Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting
Identifieur interne : 002555 ( Istex/Corpus ); précédent : 002554; suivant : 002556Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting
Auteurs : M. Gerressu ; G. Elam ; R. Shain ; C. Bonell ; G. Brook ; J Dimmitt Champion ; R. French ; J. Elford ; G. Hart ; J. Stephenson ; J. ImrieSource :
- Sexually Transmitted Infections [ 1368-4973 ] ; 2009-08.
English descriptors
- KwdEn :
- Aids risk reduction model, Behavioral intervention, Behaviour, Brent, Casual encounters, Casual partners, Central middlesex hospital, Centre, Collaborative group, Concurrency, Concurrent partnerships, Concurrent relationships, Condom, Different forms, Early relationships, East london, Epidemiology, Ethics committee, Ethnic background, Ethnicity, Excess alcohol, Flawed partner risk assessments, Focus group, Further exploration, Gender, Gender stereotypes, Genitourinary medicine, Girlfriend, Group discussions, Health protection agency, Healthy relationships, Important role, Limited knowledge, Minority women, Monogamous relationship, Monogamous relationships, Multiple partners, National statistics, Older partners, Participant, Past partners, Power imbalances, Previous partners, Qualitative research practice, Recruitment site, Recruitment sites, Regular partner, Risk behaviours, Risk exposure, Risk factors, Risk perceptions, Risk reduction, Sage publications, Sexual behaviour, Sexual encounters, Sexual health, Sexual landscape, Sexual partners, Skilled facilitators, Social exclusion, Specialist education service, Study design, Systematic review, Target group, Target population, Teenage pregnancy, Topic guide, Transm, University college london, White youths, Young brent project, Young people, Young women, Young women need.
- Teeft :
- Aids risk reduction model, Behavioral intervention, Behaviour, Brent, Casual encounters, Casual partners, Central middlesex hospital, Centre, Collaborative group, Concurrency, Concurrent partnerships, Concurrent relationships, Condom, Different forms, Early relationships, East london, Epidemiology, Ethics committee, Ethnic background, Ethnicity, Excess alcohol, Flawed partner risk assessments, Focus group, Further exploration, Gender, Gender stereotypes, Genitourinary medicine, Girlfriend, Group discussions, Health protection agency, Healthy relationships, Important role, Limited knowledge, Minority women, Monogamous relationship, Monogamous relationships, Multiple partners, National statistics, Older partners, Participant, Past partners, Power imbalances, Previous partners, Qualitative research practice, Recruitment site, Recruitment sites, Regular partner, Risk behaviours, Risk exposure, Risk factors, Risk perceptions, Risk reduction, Sage publications, Sexual behaviour, Sexual encounters, Sexual health, Sexual landscape, Sexual partners, Skilled facilitators, Social exclusion, Specialist education service, Study design, Systematic review, Target group, Target population, Teenage pregnancy, Topic guide, Transm, University college london, White youths, Young brent project, Young people, Young women, Young women need.
Abstract
Objectives: Young black women are disproportionately affected by sexually transmitted infections (STI) in the UK, but effective interventions to address this are lacking. The Young Brent Project explored the nature and context of sexual risk-taking in young people to inform the translation of an effective clinic-based STI reduction intervention (Project SAFE) from the USA to the UK. Methods: One-to-one in-depth interviews (n = 37) and group discussions (n = 10) were conducted among men and women aged 15–27 years from different ethnic backgrounds recruited from youth and genitourinary medicine clinic settings in Brent, London. The interviews explored the context within which STI-related risks were assessed, experienced and avoided, the skills needed to recognise risk and the barriers to behaviour change. Results: Concurrent sexual partnerships, mismatched perceptions and expectations, and barriers to condom use contributed to STI risk exposure and difficulties in implementing risk-reduction strategies. Women attempted to achieve monogamy, but experienced complex and fluid sexual relationships. Low risk awareness, flawed partner risk assessments, negative perceptions of condoms and lack of control hindered condom use. Whereas men made conscious decisions, women experienced persuasion, deceit and difficulty in requesting condom use, particularly with older partners. Conclusions: Knowledge of STI and condom use skills is not enough to equip young people with the means to reduce STI risk. Interventions with young women need to place greater emphasis on: entering and maintaining healthy relationships; awareness of risks attached to different forms of concurrency and how concurrency arises; skills to redress power imbalances and building self-esteem.
Url:
DOI: 10.1136/sti.2008.034645
Links to Exploration step
ISTEX:734D07C1332A120818C93152C0ABC245150DE24DLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting</title><author><name sortKey="Gerressu, M" sort="Gerressu, M" uniqKey="Gerressu M" first="M" last="Gerressu">M. Gerressu</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Elam, G" sort="Elam, G" uniqKey="Elam G" first="G" last="Elam">G. Elam</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Shain, R" sort="Shain, R" uniqKey="Shain R" first="R" last="Shain">R. Shain</name><affiliation><mods:affiliation>University of Texas Health Science Center, San Antonio, Texas, USA</mods:affiliation></affiliation></author><author><name sortKey="Bonell, C" sort="Bonell, C" uniqKey="Bonell C" first="C" last="Bonell">C. Bonell</name><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Brook, G" sort="Brook, G" uniqKey="Brook G" first="G" last="Brook">G. Brook</name><affiliation><mods:affiliation>Patrick Clements GUM Clinic, Central Middlesex Hospital, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Champion, J Dimmitt" sort="Champion, J Dimmitt" uniqKey="Champion J" first="J Dimmitt" last="Champion">J Dimmitt Champion</name><affiliation><mods:affiliation>University of Texas Health Science Center, San Antonio, Texas, USA</mods:affiliation></affiliation></author><author><name sortKey="French, R" sort="French, R" uniqKey="French R" first="R" last="French">R. French</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Elford, J" sort="Elford, J" uniqKey="Elford J" first="J" last="Elford">J. Elford</name><affiliation><mods:affiliation>Department of Public Health, City University London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Hart, G" sort="Hart, G" uniqKey="Hart G" first="G" last="Hart">G. Hart</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Stephenson, J" sort="Stephenson, J" uniqKey="Stephenson J" first="J" last="Stephenson">J. Stephenson</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Imrie, J" sort="Imrie, J" uniqKey="Imrie J" first="J" last="Imrie">J. Imrie</name><affiliation><mods:affiliation>National Centre in HIV Research, University of New South Wales, Sydney, Australia</mods:affiliation></affiliation><affiliation><mods:affiliation>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Mtubatuba, South Africa</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:734D07C1332A120818C93152C0ABC245150DE24D</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1136/sti.2008.034645</idno><idno type="url">https://api.istex.fr/document/734D07C1332A120818C93152C0ABC245150DE24D/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002555</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002555</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting</title><author><name sortKey="Gerressu, M" sort="Gerressu, M" uniqKey="Gerressu M" first="M" last="Gerressu">M. Gerressu</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Elam, G" sort="Elam, G" uniqKey="Elam G" first="G" last="Elam">G. Elam</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Shain, R" sort="Shain, R" uniqKey="Shain R" first="R" last="Shain">R. Shain</name><affiliation><mods:affiliation>University of Texas Health Science Center, San Antonio, Texas, USA</mods:affiliation></affiliation></author><author><name sortKey="Bonell, C" sort="Bonell, C" uniqKey="Bonell C" first="C" last="Bonell">C. Bonell</name><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Brook, G" sort="Brook, G" uniqKey="Brook G" first="G" last="Brook">G. Brook</name><affiliation><mods:affiliation>Patrick Clements GUM Clinic, Central Middlesex Hospital, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Champion, J Dimmitt" sort="Champion, J Dimmitt" uniqKey="Champion J" first="J Dimmitt" last="Champion">J Dimmitt Champion</name><affiliation><mods:affiliation>University of Texas Health Science Center, San Antonio, Texas, USA</mods:affiliation></affiliation></author><author><name sortKey="French, R" sort="French, R" uniqKey="French R" first="R" last="French">R. French</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Elford, J" sort="Elford, J" uniqKey="Elford J" first="J" last="Elford">J. Elford</name><affiliation><mods:affiliation>Department of Public Health, City University London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Hart, G" sort="Hart, G" uniqKey="Hart G" first="G" last="Hart">G. Hart</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Stephenson, J" sort="Stephenson, J" uniqKey="Stephenson J" first="J" last="Stephenson">J. Stephenson</name><affiliation><mods:affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Imrie, J" sort="Imrie, J" uniqKey="Imrie J" first="J" last="Imrie">J. Imrie</name><affiliation><mods:affiliation>National Centre in HIV Research, University of New South Wales, Sydney, Australia</mods:affiliation></affiliation><affiliation><mods:affiliation>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Mtubatuba, South Africa</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Sexually Transmitted Infections</title><title level="j" type="abbrev">Sex Transm Infect</title><idno type="ISSN">1368-4973</idno><idno type="eISSN">1472-3263</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2009-08">2009-08</date><biblScope unit="volume">85</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="283">283</biblScope></imprint><idno type="ISSN">1368-4973</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1368-4973</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aids risk reduction model</term><term>Behavioral intervention</term><term>Behaviour</term><term>Brent</term><term>Casual encounters</term><term>Casual partners</term><term>Central middlesex hospital</term><term>Centre</term><term>Collaborative group</term><term>Concurrency</term><term>Concurrent partnerships</term><term>Concurrent relationships</term><term>Condom</term><term>Different forms</term><term>Early relationships</term><term>East london</term><term>Epidemiology</term><term>Ethics committee</term><term>Ethnic background</term><term>Ethnicity</term><term>Excess alcohol</term><term>Flawed partner risk assessments</term><term>Focus group</term><term>Further exploration</term><term>Gender</term><term>Gender stereotypes</term><term>Genitourinary medicine</term><term>Girlfriend</term><term>Group discussions</term><term>Health protection agency</term><term>Healthy relationships</term><term>Important role</term><term>Limited knowledge</term><term>Minority women</term><term>Monogamous relationship</term><term>Monogamous relationships</term><term>Multiple partners</term><term>National statistics</term><term>Older partners</term><term>Participant</term><term>Past partners</term><term>Power imbalances</term><term>Previous partners</term><term>Qualitative research practice</term><term>Recruitment site</term><term>Recruitment sites</term><term>Regular partner</term><term>Risk behaviours</term><term>Risk exposure</term><term>Risk factors</term><term>Risk perceptions</term><term>Risk reduction</term><term>Sage publications</term><term>Sexual behaviour</term><term>Sexual encounters</term><term>Sexual health</term><term>Sexual landscape</term><term>Sexual partners</term><term>Skilled facilitators</term><term>Social exclusion</term><term>Specialist education service</term><term>Study design</term><term>Systematic review</term><term>Target group</term><term>Target population</term><term>Teenage pregnancy</term><term>Topic guide</term><term>Transm</term><term>University college london</term><term>White youths</term><term>Young brent project</term><term>Young people</term><term>Young women</term><term>Young women need</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Aids risk reduction model</term><term>Behavioral intervention</term><term>Behaviour</term><term>Brent</term><term>Casual encounters</term><term>Casual partners</term><term>Central middlesex hospital</term><term>Centre</term><term>Collaborative group</term><term>Concurrency</term><term>Concurrent partnerships</term><term>Concurrent relationships</term><term>Condom</term><term>Different forms</term><term>Early relationships</term><term>East london</term><term>Epidemiology</term><term>Ethics committee</term><term>Ethnic background</term><term>Ethnicity</term><term>Excess alcohol</term><term>Flawed partner risk assessments</term><term>Focus group</term><term>Further exploration</term><term>Gender</term><term>Gender stereotypes</term><term>Genitourinary medicine</term><term>Girlfriend</term><term>Group discussions</term><term>Health protection agency</term><term>Healthy relationships</term><term>Important role</term><term>Limited knowledge</term><term>Minority women</term><term>Monogamous relationship</term><term>Monogamous relationships</term><term>Multiple partners</term><term>National statistics</term><term>Older partners</term><term>Participant</term><term>Past partners</term><term>Power imbalances</term><term>Previous partners</term><term>Qualitative research practice</term><term>Recruitment site</term><term>Recruitment sites</term><term>Regular partner</term><term>Risk behaviours</term><term>Risk exposure</term><term>Risk factors</term><term>Risk perceptions</term><term>Risk reduction</term><term>Sage publications</term><term>Sexual behaviour</term><term>Sexual encounters</term><term>Sexual health</term><term>Sexual landscape</term><term>Sexual partners</term><term>Skilled facilitators</term><term>Social exclusion</term><term>Specialist education service</term><term>Study design</term><term>Systematic review</term><term>Target group</term><term>Target population</term><term>Teenage pregnancy</term><term>Topic guide</term><term>Transm</term><term>University college london</term><term>White youths</term><term>Young brent project</term><term>Young people</term><term>Young women</term><term>Young women need</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objectives: Young black women are disproportionately affected by sexually transmitted infections (STI) in the UK, but effective interventions to address this are lacking. The Young Brent Project explored the nature and context of sexual risk-taking in young people to inform the translation of an effective clinic-based STI reduction intervention (Project SAFE) from the USA to the UK. Methods: One-to-one in-depth interviews (n = 37) and group discussions (n = 10) were conducted among men and women aged 15–27 years from different ethnic backgrounds recruited from youth and genitourinary medicine clinic settings in Brent, London. The interviews explored the context within which STI-related risks were assessed, experienced and avoided, the skills needed to recognise risk and the barriers to behaviour change. Results: Concurrent sexual partnerships, mismatched perceptions and expectations, and barriers to condom use contributed to STI risk exposure and difficulties in implementing risk-reduction strategies. Women attempted to achieve monogamy, but experienced complex and fluid sexual relationships. Low risk awareness, flawed partner risk assessments, negative perceptions of condoms and lack of control hindered condom use. Whereas men made conscious decisions, women experienced persuasion, deceit and difficulty in requesting condom use, particularly with older partners. Conclusions: Knowledge of STI and condom use skills is not enough to equip young people with the means to reduce STI risk. Interventions with young women need to place greater emphasis on: entering and maintaining healthy relationships; awareness of risks attached to different forms of concurrency and how concurrency arises; skills to redress power imbalances and building self-esteem.</div></front></TEI><istex><corpusName>bmj</corpusName><keywords><teeft><json:string>condom</json:string><json:string>brent</json:string><json:string>transm</json:string><json:string>young people</json:string><json:string>concurrency</json:string><json:string>ethnicity</json:string><json:string>epidemiology</json:string><json:string>group discussions</json:string><json:string>girlfriend</json:string><json:string>young women</json:string><json:string>sexual health</json:string><json:string>sexual behaviour</json:string><json:string>power imbalances</json:string><json:string>young brent project</json:string><json:string>concurrent partnerships</json:string><json:string>recruitment site</json:string><json:string>different forms</json:string><json:string>risk exposure</json:string><json:string>early relationships</json:string><json:string>risk perceptions</json:string><json:string>health protection agency</json:string><json:string>healthy relationships</json:string><json:string>national statistics</json:string><json:string>systematic review</json:string><json:string>casual partners</json:string><json:string>concurrent relationships</json:string><json:string>monogamous relationships</json:string><json:string>teenage pregnancy</json:string><json:string>behaviour</json:string><json:string>sexual partners</json:string><json:string>white youths</json:string><json:string>ethnic background</json:string><json:string>specialist education service</json:string><json:string>topic guide</json:string><json:string>qualitative research practice</json:string><json:string>ethics committee</json:string><json:string>limited knowledge</json:string><json:string>university college london</json:string><json:string>target group</json:string><json:string>casual encounters</json:string><json:string>multiple partners</json:string><json:string>risk behaviours</json:string><json:string>previous partners</json:string><json:string>excess alcohol</json:string><json:string>regular partner</json:string><json:string>sexual encounters</json:string><json:string>past partners</json:string><json:string>aids risk reduction model</json:string><json:string>monogamous relationship</json:string><json:string>genitourinary medicine</json:string><json:string>focus group</json:string><json:string>recruitment sites</json:string><json:string>young women need</json:string><json:string>gender stereotypes</json:string><json:string>important role</json:string><json:string>target population</json:string><json:string>older partners</json:string><json:string>sexual landscape</json:string><json:string>skilled facilitators</json:string><json:string>risk factors</json:string><json:string>risk reduction</json:string><json:string>flawed partner risk assessments</json:string><json:string>further exploration</json:string><json:string>east london</json:string><json:string>social exclusion</json:string><json:string>sage publications</json:string><json:string>study design</json:string><json:string>collaborative group</json:string><json:string>central middlesex hospital</json:string><json:string>behavioral intervention</json:string><json:string>minority women</json:string><json:string>centre</json:string><json:string>gender</json:string><json:string>participant</json:string></teeft></keywords><author><json:item><name>M Gerressu</name><affiliations><json:string>Centre for Sexual Health and HIV Research, University College London, London, UK</json:string></affiliations></json:item><json:item><name>G Elam</name><affiliations><json:string>Centre for Sexual Health and HIV Research, University College London, London, UK</json:string></affiliations></json:item><json:item><name>R Shain</name><affiliations><json:string>University of Texas Health Science Center, San Antonio, Texas, USA</json:string></affiliations></json:item><json:item><name>C Bonell</name><affiliations><json:string>London School of Hygiene and Tropical Medicine, London, UK</json:string></affiliations></json:item><json:item><name>G Brook</name><affiliations><json:string>Patrick Clements GUM Clinic, Central Middlesex Hospital, London, UK</json:string></affiliations></json:item><json:item><name>J Dimmitt Champion</name><affiliations><json:string>University of Texas Health Science Center, San Antonio, Texas, USA</json:string></affiliations></json:item><json:item><name>R French</name><affiliations><json:string>Centre for Sexual Health and HIV Research, University College London, London, UK</json:string></affiliations></json:item><json:item><name>J Elford</name><affiliations><json:string>Department of Public Health, City University London, London, UK</json:string></affiliations></json:item><json:item><name>G Hart</name><affiliations><json:string>Centre for Sexual Health and HIV Research, University College London, London, UK</json:string></affiliations></json:item><json:item><name>J Stephenson</name><affiliations><json:string>Centre for Sexual Health and HIV Research, University College London, London, UK</json:string></affiliations></json:item><json:item><name>J Imrie</name><affiliations><json:string>National Centre in HIV Research, University of New South Wales, Sydney, Australia</json:string><json:string>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Mtubatuba, South Africa</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Reproductive medicine</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Condoms</value></json:item></subject><articleId><json:string>st34645</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Objectives: Young black women are disproportionately affected by sexually transmitted infections (STI) in the UK, but effective interventions to address this are lacking. The Young Brent Project explored the nature and context of sexual risk-taking in young people to inform the translation of an effective clinic-based STI reduction intervention (Project SAFE) from the USA to the UK. Methods: One-to-one in-depth interviews (n = 37) and group discussions (n = 10) were conducted among men and women aged 15–27 years from different ethnic backgrounds recruited from youth and genitourinary medicine clinic settings in Brent, London. The interviews explored the context within which STI-related risks were assessed, experienced and avoided, the skills needed to recognise risk and the barriers to behaviour change. Results: Concurrent sexual partnerships, mismatched perceptions and expectations, and barriers to condom use contributed to STI risk exposure and difficulties in implementing risk-reduction strategies. Women attempted to achieve monogamy, but experienced complex and fluid sexual relationships. Low risk awareness, flawed partner risk assessments, negative perceptions of condoms and lack of control hindered condom use. Whereas men made conscious decisions, women experienced persuasion, deceit and difficulty in requesting condom use, particularly with older partners. Conclusions: Knowledge of STI and condom use skills is not enough to equip young people with the means to reduce STI risk. Interventions with young women need to place greater emphasis on: entering and maintaining healthy relationships; awareness of risks attached to different forms of concurrency and how concurrency arises; skills to redress power imbalances and building self-esteem.</abstract><qualityIndicators><score>8</score><pdfVersion>1.2</pdfVersion><pdfPageSize>595.276 x 793.701 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>2</keywordCount><abstractCharCount>1777</abstractCharCount><pdfWordCount>5208</pdfWordCount><pdfCharCount>33957</pdfCharCount><pdfPageCount>7</pdfPageCount><abstractWordCount>251</abstractWordCount></qualityIndicators><title>Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting</title><pmid><json:string>19174424</json:string></pmid><genre><json:string>research-article</json:string></genre><host><title>Sexually Transmitted Infections</title><language><json:string>unknown</json:string></language><issn><json:string>1368-4973</json:string></issn><eissn><json:string>1472-3263</json:string></eissn><publisherId><json:string>sti</json:string></publisherId><volume>85</volume><issue>4</issue><pages><first>283</first></pages><genre><json:string>journal</json:string></genre></host><categories><wos><json:string>science</json:string><json:string>infectious diseases</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>public health & health services</json:string><json:string>public health</json:string></scienceMetrix><inist><json:string>sciences humaines et sociales</json:string></inist></categories><publicationDate>2009</publicationDate><copyrightDate>2009</copyrightDate><doi><json:string>10.1136/sti.2008.034645</json:string></doi><id>734D07C1332A120818C93152C0ABC245150DE24D</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/734D07C1332A120818C93152C0ABC245150DE24D/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/734D07C1332A120818C93152C0ABC245150DE24D/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/734D07C1332A120818C93152C0ABC245150DE24D/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher scheme="https://publisher-list.data.istex.fr">BMJ Publishing Group Ltd</publisher><availability><licence><p>2009 BMJ Publishing Group</p></licence><p scheme="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</p></availability><date>2009-01-27</date></publicationStmt><notesStmt><note type="research-article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</note><note type="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting</title><author xml:id="author-0000"><persName><forename type="first">M</forename><surname>Gerressu</surname></persName><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation></author><author xml:id="author-0001"><persName><forename type="first">G</forename><surname>Elam</surname></persName><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation></author><author xml:id="author-0002"><persName><forename type="first">R</forename><surname>Shain</surname></persName><affiliation>University of Texas Health Science Center, San Antonio, Texas, USA</affiliation></author><author xml:id="author-0003"><persName><forename type="first">C</forename><surname>Bonell</surname></persName><affiliation>London School of Hygiene and Tropical Medicine, London, UK</affiliation></author><author xml:id="author-0004"><persName><forename type="first">G</forename><surname>Brook</surname></persName><affiliation>Patrick Clements GUM Clinic, Central Middlesex Hospital, London, UK</affiliation></author><author xml:id="author-0005"><persName><forename type="first">J Dimmitt</forename><surname>Champion</surname></persName><affiliation>University of Texas Health Science Center, San Antonio, Texas, USA</affiliation></author><author xml:id="author-0006"><persName><forename type="first">R</forename><surname>French</surname></persName><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation></author><author xml:id="author-0007"><persName><forename type="first">J</forename><surname>Elford</surname></persName><affiliation>Department of Public Health, City University London, London, UK</affiliation></author><author xml:id="author-0008"><persName><forename type="first">G</forename><surname>Hart</surname></persName><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation></author><author xml:id="author-0009"><persName><forename type="first">J</forename><surname>Stephenson</surname></persName><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation></author><author xml:id="author-0010"><persName><forename type="first">J</forename><surname>Imrie</surname></persName><affiliation>National Centre in HIV Research, University of New South Wales, Sydney, Australia</affiliation><affiliation>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Mtubatuba, South Africa</affiliation></author><idno type="istex">734D07C1332A120818C93152C0ABC245150DE24D</idno><idno type="ark">ark:/67375/NVC-3MBLM3RX-W</idno><idno type="DOI">10.1136/sti.2008.034645</idno><idno type="href">sextrans-85-283.pdf</idno><idno type="article-id">st34645</idno><idno type="PMID">19174424</idno><idno type="local">sextrans;85/4/283</idno></analytic><monogr><title level="j">Sexually Transmitted Infections</title><title level="j" type="abbrev">Sex Transm Infect</title><idno type="pISSN">1368-4973</idno><idno type="eISSN">1472-3263</idno><idno type="publisher-id">sti</idno><idno type="PublisherID-hwp">sextrans</idno><idno type="PublisherID-nlm-ta">Sex Transm Infect</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2009-08"></date><biblScope unit="volume">85</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="283">283</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2009-01-27</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Objectives: Young black women are disproportionately affected by sexually transmitted infections (STI) in the UK, but effective interventions to address this are lacking. The Young Brent Project explored the nature and context of sexual risk-taking in young people to inform the translation of an effective clinic-based STI reduction intervention (Project SAFE) from the USA to the UK. Methods: One-to-one in-depth interviews (n = 37) and group discussions (n = 10) were conducted among men and women aged 15–27 years from different ethnic backgrounds recruited from youth and genitourinary medicine clinic settings in Brent, London. The interviews explored the context within which STI-related risks were assessed, experienced and avoided, the skills needed to recognise risk and the barriers to behaviour change. Results: Concurrent sexual partnerships, mismatched perceptions and expectations, and barriers to condom use contributed to STI risk exposure and difficulties in implementing risk-reduction strategies. Women attempted to achieve monogamy, but experienced complex and fluid sexual relationships. Low risk awareness, flawed partner risk assessments, negative perceptions of condoms and lack of control hindered condom use. Whereas men made conscious decisions, women experienced persuasion, deceit and difficulty in requesting condom use, particularly with older partners. Conclusions: Knowledge of STI and condom use skills is not enough to equip young people with the means to reduce STI risk. Interventions with young women need to place greater emphasis on: entering and maintaining healthy relationships; awareness of risks attached to different forms of concurrency and how concurrency arises; skills to redress power imbalances and building self-esteem.</p></abstract><textClass><keywords scheme="Journal Subject"><list><head>hwp-journal-coll</head><item><term>Reproductive medicine</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>hwp-journal-coll</head><item><term>Condoms</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2009-01-27">Created</change><change when="2009-08">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/734D07C1332A120818C93152C0ABC245150DE24D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="research-article" xml:lang="EN"><front><journal-meta><journal-id journal-id-type="hwp">sextrans</journal-id><journal-id journal-id-type="nlm-ta">Sex Transm Infect</journal-id><journal-id journal-id-type="publisher-id">sti</journal-id><journal-title>Sexually Transmitted Infections</journal-title><abbrev-journal-title abbrev-type="publisher">Sex Transm Infect</abbrev-journal-title><issn pub-type="ppub">1368-4973</issn><issn pub-type="epub">1472-3263</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">st34645</article-id><article-id pub-id-type="doi">10.1136/sti.2008.034645</article-id><article-id pub-id-type="other">sextrans;85/4/283</article-id><article-id pub-id-type="other">sextrans;sti.2008.034645</article-id><article-id pub-id-type="pmid">19174424</article-id><article-id pub-id-type="other">283</article-id><article-id pub-id-type="other">sti.2008.034645</article-id><article-categories><subj-group subj-group-type="heading"><subject>Epidemiology</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Reproductive medicine</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Condoms</subject></subj-group></article-categories><title-group><article-title>Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting</article-title><alt-title alt-title-type="running-head">Epidemiology</alt-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Gerressu</surname><given-names>M</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Elam</surname><given-names>G</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Shain</surname><given-names>R</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Bonell</surname><given-names>C</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Brook</surname><given-names>G</given-names></name><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Champion</surname><given-names>J Dimmitt</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>French</surname><given-names>R</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Elford</surname><given-names>J</given-names></name><xref ref-type="aff" rid="aff5">5</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hart</surname><given-names>G</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Stephenson</surname><given-names>J</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Imrie</surname><given-names>J</given-names></name><xref ref-type="aff" rid="aff6">6</xref><xref ref-type="aff" rid="aff7">7</xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Centre for Sexual Health and HIV Research, University College London, London, UK</addr-line> </aff><aff id="aff2"><label>2</label><addr-line>University of Texas Health Science Center, San Antonio, Texas, USA</addr-line> </aff><aff id="aff3"><label>3</label><addr-line>London School of Hygiene and Tropical Medicine, London, UK</addr-line> </aff><aff id="aff4"><label>4</label><addr-line>Patrick Clements GUM Clinic, Central Middlesex Hospital, London, UK</addr-line> </aff><aff id="aff5"><label>5</label><addr-line>Department of Public Health, City University London, London, UK</addr-line> </aff><aff id="aff6"><label>6</label><addr-line>National Centre in HIV Research, University of New South Wales, Sydney, Australia</addr-line> </aff><aff id="aff7"><label>7</label><addr-line>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Mtubatuba, South Africa</addr-line> </aff><author-notes><corresp>Ms M Gerressu, Centre for Sexual Health and HIV Research, University College London, Mortimer Market Centre, Off Capper Street, London WC1E 6JB, UK; <email xlink:type="simple">mgerressu@gum.ucl.ac.uk</email></corresp></author-notes><pub-date pub-type="ppub"><month>8</month><year>2009</year></pub-date><pub-date pub-type="epub-original"><day>27</day><month>1</month><year>2009</year></pub-date><pub-date pub-type="epub"><day>27</day><month>1</month><year>2009</year></pub-date><volume>85</volume><volume-id pub-id-type="other">85</volume-id><volume-id pub-id-type="other">85</volume-id><issue>4</issue><issue-id pub-id-type="other">sextrans;85/4</issue-id><issue-id pub-id-type="other">4</issue-id><issue-id pub-id-type="other">85/4</issue-id><fpage>283</fpage><history><date date-type="accepted"><day>19</day><month>1</month><year>2009</year></date></history><permissions><copyright-statement>2009 BMJ Publishing Group</copyright-statement><copyright-year>2009</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="sextrans-85-283.pdf"></self-uri><abstract><sec><title>Objectives:</title><p>Young black women are disproportionately affected by sexually transmitted infections (STI) in the UK, but effective interventions to address this are lacking. The Young Brent Project explored the nature and context of sexual risk-taking in young people to inform the translation of an effective clinic-based STI reduction intervention (Project SAFE) from the USA to the UK.</p></sec><sec><title>Methods:</title><p>One-to-one in-depth interviews (n = 37) and group discussions (n = 10) were conducted among men and women aged 15–27 years from different ethnic backgrounds recruited from youth and genitourinary medicine clinic settings in Brent, London. The interviews explored the context within which STI-related risks were assessed, experienced and avoided, the skills needed to recognise risk and the barriers to behaviour change.</p></sec><sec><title>Results:</title><p>Concurrent sexual partnerships, mismatched perceptions and expectations, and barriers to condom use contributed to STI risk exposure and difficulties in implementing risk-reduction strategies. Women attempted to achieve monogamy, but experienced complex and fluid sexual relationships. Low risk awareness, flawed partner risk assessments, negative perceptions of condoms and lack of control hindered condom use. Whereas men made conscious decisions, women experienced persuasion, deceit and difficulty in requesting condom use, particularly with older partners.</p></sec><sec><title>Conclusions:</title><p>Knowledge of STI and condom use skills is not enough to equip young people with the means to reduce STI risk. Interventions with young women need to place greater emphasis on: entering and maintaining healthy relationships; awareness of risks attached to different forms of concurrency and how concurrency arises; skills to redress power imbalances and building self-esteem.</p></sec></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting</title></titleInfo><name type="personal"><namePart type="given">M</namePart><namePart type="family">Gerressu</namePart><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G</namePart><namePart type="family">Elam</namePart><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R</namePart><namePart type="family">Shain</namePart><affiliation>University of Texas Health Science Center, San Antonio, Texas, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C</namePart><namePart type="family">Bonell</namePart><affiliation>London School of Hygiene and Tropical Medicine, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G</namePart><namePart type="family">Brook</namePart><affiliation>Patrick Clements GUM Clinic, Central Middlesex Hospital, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J Dimmitt</namePart><namePart type="family">Champion</namePart><affiliation>University of Texas Health Science Center, San Antonio, Texas, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R</namePart><namePart type="family">French</namePart><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J</namePart><namePart type="family">Elford</namePart><affiliation>Department of Public Health, City University London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G</namePart><namePart type="family">Hart</namePart><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J</namePart><namePart type="family">Stephenson</namePart><affiliation>Centre for Sexual Health and HIV Research, University College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J</namePart><namePart type="family">Imrie</namePart><affiliation>National Centre in HIV Research, University of New South Wales, Sydney, Australia</affiliation><affiliation>Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Mtubatuba, South Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2009-08</dateIssued><dateCreated encoding="w3cdtf">2009-01-27</dateCreated><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract>Objectives: Young black women are disproportionately affected by sexually transmitted infections (STI) in the UK, but effective interventions to address this are lacking. The Young Brent Project explored the nature and context of sexual risk-taking in young people to inform the translation of an effective clinic-based STI reduction intervention (Project SAFE) from the USA to the UK. Methods: One-to-one in-depth interviews (n = 37) and group discussions (n = 10) were conducted among men and women aged 15–27 years from different ethnic backgrounds recruited from youth and genitourinary medicine clinic settings in Brent, London. The interviews explored the context within which STI-related risks were assessed, experienced and avoided, the skills needed to recognise risk and the barriers to behaviour change. Results: Concurrent sexual partnerships, mismatched perceptions and expectations, and barriers to condom use contributed to STI risk exposure and difficulties in implementing risk-reduction strategies. Women attempted to achieve monogamy, but experienced complex and fluid sexual relationships. Low risk awareness, flawed partner risk assessments, negative perceptions of condoms and lack of control hindered condom use. Whereas men made conscious decisions, women experienced persuasion, deceit and difficulty in requesting condom use, particularly with older partners. Conclusions: Knowledge of STI and condom use skills is not enough to equip young people with the means to reduce STI risk. Interventions with young women need to place greater emphasis on: entering and maintaining healthy relationships; awareness of risks attached to different forms of concurrency and how concurrency arises; skills to redress power imbalances and building self-esteem.</abstract><relatedItem type="host"><titleInfo><title>Sexually Transmitted Infections</title></titleInfo><titleInfo type="abbreviated"><title>Sex Transm Infect</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>hwp-journal-coll</genre><topic>Reproductive medicine</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Condoms</topic></subject><identifier type="ISSN">1368-4973</identifier><identifier type="eISSN">1472-3263</identifier><identifier type="PublisherID">sti</identifier><identifier type="PublisherID-hwp">sextrans</identifier><identifier type="PublisherID-nlm-ta">Sex Transm Infect</identifier><part><date>2009</date><detail type="volume"><caption>vol.</caption><number>85</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>283</start></extent></part></relatedItem><identifier type="istex">734D07C1332A120818C93152C0ABC245150DE24D</identifier><identifier type="ark">ark:/67375/NVC-3MBLM3RX-W</identifier><identifier type="DOI">10.1136/sti.2008.034645</identifier><identifier type="href">sextrans-85-283.pdf</identifier><identifier type="ArticleID">st34645</identifier><identifier type="PMID">19174424</identifier><identifier type="local">sextrans;85/4/283</identifier><accessCondition type="use and reproduction" contentType="copyright">2009 BMJ Publishing Group</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</recordContentSource><recordOrigin>2009 BMJ Publishing Group</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/734D07C1332A120818C93152C0ABC245150DE24D/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002555 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 002555 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:734D07C1332A120818C93152C0ABC245150DE24D
|texte= Sexually transmitted infection risk exposure among black and minority ethnic youth in northwest London: findings from a study translating a sexually transmitted infection risk-reduction intervention to the UK setting
}}
| This area was generated with Dilib version V0.6.32. |  |