{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T13:57:17Z","timestamp":1765807037560},"reference-count":13,"publisher":"BMJ","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2012,2,14]]},"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Little is known about where sexually active female students access healthcare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Using data from the Prevention of Pelvic Infection (POPI) cohort, the authors aimed to:<jats:list list-type=\"order\"><jats:list-item><jats:p>Describe where sexually active female students aged \u226427\u2005years reported accessing healthcare.<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Investigate the association between numbers of sexual partners during 12\u2005months of follow-up and healthcare usage, health-related quality of life (EQ-5D) and demographic and behavioural characteristics.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants provided vaginal swabs and completed questionnaires on sexual health and quality of life at baseline and at a 12-month follow-up. The follow-up questionnaire also asked about healthcare attendances during the previous 12\u2005months. Mann\u2013Whitney tests were used to relate healthcare seeking behaviour and other characteristics to reported numbers of partners during follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1865 women included in the analysis, 79% paid at least one visit to their general practice during follow-up, 23% attended an accident and emergency\/walk-in clinic, 21% a family planning clinic and 14% a genitourinary medicine clinic. As the number of sexual partners increased (0\u20131, 2\u20133, 4+), women were more likely to have visited a genitourinary medicine clinic (10%, 16%, 30%, p&lt;0.001) or accident and emergency\/walk-in clinic (21%, 26%, 29%, p&lt;0.002). Women with more sexual partners were also more likely to smoke, use condoms, be aged &lt;16\u2005years at sexual debut, have bacterial vaginosis, chlamydia or gonorrhoea at baseline and to have lower EQ5-D scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first UK study of healthcare attendance in multiethnic female students recruited outside healthcare settings. The high attendance in general practice may represent a valuable opportunity for screening for sexually transmitted infections.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2011-050452","type":"journal-article","created":{"date-parts":[[2012,3,14]],"date-time":"2012-03-14T00:51:57Z","timestamp":1331686317000},"page":"382-385","source":"Crossref","is-referenced-by-count":9,"title":["Where do sexually active female London students go to access healthcare? Evidence from the POPI (Prevention of Pelvic Infection) chlamydia screening trial"],"prefix":"10.1136","volume":"88","author":[{"given":"Ruth","family":"Green","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah R","family":"Kerry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Reid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip E","family":"Hay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally M","family":"Kerry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adamma","family":"Aghaizu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pippa","family":"Oakeshott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,3,13]]},"reference":[{"key":"2024051321022323000_88.5.382.1","unstructured":"Health Protection Agency. Total Number of STI Diagnoses in Genitourinary Medicine Clinics & Community Settings in England 2008-2010. http:\/\/www.hpa.org.uk\/webc\/HPAwebFile\/HPAweb_C\/1215589015024 (accessed 27 Jan 2012)."},{"key":"2024051321022323000_88.5.382.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)06886-6"},{"key":"2024051321022323000_88.5.382.3","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932009990289"},{"key":"2024051321022323000_88.5.382.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1642"},{"key":"2024051321022323000_88.5.382.5","doi-asserted-by":"publisher","DOI":"10.1086\/656739"},{"key":"2024051321022323000_88.5.382.6","doi-asserted-by":"publisher","DOI":"10.1136\/sti.74.6.445"},{"key":"2024051321022323000_88.5.382.7","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2010.048694"},{"key":"2024051321022323000_88.5.382.8","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"2024051321022323000_88.5.382.9","first-page":"99","article-title":"Opportunistic and systematic screening for chlamydia: a study of consultations by young adults in general practice","volume":"56","author":"Salisbury","year":"2006","journal-title":"Br J Gen Pract"},{"key":"2024051321022323000_88.5.382.10","unstructured":"Health Protection Agency National Chlamydia Screening Programme. England Quarters 1\u20134 April 2010\u2013March 2011. http:\/\/www.chlamydiascreening.nhs.uk\/ps\/assets\/pdfs\/data\/sha_presentations11\/Q1-4%202010-11%20ENGLAND.pdf (accessed 27 Jan 2012)."},{"key":"2024051321022323000_88.5.382.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1915"},{"key":"2024051321022323000_88.5.382.12","doi-asserted-by":"publisher","DOI":"10.1136\/sti.74.6.445"},{"key":"2024051321022323000_88.5.382.13","unstructured":"Health Protection Agency National Chlamydia Screening Programme. The Future Direction of the National Chlamydia Screening Programme. 2011. https:\/\/www.dh.gov.uk\/en\/Aboutus\/Features?DH_128779 (accessed 27 Jan 2012)."}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2011-050452","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T04:36:56Z","timestamp":1715661416000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2011-050452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,13]]},"references-count":13,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2012,7,13]]},"published-print":{"date-parts":[[2012,8]]}},"alternative-id":["10.1136\/sextrans-2011-050452"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2011-050452","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,13]]}}}