Factors associated with genitourinary medicine clinic attendance and XXXX diagnosis among central and east European migrants in London.

@entity1 @entity645 @entity2953
OBJECTIVES: There has been a large influx of central and east European (CEE) migrants to the U.K. following the expansion of the European Union. This paper examines factors associated with genitourinary medicine (GUM) clinic attendance and @entity2953 ( @entity2953 ) diagnosis among CEE migrants in London. METHODS: A survey of sexual behaviour was conducted among CEE migrants attending two central London GUM clinics (n=299) and community venues in London (n=2276). Routinely collected clinic data were also analysed. RESULTS: CEE migrants made up 2.9% of male and 7.0% of female attendees at the clinics. Half the @entity1 attending sessions for female sex workers were from CEE countries, and paying for sex was widely reported by @entity1 . @entity1 were more likely than @entity1 to have attended a GUM clinic in the U.K. (7.6% vs. 4.5%, p=0.002). GUM survey respondents were more likely than community survey respondents to report one or more new sexual partners in the past year ( @entity1 67.9% vs. 28.3%, p < 0.001; @entity1 75.6% vs. 45.1%, p < 0.001) and homosexual partnership(s) in the past 5 years ( @entity1 54.3% vs. 1.8%, p < 0.001), but were less likely to report assortative heterosexual mixing ( @entity1 25.9% vs. 74.2%, p < 0.001; @entity1 56.5% vs. 76.3%, p < 0.001). CONCLUSIONS: CEE @entity1 make up a notable minority of @entity1 attending two central London GUM clinics. Higher numbers of sexual partners, homosexual partnerships and sexual mixing with @entity1 from outside the country of origin are associated with GUM clinic attendance. Heterosexual CEE @entity1 report behaviours associated with @entity645 / @entity2953 acquisition but appear to be underutilising GUM services.
