BASHH 2008 National Audit of Sexual History

TakingCase Notes Audit(detailed data)

Number of cases (N= 4121)

Age distribution (N= 4121)

Gender distribution (N= 4121) - ordered by female cases

Sexual preference Male cases, n= 2061

Sexual preference Female cases, n= 2060

Ethnic category (N= 4121)

New/Re-bookNew=3242, Rebook=879 (27%)

Re-book presentations, n=879 (27%)

Non-documentation of specified components about contacts:

Male heterosexual cases (N=1857)

Component of sexual historyCurrent sexual

contactNumber (%, regional range

%)

Previous sexual contact

Number (%, regional range %)

Presence or absence of symptoms/problems in this sexual partner

1158 (62, 36-90) 1070 (58, 32-91)

Oral sex- giving or not giving 1114 (60, 27-85) 941 (51, 24-80)Oral sex- receiving or not receiving 1105 (60, 27-82) 924 (50, 26-82)Information about any risk presented by

this sexual partner 967 (52, 23-76) 900 (49, 31-68)

If oral sex took place, was the use or non-use of condoms documented 822 (44, 5-67) 709 (38, 12-60)

Vaginal sex – having or not having 319 (17, 3-48) 454 (24, 13-57)If vaginal sex took place, was the use or

non-use of condoms documented 173 (9, 3-20) 345 (19, 8-32)

Duration of this relationship 172 (9, 3-20) 422 (23, 8-43)Information about the relationship to the

contact 120 (7, 0-20) 354 (19, 11-36)

Gender of this sexual partner 87 (5, 0-15) 280 (15, 3-26)

Non-documentation of specified components about contacts:

Male bi/homosexual cases (n=204) Component of sexual history Current sexual contact

Number (%, regional range %)

Previous sexual contact

Number (%, regional range %)

Presence or absence of symptoms/problems in this sexual partner

128 (63, 31-100) 127 (62, 25-100)

Information about any risk presented by this sexual partner 90 (44, 0-75) 91 (45, 0-80)

If oral sex took place, was the use or non-use of condoms documented 71 (35, 0-57) 68 (33, 0-50)

Oral sex- receiving or not receiving 58 (28, 0-75) 67 (33, 0-60)Oral sex- giving or not giving 55 (27, 0-75) 68 (33, 0-60)Anal sex- giving or not giving 34 (17, 0-39) 47 (23, 0-40)Anal sex- receiving or not receiving 30 (15, 0-39) 46 (23, 0-50)If anal sex took place, was the use or non-use of condoms documented 25 (12, 0-31) 40 (20, 0-40)

Duration of this relationship 22 (11, 0-25) 42 (21, 0-36)Gender of this sexual partner 9 (4, 0-10) 32 (16, 0-27)Information about the relationship to the contact 9 (4, 0-25) 39 (19, 0-50)

Non-documentation of specified components about contacts:

Female heterosexual cases (n=2039) Component of sexual history

Current sexual contactNumber (%, regional range

%)

Previous sexual contactNumber (%, regional range

%)Anal sex - receiving or not receiving 1246 (61, 39-88) 1000 (49, 33-68)Presence or absence of symptoms/problems in this sexual partner 1244 (61, 32-84) 1067 (52, 28-77)

Oral sex - receiving or not receiving 1198 (59, 32-86) 966 (47, 28-68)Oral sex - giving or not giving 1186 (58, 35-87) 962 (47, 28-68)Information about any risk presented by this sexual partner 1012 (50, 16-74) 917 (45, 29-65)

If oral sex took place, was the use or non-use of condoms documented 975 (48, 17-71) 770 (38, 9-60)

If anal sex took place, was the use or non-use of condoms documented 910 (45, 14-67) 742 (36, 16-56)

Vaginal sex – having or not having 324 (16, 2-34) 503 (25, 13-36)If vaginal sex took place, was the use or non-use of condoms documented 176 (9, 3-20) 437 (21, 9-40)

Duration of this relationship 163 (8, 1-26) 483 (24, 17-41)Gender of this sexual partner 113 (6, 2-21) 403 (20, 11-39)Information about the relationship to the contact 113 (6, 2-17) 449 (22, 10-36)

Non-documentation of specified components about contacts:

Female bi/homosexual, most recent contact (n=21) Component Current sexual contact

Number (%, regional range %)Previous sexual contact

Number (%, regional range %)Oral giving 11 (52, 0-100) 10 (48, 0-100)Contact problems 11 (52, 0-100) 11 (52, 0-100)Oral receiving 10 (48, 0-100) 10 (48, 0-100)Anal receiving 10 (48, 0-100) 8 (38, 0-100)Anal + condoms 9 (43, 0-100) 7 (33, 0-100)Contact risk 9 (43, 0-100) 10 (48, 0-100)Oral + condoms 7 (33, 0-100) 8 (38, 0-100)Vaginal 5 (24, 0-100) 6 (29, 0-100)Vaginal + condoms 5 (24, 0-100) 6 (29, 0-100)Relationship duration 3 (14, 0-100) 2 (10, 0-33)Relationship type 1 (5, 0-33) 2 (10, 0-33)Gender 0 0

Other sexual history components: male cases Male cases, n= 2061

Component National average(%)

Regional Range (%)

Reason for attending 100 (97 - 100)Current medication 95 (80 - 99)Previous healthcare 94 (83 - 100)Drug allergy/reactions 94 (83 - 99)Previous STIs 93 (86 - 99)Look-back at least 3 months 91 (77 - 100)Current/previous conditions related to sex health 84 (64 - 99)Present/past injecting drug use: 80 (48 - 97)Sex with another man 68 (46 - 90)Non-drug allergy/reactions 65 (37 - 91)Sex abroad (other than with a travelling partner) 62 (35 - 97)Previous HIV testing: 61 (25 - 83)Giving money for sex: 36 (15 - 84)Receiving money for sex 31 (13 - 83)Medical treatment abroad with BBI risk 23 (5 - 51)

Other sexual history components: female cases Female cases, n= 2060

Component National average (%)

Regional Range (%)

Reason for attending 99 (98-100)Current medication 95 (75-100)Drug allergy/reactions 95 (77-100)LMP 94 (87-99)Current contraception 94 (90-98)Previous healthcare 93 (80-100)Look-back at least 3 months 92 (86-98)Previous STIs 92 (86-99)Current/previous conditions related to sex health 85 (68-100)Cervical cytology 84 (73-94)Present/past injecting drug use: 80 (57-97)Non-drug allergy/reactions 65 (31-87)Sex abroad (other than with a travelling partner) 61 (30-92)Previous HIV testing: 60 (20-88)Receiving money for sex 31 (4-76)Giving money for sex: 28 (4-75)Medical treatment abroad with BBI risk 22 (3-63)

Other components of the clinical record (N= 4121)

ComponentNational

average (%)

Regional Range (%)

Offer of a chaperone for examination 54 (21 - 81)

Anogenital examination findings 87 (76 - 98)Assessment of eligibility for

hepatitis B vaccination 47 (34 - 72)

Assessment of eligibility for hepatitis C testing 41 (22 - 73)

Method of giving results 83 (62 - 97)Follow-up plan for care 79 (61 – 98)

Legibility of the clinical record (N= 4121)

Component National average (%)

Regional Range (%)

Completely legible 95 (83 - 100)Signed and accompanied

by a name legibly written

81 (48 - 98)

Electronic record 2 (0 - 17)

See Summary Presentation

Acknowledgements• The work done by all NHS staff who submitted data and supported the Audit is

gratefully acknowledged. The work done by those running the pre-pilot and pilot phases is gratefully acknowledged

• The work done by the Regional Chairs and staff in NHS Trusts/Clinics is gratefully acknowledged

• Membership of National Audit Group, April 2007: Chris Carne (Chair), David Daniels (vice-chair), Hugo McClean (Hon Sec), Anatole Menon-Johansson (Director of Development), Raymond Maw (N.Ireland and BCCG chair), Ed Wilkins (BHIVA Representative), TC Harry (Anglia), Gail Crowe (Essex), Ravindra Gokhale (Merseyside), Ann Sullivan (N Thames), Eva Jungmann (N Thames), Sarup Tayal (Northern), Ashish Sukthankar (North-West), Adil Isaac (Oxford), Steve Baguley (Scotland), Arnold Fernandes (South-West), Cindy Sethi (SE Thames), Steven Estreich (SW Thames), Jyoti Dhar (Trent), Helen Bailey (Wales), Sarah McAndrew (Wales), Reena Mani (Wessex), Kaveh Manavi (West Midlands), Amy Tobin-Mammen (Yorkshire), Paul Bunting (Co-opted Member), Irene Vaughan (Co-opted Member), Mike Walzman (Co-opted Member),Nicola low (Co-opted Member)

• The advice and support of Hilary Curtis in designing the on-line questionnaires and in collecting, processing and tabulating the audit data into a national aggregate and regional aggregates is gratefully acknowledged