Methods, the nationwide Dutch sentinel GP network, founded in 1970, included 4245 GP practices in the Netherlands in the period of study and covered a sex date app london population of about 125 000 patients (0.8 of the total Dutch population) enclosing geographical dispersion and variation in population density.
The clinic is located within the Stadskliniek Utrecht and collaborates with the Foundation casu, a center for sexual health services and contraception and the department of gynaecology both also situated in the Stadskliniek Utrecht.
10 Compared with the overall Dutch population, where.3 belongs to ethnic minorities, 11 the proportion of patients from non-Dutch origin is lower (16 which suggests that this group less frequently consults a GP for STI-related issues.The GPs received reminders and instructions for the study annually.Specific guidelines for STI consultations exist for GPs 4 indicating which high-risk groups should be tested.Age, most frequently, patients were of the age groups 2024 years (27) and 2529 (19; figure 1 ).Table 1, number of test requests and diagnoses per STI in patients consulting the GP for STI-related problems, in the Dutch sentinel GP network, 20082011.15 In the UK, during follow-up of a chlamydia screening study, around four-fifths of women in the study had paid at least one visit to the GP in a 12-month period, but only 14 had visited a specialised genitourinary medicine (GUM) clinic.Introduction, in the Netherlands, treatment of sexually transmitted infections (STIs) and care is mainly provided by general practitioners (GPs) and specialised STI centres.In total,.2 (2.2 of men and.6 of women) reported recent commercial sex contact(s).Nevertheless, further research could explore the reasons for non-adherence to testing guidelines; these can be lack of awareness or training from the GP, but could also relate to patient preferences or practical reasons such as availability of equipment and logistical issues.
7, chlamydia is the most diagnosed STI with.5 positive tests in 2011, slightly increasing over the past years, with heterosexuals 25 years accounting for the highest rates (14.8).
Patients attending the GP for an STI-related consultation in the Dutch sentinel GP network belonged less often to known risk groups than clients at STI centres.
For.8 of test requests, no laboratory result was available.Herpes accounted for.4 and genital warts for.7 consult positivity (diagnosed based on presence of symptoms only).25 Raising awareness and increasing collaboration improved STI services in a US study.If you want to be tested anonymously and free of charge, find a municipal STI clinic in your neighbourhood.HIV, syphilis and hepatitis B tests were less commonly requested in young people (see table 2 ).In the general practice in two different areas in England, HIV testing rates were higher; HIV testing rates varied from.6.4 (per 1000 patients aged 1544 years).A completed questionnaire was recorded in the GP system, to avoid the risk of entering multiple questionnaires per episode.Therefore, an STI and HIV-related questionnaire was implemented in a national network of GPs, from 2008 onwards.
Figure 1 shows the wide age range but clear peak in the 2024 year age range for patients with STI-related problems; the consultations under 10 years are likely to be reporting artefacts (no details on, eg, sexual abuse were collected).
Type of sexual contact Half of the population indicated to have a steady relationship, one-third had successive casual sexual relationships and 4 reported two or more concurrent sexual partners.