Examining the potential public health benefit of offering STI testing to men in amateur football clubs: evidence from cross-sectional surveys

Mercer, Catherine H, Fuller, Sebastian S, Saunders, John M, Muniina, Pamela, Copas, Andrew J, Hart, Graham J, Sutcliffe, Lorna J, Johnson, Anne M, Cassell, Jackie A and Estcourt, Claudia S (2015) Examining the potential public health benefit of offering STI testing to men in amateur football clubs: evidence from cross-sectional surveys. BMC Public Health, 15 (1). ISSN 1471-2458

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Abstract

Background: In Britain, young people continue to bear the burden of sexually transmitted infections (STIs) so efforts are required, especially among men, to encourage STI testing. The SPORTSMART study trialled an intervention that sought to achieve this by offering chlamydia and gonorrhoea test-kits to men attending amateur football clubs between October and December 2012. With football the highest participation team sport among men in England, this paper examines the potential public health benefit of offering STI testing to men in this setting by assessing their sociodemographic characteristics, sexual behaviours, and healthcare behaviour and comparing them to men in the general population. Methods: Data were collected from 192 (male) members of 6 football clubs in London, United Kingdom, aged 18–44 years via a 20-item pen-and-paper self-completion questionnaire administered 2 weeks after the intervention. These were compared to data collected from 409 men of a similar age who were resident in London when interviewed during 2010–2012 for the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a national probability survey that used computer-assisted-personal-interviewing with computer-assisted-self-interview. Age standardisation and multivariable regression were used to account for sociodemographic differences between the surveys. Results: Relative to men in the general population, SPORTSMART men were younger (32.8 % vs. 21.7 % aged under 25 y), and more likely to report (all past year) at least 2 sexual partners (adjusted odds ratio, AOR: 3.25, 95 % CI: 2.15–4.92), concurrent partners (AOR: 2.05, 95 % CI: 1.39–3.02), and non-use of condoms (AOR: 2.17, 95 % CI: 1.39–3.41). No difference was observed in STI/HIV risk perception (AOR for reporting “not at all at risk” of STIs: 1.25, 95 % CI: 0.76–2.04; of HIV: AOR: 1.54, 95 % CI: 0.93–2.55), nor in reporting STI testing in the past year (AOR: 0.83, 95 % CI: 0.44–1.54), which was reported by only one in six men. Conclusions: Relative to young men in the general population, football club members who completed the SPORTSMART survey reported greater sexual risk behaviour but similar STI/HIV risk perception and STI testing history. Offering STI testing in amateur football clubs may therefore widen access to STI testing and health promotion messages for men at higher STI risk, which, given the minority currently testing and the popularity of football in England, should yield both individual and public health benefit.

Item Type: Article
Keywords: Sexually transmitted infections, Sexual health, Public health, Sport, Men
Schools and Departments: Brighton and Sussex Medical School > Brighton and Sussex Medical School
Brighton and Sussex Medical School > Primary Care and Public Health
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0643 Communicable diseases and public health > RA0644 Individual diseases or groups of diseases, A-Z
Depositing User: Jane Hale
Date Deposited: 17 Jul 2015 09:40
Last Modified: 19 Mar 2017 11:42
URI: http://sro.sussex.ac.uk/id/eprint/55404

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Project NameSussex Project NumberFunderFunder Ref
Targeting young men for better sexual health: THE BALLSEYE ProgrammeUnsetNational Institute for Health ResearchRP-PG-0707-10208
Natsal-3 studyUnsetMedical Research CouncilG0701757
Natsal-3 studyUnsetWellcome Trust084840
Natsal-3 studyUnsetEconomic and Social Research CouncilUnset
Natsal-3 studyUnsetDepartment of HealthUnset