{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T13:45:27Z","timestamp":1771854327876,"version":"3.50.1"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Men who have sex with men (MSM) bear a disproportionate burden of STIs. While routine STI surveillance data suggest MSM regularly access specialist genitourinary medicine (GUM) clinics for their sexual healthcare, the extent to which MSM attend non-specialist sexual health services (SHSs) is unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used data from the GUM Clinic Activity Data Set (GUMCADv2), the national STI surveillance system, to compare the characteristics, service usage and STI outcomes of MSM accessing specialist and non-specialist (non-GUM) SHSs in England in 2014. Pearson's \u03c7<jats:sup>2<\/jats:sup>, Student's t-test and logistic regression analysis were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Where sexual orientation was recorded (92%), 11% (4552\/41\u2005597) of non-GUM attendances were among MSM compared with 28% (280\u2005466\/999\u2005331) of GUM attendances (p&lt;0.001). Compared with those attending GUM services, MSM attending non-GUM services were younger (mean age: 30.2\u2005years vs 37.7\u2005years; p&lt;0.001) and were more likely to be of mixed ethnicity (4.9% vs 3.5%; p&lt;0.001), to have had a full sexual health screen (chlamydia, gonorrhoea, syphilis and HIV tests) (48.0% vs 37.0%; p&lt;0.001) and to be diagnosed with chlamydia (7.4% vs 4.1%; p&lt;0.001) and gonorrhoea (8.5% vs 6.5%: p&lt;0.001). MSM attending non-GUM services had slightly lower HIV test uptake (87.0% vs 95.0%; p=0.157) and were less likely to be diagnosed with HIV (0.5% vs 0.8%; p=0.019), compared with those attending GUM clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Non-specialist SHSs play an important role in the care of MSM and should ensure services meet their needs.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2016-052755","type":"journal-article","created":{"date-parts":[[2016,11,26]],"date-time":"2016-11-26T02:50:54Z","timestamp":1480128654000},"page":"72-74","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Access of non-specialist sexual health services by men who have sex with men: do they differ from those attending specialist services?"],"prefix":"10.1136","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9664-5003","authenticated-orcid":false,"given":"Helen","family":"Mebrahtu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Furegato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2890-862X","authenticated-orcid":false,"given":"Bersabeh","family":"Sile","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Were","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2060-7286","authenticated-orcid":false,"given":"Hamish","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwenda","family":"Hughes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,11,25]]},"reference":[{"key":"2020050723322996000_94.1.72.1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.3201\/eid2201.151331","article-title":"Increase in sexually transmitted infections among men who have sex with men, England, 2014","volume":"22","author":"Mohammed","year":"2016","journal-title":"Emerg Infect Dis"},{"key":"2020050723322996000_94.1.72.2","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2015-052126.8"},{"key":"2020050723322996000_94.1.72.3","unstructured":"Skingsley A , Yin Z , Kirwan P , et al . HIV in the UK\u2014Situation Report 2015: data to end 2014. London: Public Health England, 2015."},{"key":"2020050723322996000_94.1.72.4","doi-asserted-by":"crossref","first-page":"181","DOI":"10.12968\/bjon.2009.18.3.39049","article-title":"National policy and sexual health of men who have sex with men","volume":"18","author":"James","year":"2009","journal-title":"Br J Nurs"},{"key":"2020050723322996000_94.1.72.5","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES2014.19.48.20981"},{"key":"2020050723322996000_94.1.72.6","unstructured":"Public Health England. GUMCADv2: guidance for clinical staff. Published April 2015. https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/481384\/GUMCADv2_Guidance_for_Clinical_Staff_v21_01122015.pdf (accessed 20 Nov 2015)."},{"key":"2020050723322996000_94.1.72.7","doi-asserted-by":"crossref","first-page":"9","DOI":"10.4997\/JRCPE.2011.103","article-title":"The impact of new national HIV testing guidelines at a district general hospital in an area of high HIV seroprevalence","volume":"41","author":"Page","year":"2011","journal-title":"J R Coll Physicians Edinb"},{"key":"2020050723322996000_94.1.72.8","doi-asserted-by":"publisher","DOI":"10.1177\/0956462412472449"},{"key":"2020050723322996000_94.1.72.9","unstructured":"Sigma Research. Doctoring gay men. Published July 2004. http:\/\/www.sigmaresearch.org.uk\/downloads\/report04d.pdf (accessed 20 Mar 2016)."}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2016-052755","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T09:06:07Z","timestamp":1601111167000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2016-052755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,25]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,1,18]]},"published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1136\/sextrans-2016-052755"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2016-052755","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,25]]}}}