Men who have sex with men who are born abroad and diagnosed with HIV in England and Wales: an epidemiological perspective

2005 ◽  
Vol 16 (9) ◽  
pp. 618-621 ◽  
Author(s):  
S Dougan ◽  
J Elford ◽  
K Sinka ◽  
K A Fenton ◽  
B G Evans
Keyword(s):  
Sexual Health ◽  
Significant Proportion ◽  
Health Needs ◽  
Country Of Birth ◽  
England And Wales ◽  
Black African ◽  
South Central ◽  
Black Caribbean ◽  
Sex With Men ◽  
The Uk

Relatively little is known about the sexual health needs of men who have sex with men (MSM) born abroad who reside in the UK. We describe here the epidemiology of HIV among MSM born outside the UK and diagnosed with HIV in England and Wales. Reports of HIV diagnoses in England and Wales received at the Health Protection Agency Centre for Infections were analysed. Between 2000 and 2003, 6386 MSM were diagnosed with HIV in England and Wales. Country of birth was recorded for 3571 (56%). Of those with country of birth reported, 2598 (73%) were born in the UK and 973 (27%) abroad. Of those born abroad (973), 424 (44%) were born in Europe, 141 (15%) in Africa, 104 (11%) in South/Central America and the remainder in other regions. Where reported (949), 69% of MSM born abroad were White, 12% other/mixed, 9% Black Caribbean and 7% Black African. Probable country of infection was reported for 612 MSM born abroad: 52% were infected in the UK, 43% in their region of birth and 5% in another region. Men born abroad represent a significant proportion of HIV diagnoses among MSM in England and Wales. More than half probably acquired their HIV infection in the UK, strengthening the call for targeted HIV prevention and sexual health promotion among MSM who are not born in England and Wales.

Experience in the UK

2009 ◽  
Vol 20 (1_suppl) ◽  
pp. 7-14 ◽  
Author(s):  
M Fisher ◽  
V Delpech
Keyword(s):  
Hiv Testing ◽  
Significant Proportion ◽  
National Guidelines ◽  
Black African ◽  
Opt Out ◽  
Hiv Test ◽  
Undiagnosed Hiv ◽  
Sex With Men ◽  
The Uk ◽  
Prompt Diagnosis

The number of new diagnoses of HIV in the UK is increasing, with most new diagnoses reported in men who have sex with men (MSM) and black African heterosexuals the later of whom usually acquire their infection abroad. Around 31 % of people infected with HIV in the UK are unaware of their diagnosis, and one in three are diagnosed for the first time with a CD4 count <200 cells/mm3 or with AIDS. Late diagnosis is the most important factor that explains most HIV-related causes of death in the UK. Strategies to increase HIV-testing include universal approaches in antenatal and STD clinics (known as genitourinary [GU] medicine clinics), but other opportunities for prompt diagnosis are often missed during secondary and primary consultations - even when patients present with HIV-related illnesses. Furthermore, a significant proportion of people with undiagnosed HIV who attend GU medicine clinics leave without being offered an HIV test or a diagnosis of HIV. Universal offer (opt-out testing) policies seem to work well - such as in the successful antenatal testing programme - but local strategies to increase HIV-testing and prompt diagnosis, such as training courses and rapid HIV-testing initiatives have met with varied success. New national guidelines for the UK have been published and, if successfully implemented, should help to address some of these issues.

Can an asymptomatic screening pathway for men who have sex with men be introduced safely at a level 3 sexual health service in the UK?

2014 ◽  
Vol 26 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Alex Collister ◽  
Manroop Bains ◽  
Rachel Jackson ◽  
Emily Clarke ◽  
Raj Patel
Keyword(s):  
Health Service ◽  
Sexual Health ◽  
Sexual Health Service ◽  
Level 3 ◽  
Sex With Men ◽  
The Uk

scholarly journals Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK

Vaccine ◽  
2018 ◽  
Vol 36 (33) ◽  
pp. 5065-5070 ◽  
Author(s):  
Tom Nadarzynski ◽  
Helen Smith ◽  
Daniel Richardson ◽  
Stephen Bremner ◽  
Carrie Llewellyn
Keyword(s):  
Sexual Orientation ◽  
Sexual Health ◽  
Hpv Vaccine ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics ◽  
The Uk ◽  
To Receive

scholarly journals Ethnic, Religious and Gender Differences in Intragenerational Economic Mobility in England and Wales

Sociology ◽  
2020 ◽  
Vol 54 (5) ◽  
pp. 883-903
Author(s):  
Saffron Karlsen ◽  
James Yzet Nazroo ◽  
Neil R Smith
Keyword(s):  
Social Mobility ◽  
Economic Mobility ◽  
Structural Factors ◽  
Religious Groups ◽  
England And Wales ◽  
Black Caribbean ◽  
Muslim People ◽  
And Gender ◽  
The Uk ◽  
Over Time

This study uses data from consecutive England and Wales censuses to examine the intragenerational economic mobility of individuals with different ethnicities, religions and genders between 1971 and 2011, over time and across cohorts. The findings suggest more downward and less upward mobility among Black Caribbean, Indian Sikh and Muslim people with Bangladeshi, Indian and Pakistani ethnicities, relative to white British groups, and more positive relative progress among Indian Hindu people, but also some variation in the experiences of social mobility between individuals even in the same ethnic groups. For some groups, those becoming adults or migrating to the UK since 1971 occupy an improved position compared with older or longer resident people, but this is not universal. Findings suggest that these persistent inequalities will only be effectively addressed with attention to the structural factors which disadvantage particular ethnic and religious groups, and the specific ways in which these affect women.

scholarly journals The Use of Dietary Supplements Among African and Caribbean Women Living in the UK: A Cross-Sectional Study

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 847
Author(s):  
Amanda Rodrigues Amorim Adegboye ◽  
Omorogieva Ojo ◽  
Gulshanara Begum
Keyword(s):  
Vitamin D ◽  
Dietary Supplements ◽  
Dietary Supplement ◽  
High Cholesterol ◽  
Black African ◽  
Supplement Use ◽  
Caribbean Women ◽  
Black Caribbean ◽  
Dietary Supplement Use ◽  
The Uk

Previous studies have shown that the use of dietary supplements is associated with the prevention of birth defects, negative pregnancy outcomes and cardiovascular diseases. However, there might be some ethnic disparities in supplement usage suggesting that women who could benefit from it are not frequent users. This study aimed to characterise the use of dietary supplement among Black African and Black Caribbean women living in the United Kingdom (UK). Furthermore, it evaluated possible associations between the use of dietary supplements and health and diet awareness. A total of 262 women self-ascribed as Black African and Black Caribbean living in the UK completed a comprehensive questionnaire on socio-demographic factors, diet, use of supplements and cultural factors. The main outcome variable was the regular use of any type of dietary supplement. Use of vitamin D and/or calcium was also explored. A stepwise logistic regression analysis was applied to identify predictors of regular use of dietary supplements. A total of 33.2% of women reported regular use of any dietary supplements and 16.8% reported use of vitamin D and/or calcium. There were no significant ethnic differences in the use of dietary supplements. Reporting use of the back of food packaging label (odds ratio (OR) 2.21; 95% CI 1.07–4.55); a self-rated healthy diet (OR 2.86; 95% CI 1.19–6.91) and having cardiovascular disease (CVD), hypertension and/or high cholesterol (OR 3.81; 95% CI 1.53–9.49) increased the likelihood of using any dietary supplement. However, having poorer awareness decreased the likelihood (OR 0.94; 95% CI 0.88–0.99) of using any dietary supplement. For the use of vitamin D and/or calcium supplements, the main predictor was having CVD, hypertension and/or high cholesterol (OR 4.43; 95% CI 1.90–10.35). The prevalence of dietary supplement use was low among African and Caribbean women. Thus, awareness of potential benefits of some dietary supplements (e.g., vitamin D) among the Black population should be promoted.

scholarly journals Does ethnic diversity explain intra-UK variation in mortality? A longitudinal cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e024563
Author(s):  
Lauren Schofield ◽  
David Walsh ◽  
Zhiqiang Feng ◽  
Duncan Buchanan ◽  
Chris Dibben ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Ethnic Diversity ◽  
Policy Implications ◽  
Country Of Birth ◽  
England And Wales ◽  
All Cause Mortality ◽  
Mortality Incidence ◽  
And Migration ◽  
The Uk

ObjectivesIt has been proposed that part of the explanation for higher mortality in Scotland compared with England and Wales, and Glasgow compared with other UK cities, relates to greater ethnic diversity in England and Wales. We sought to assess the extent to which this excess was attenuated by adjusting for ethnicity. We additionally explored the role of country of birth in any observed differences.SettingScotland and England and Wales; Glasgow and Manchester.ParticipantsWe used the Scottish Longitudinal Study and the Office for National Statistics Longitudinal Study of England and Wales (2001–2010). Participants (362 491 in total) were aged 35–74 years at baseline.Primary outcome measuresRisk of all-cause mortality between 35 and 74 years old in Scotland and England and Wales, and in Glasgow and Manchester, adjusting for age, gender, socioeconomic position (SEP), ethnicity and country of birth.Results18% of the Manchester sample was non-White compared with 3% in Glasgow (England and Wales: 10.4%; Scotland: 1.2%). The mortality incidence rate ratio was 1.33 (95% CI 1.13 to 1.56) in Glasgow compared with Manchester. This reduced to 1.25 (1.07 to 1.47) adjusting for SEP, and to 1.20 (1.02 to 1.42) adjusting for ethnicity and country of birth. For Scotland versus England and Wales, the corresponding figures were 18% higher mortality, reducing to 10%, and then 7%. Non-Whites born outside the UK had lower mortality. In the Scottish samples only, non-Whites born in the UK had significantly higher mortality than Whites born in the UK.ConclusionsThe research supports the hypothesis that ethnic diversity and migration from outside UK play a role in explaining Scottish excess mortality. In Glasgow especially, however, a large excess remains: thus, previously articulated policy implications (addressing poverty, vulnerability and inequality) still apply.

Exploring Perceptions of “Wellness” in Black Ethnic Minority Individuals at Risk of Developing Psychosis

2012 ◽  
Vol 41 (2) ◽  
pp. 144-161 ◽  
Author(s):  
Louisa Codjoe ◽  
Majella Byrne ◽  
Matthew Lister ◽  
Philip McGuire ◽  
Lucia Valmaggia
Keyword(s):  
At Risk ◽  
Explanatory Models ◽  
Service Users ◽  
Treatment Expectations ◽  
Black African ◽  
Black Caribbean ◽  
Seeking Help ◽  
The Uk ◽  
Insight Into ◽  
At Risk Mental State

Background:The NICE Schizophrenia guidelines (NICE, 2009, Update) recommend that services should address cultural differences in treatment, expectations and adherence, and clients’ explanatory models of illness should be better understood. Service users from Black African and Black Caribbean communities are overrepresented in psychosis services in the UK, yet there is no literature on how wellness is understood by this group.Aims:This study explored perceptions of wellness in Black African and Black Caribbean individuals with an At Risk Mental State (ARMS) for psychosis.Method:A Q set of potential meanings of wellness was identified from a literature search and interviews with people at risk of developing psychosis. From this, 50 potential definitions were identified; twenty Black African and Black Caribbean ARMS clients ranked these definitions.Results:Following factor analysis of completed Q sorts, six factors emerged that offered insight into perceptions of wellness in this population. These factors included: sense of social purpose explanation, the surviving God's test explanation, the internalization of spirituality explanation, understanding and attribution of symptoms to witchcraft explanation, avoidance and adversity explanation, and seeking help to cope explanation.Conclusions:Although preliminary, differences between the factors suggests that there may be perceptions of wellness specific to these groups that are distinct from the medical view of wellness promoted within early detection services. These differences may potentially impact upon engagement, particularly factors that clients feel may facilitate or aide their recovery. It is suggested that these differences need to be considered as part of the assessment and formulation process.

scholarly journals Community treatment orders and their use in the UK

2010 ◽  
Vol 16 (4) ◽  
pp. 260-262 ◽  
Author(s):  
Mark Taylor
Keyword(s):  
Treatment Adherence ◽  
Scientific Evidence ◽  
Health Needs ◽  
Community Treatment ◽  
Compulsory Treatment ◽  
Ethical Considerations ◽  
Community Treatment Orders ◽  
England And Wales ◽  
The Uk

SummaryDespite the lack of supportive scientific evidence, the uptake of community treatment orders (CTOs) in England and Wales since their introduction in late 2008 has been higher than expected, although there has been a relative dearth of second opinion appointed doctors. In Scotland, CTOs now constitute about 30% of all long-term civil detentions, with lack of insight and lack of treatment adherence given as the major reasons for CTO use. Ethical considerations such as balancing autonomy against health needs will continue to be weighed by clinicians considering compulsory treatment in the community.

Better understandings of ethnic variations: ethnicity, poverty and social exclusion

2017 ◽  
Author(s):  
Saffron Karlsen ◽  
Christina Pantazis
Keyword(s):  
Ethnic Minority ◽  
Social Exclusion ◽  
Minority Groups ◽  
Black African ◽  
Ethnic Minority Population ◽  
Polish People ◽  
Black Caribbean ◽  
White Majority ◽  
The Uk ◽  
Ethnic Variations

Previous assessments of poverty and social exclusion in the UK show variations in the social position of people with different ethnic backgrounds. While many minority groups experience significant disadvantage compared with the white majority, this is found to be particularly persistent among Pakistani and Bangladeshi people. However, this previous work is less than comprehensive in its coverage of the ethnic minority population. There are also concerns that standard measures of socioeconomic status fail to account for some of the specific experiences of ethnic minority groups and as a consequence underestimate the prevalence of socioeconomic disadvantage among them. The Poverty and Social Exclusion UK 2012 survey enables us to look at groups often ignored in analyses of ethnic inequalities, such as white minority groups and more recent migrants. Our findings therefore make a valuable contribution to this existing evidence, drawing attention to the particular disadvantage experienced by Black African and Polish people. The more detailed markers employed here reveal additional dimensions of disadvantage than have generally been explored previously and through this the significant disadvantage experienced by other groups – such as Black Caribbean people – as well as the heterogeneity within particular ethnic groups, which have been unappreciated in previous work.

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