{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T05:22:46Z","timestamp":1741152166630,"version":"3.38.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2009,3,1]],"date-time":"2009-03-01T00:00:00Z","timestamp":1235865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:p> We applied the principles of Hazard Analysis and Critical Control Points (HACCP) to systematically analyse the care pathway of patients diagnosed with gonorrhoea to identify potential intervention opportunities for preventive action. Data were collected on individuals with culture-positive gonococcal infection during 27 February 2003 to 08 January 2004. Qualitative data were gathered within individual semi-structured interviews. Two hundred and twenty-three gonorrhoea patient episodes were evaluated. The median interval between presentation and treatment was significantly longer in females and men having sex with men (MSM), compared with heterosexual men ( P = 0.002). Females were significantly more likely to be in regular relationships at the timepoint of perceived infection acquisition than heterosexuals or MSM ( P &lt; 0.0001). Four major themes emerged from the interviews: life-stage and infection risk, determinants of risk perception around sexual encounters, attitudes to preventing re-infection and condom use. These informed three potential \u2018critical control points\u2019: health-related attitudes\/behaviours preceding infection; access to appropriate care and optimizing health promotion to prevent further infection. <\/jats:p>","DOI":"10.1258\/ijsa.2008.008258","type":"journal-article","created":{"date-parts":[[2009,3,2]],"date-time":"2009-03-02T19:33:38Z","timestamp":1236022418000},"page":"170-175","source":"Crossref","is-referenced-by-count":2,"title":["Identifying opportunities for sexually transmitted infection prevention: analysis of critical points in the care pathways of patients with gonorrhoea"],"prefix":"10.1177","volume":"20","author":[{"given":"K","family":"Abu-Rajab","sequence":"first","affiliation":[{"name":"MRC Social and Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow G12 8RZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Scoular","sequence":"additional","affiliation":[{"name":"MRC Social and Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow G12 8RZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Church","sequence":"additional","affiliation":[{"name":"MRC Social and Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow G12 8RZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Connell","sequence":"additional","affiliation":[{"name":"MRC Social and Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow G12 8RZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Winter","sequence":"additional","affiliation":[{"name":"MRC Social and Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow G12 8RZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Hart","sequence":"additional","affiliation":[{"name":"MRC Social and Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow G12 8RZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,3,1]]},"reference":[{"key":"bibr-IJSA-08-258C1","unstructured":"The UK Collaborative Group for HIV and STI Surveillance. Testing Times \u2013 HIV and other Sexually Transmitted Infections in the United Kingdom. London: Centre for Infections, Health Protection Agency, 2007"},{"key":"bibr-IJSA-08-258C2","first-page":"22","volume":"36","author":"Scoular A","year":"2002","journal-title":"SCIEH Wkly Rep"},{"key":"bibr-IJSA-08-258C3","unstructured":"World Health Organisation. Introducing the Hazard Analysis and Critical Control Point System. 1997. See www.who.int\/foodsafety\/fs_management\/haccp_intro\/en\/index.html (accessed August 2007)"},{"key":"bibr-IJSA-08-258C4","first-page":"364","volume":"11","author":"Carstairs V","year":"1989","journal-title":"Commun Med"},{"volume-title":"Qualitative Psychology: A Practical Guide to Methods","year":"2003","author":"Smith JA","key":"bibr-IJSA-08-258C5"},{"volume-title":"Marketing Social Change \u2013 Changing Behavior to Promote Health, Social Development and the Environment","year":"1995","author":"Andreasen A","key":"bibr-IJSA-08-258C6"},{"key":"bibr-IJSA-08-258C7","doi-asserted-by":"publisher","DOI":"10.1016\/1054-139X(92)90084-O"},{"key":"bibr-IJSA-08-258C8","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(98)00146-3"},{"key":"bibr-IJSA-08-258C9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.13.1161"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/ijsa.2008.008258","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/ijsa.2008.008258","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/ijsa.2008.008258","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T06:52:51Z","timestamp":1741071171000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/ijsa.2008.008258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,3]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,3]]}},"alternative-id":["10.1258\/ijsa.2008.008258"],"URL":"https:\/\/doi.org\/10.1258\/ijsa.2008.008258","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"type":"print","value":"0956-4624"},{"type":"electronic","value":"1758-1052"}],"subject":[],"published":{"date-parts":[[2009,3]]}}}