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How did the COVID-1...
How did the COVID-19 pandemic affect access to condoms, chlamydia and HIV testing, and cervical cancer screening at a population level in Britain? (Natsal-COVID)
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- Dema, Emily (författare)
- Institute for Global Health, University College London, London, UK
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- Sonnenberg, Pam (författare)
- Institute for Global Health, University College London, London, UK
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- Gibbs, Jo (författare)
- Institute for Global Health, University College London, London, UK
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- Conolly, Anne (författare)
- Institute for Global Health, University College London, London, UK; Health and Biomedical Surveys, NatCen Social Research, London, UK
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- Willis, Malachi (författare)
- Social and Public Health Sciences Unit, University of Glasgow MRC/CSO, Glasgow, UK
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- Riddell, Julie (författare)
- Social and Public Health Sciences Unit, University of Glasgow MRC/CSO, Glasgow, UK
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- Pérez, Raquel Bosó (författare)
- Social and Public Health Sciences Unit, University of Glasgow MRC/CSO, Glasgow, UK
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- Copas, Andrew J. (författare)
- Institute for Global Health, University College London, London, UK
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- Tanton, Clare (författare)
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
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- Bonell, Chris (författare)
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
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- Oeser, Clarissa (författare)
- Institute for Global Health, University College London, London, UK
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- Clifton, Soazig (författare)
- Institute for Global Health, University College London, London, UK; Health and Biomedical Surveys, NatCen Social Research, London, UK
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- Unemo, Magnus, 1970- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Laboratory Medicine
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- Mercer, Catherine H. (författare)
- Institute for Global Health, University College London, London, UK
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- Mitchell, Kirstin R. (författare)
- Social and Public Health Sciences Unit, University of Glasgow MRC/CSO, Glasgow, UK
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- Field, Nigel (författare)
- Institute for Global Health, University College London, London, UK
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(creator_code:org_t)
- 2022-08-18
- 2023
- Engelska.
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Ingår i: Sexually Transmitted Infections. - : BMJ Publishing Group Ltd. - 1368-4973 .- 1472-3263. ; 99:4, s. 261-267
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Objectives: To investigate how differential access to key interventions to reduce STIs, HIV and their sequelae changed during the COVID-19 pandemic.Methods: British participants (18-59 years) completed a cross-sectional web survey 1 year (March-April 2021) after the initial lockdown in Britain. Quota-based sampling and weighting resulted in a quasi-representative population sample. We compared Natsal-COVID data with Natsal-3, a household-based probability sample cross-sectional survey (16-74 years) conducted in 2010-2012. Reported unmet need for condoms because of the pandemic and uptake of chlamydia testing/HIV testing/cervical cancer screening were analysed among sexually experienced participants (18-44 years) (n=3869, Natsal-COVID; n=8551, Natsal-3). ORs adjusted for age and other potential confounders describe associations with demographic and behavioural factors.Results: In 2021, 6.9% of women and 16.2% of men reported unmet need for condoms because of the pandemic. This was more likely among participants: aged 18-24 years, of black or black British ethnicity, and reporting same-sex sex (past 5 years) or one or more new relationships (past year). Chlamydia and HIV testing were more commonly reported by younger participants, those reporting condomless sex with new sexual partners and men reporting same-sex partners; a very similar distribution to 10 years previously (Natsal-3). However, there were differences during the pandemic, including stronger associations with chlamydia testing for men reporting same-sex partners; with HIV testing for women reporting new sexual partners and with cervical screening among smokers.Conclusions: Our study suggests differential access to key primary and secondary STI/HIV prevention interventions continued during the first year of the COVID-19 pandemic. However, there was not strong evidence that differential access has changed during the pandemic when compared with 2010-2012. While the pandemic might not have exacerbated inequalities in access to primary and secondary prevention, it is clear that large inequalities persisted, typically among those at greatest STI/HIV risk.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
Nyckelord
- COVID-19
- SEXUAL HEALTH
- CONDOMS
- HIV
- Diagnostic Screening Programs
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Dema, Emily
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Sonnenberg, Pam
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Gibbs, Jo
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Conolly, Anne
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Willis, Malachi
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Riddell, Julie
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visa fler...
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Pérez, Raquel Bo ...
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Copas, Andrew J.
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Tanton, Clare
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Bonell, Chris
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Oeser, Clarissa
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Clifton, Soazig
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Unemo, Magnus, 1 ...
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Mercer, Catherin ...
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Mitchell, Kirsti ...
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Field, Nigel
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Örebro universitet