; and three times lower in the "shire" region compared with outer London. The rate of diagnosed gonorrhoea was significantly higher in the black population in the shire region than the inner London white population. The rate of gonorrhoea diagnosed by GUM clinics from 1995 to 1996 almost doubled in the white population aged 15-44 years, from 16 cases per 100,000 to 30 cases per 100,000 (adjusted RR 2.0, 95% CI 1.6 to 2.4), whereas increased rates in the black and Asian/other ethnic groups were not statistically significant (adjusted RR 1.1, 95% CI 0.9 to 1.4; and 1.4, 95% CI 0.7 to 2.7 respectively). CONCLUSION: The observed increase in gonorrhoea between 1995 and 1996 occurred mostly among heterosexual white men and women. Overall, the rates of gonorrhoea among young people, especially in the black population and in inner London represent a significant public health problem that may merit further targeted interventions, the effectiveness of which could be monitored through further development of routine surveillance data. 




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Selected References

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  1. Adler M. W. Sexual health--a Health of the Nation failure. BMJ. 1997 Jun 14;314(7096):1743–1747. doi: 10.1136/bmj.314.7096.1743. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Evans B. G., Catchpole M. A., Heptonstall J., Mortimer J. Y., McCarrigle C. A., Nicoll A. G., Waight P., Gill O. N., Swan A. V. Sexually transmitted diseases and HIV-1 infection among homosexual men in England and Wales. BMJ. 1993 Feb 13;306(6875):426–428. doi: 10.1136/bmj.306.6875.426. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Johnson A. M., Gill O. N. Evidence for recent changes in sexual behaviour in homosexual men in England and Wales. Philos Trans R Soc Lond B Biol Sci. 1989 Sep 5;325(1226):153–161. doi: 10.1098/rstb.1989.0080. [DOI] [PubMed] [Google Scholar]
  4. Lacey C. J., Merrick D. W., Bensley D. C., Fairley I. Analysis of the sociodemography of gonorrhoea in Leeds, 1989-93. BMJ. 1997 Jun 14;314(7096):1715–1718. doi: 10.1136/bmj.314.7096.1715. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. 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]
  6. Maguire H., Smith I., Nayagam A. Gonorrhoea and ethnicity. Collaborative surveillance system is a model for the future. BMJ. 1997 Nov 1;315(7116):1160–1160. [PMC free article] [PubMed] [Google Scholar]
  7. Moran J. S., Aral S. O., Jenkins W. C., Peterman T. A., Alexander E. R. The impact of sexually transmitted diseases on minority populations. Public Health Rep. 1989 Nov-Dec;104(6):560–565. [PMC free article] [PubMed] [Google Scholar]
  8. Renton A. M., Whitaker L. Using STD occurrence to monitor AIDS prevention. Soc Sci Med. 1994 Apr;38(8):1153–1165. doi: 10.1016/0277-9536(94)90230-5. [DOI] [PubMed] [Google Scholar]
  9. Rice R. J., Roberts P. L., Handsfield H. H., Holmes K. K. Sociodemographic distribution of gonorrhea incidence: implications for prevention and behavioral research. Am J Public Health. 1991 Oct;81(10):1252–1258. doi: 10.2105/ajph.81.10.1252. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Riley V. C. Resurgent gonorrhoea in homosexual men. Lancet. 1991 Jan 19;337(8734):183–183. doi: 10.1016/0140-6736(91)90853-h. [DOI] [PubMed] [Google Scholar]
  11. Ross M. W. Race and ethnicity in STD analyses. Sex Transm Infect. 1998 Feb;74(1):2–3. [PubMed] [Google Scholar]
  12. Rothenberg R. B. The geography of gonorrhea. Empirical demonstration of core group transmission. Am J Epidemiol. 1983 Jun;117(6):688–694. doi: 10.1093/oxfordjournals.aje.a113602. [DOI] [PubMed] [Google Scholar]
  13. Wadsworth J., Hickman M., Johnson A. M., Wellings K., Field J. Geographic variation in sexual behaviour in Britain: implications for sexually transmitted disease epidemiology and sexual health promotion. AIDS. 1996 Feb;10(2):193–199. doi: 10.1097/00002030-199602000-00010. [DOI] [PubMed] [Google Scholar]
  14. Waugh M. A. Resurgent gonorrhoea in homosexual men. Lancet. 1991 Feb 9;337(8737):375–375. doi: 10.1016/0140-6736(91)91017-o. [DOI] [PubMed] [Google Scholar]

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