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Objectives Surveillance data frequently indicate that young men and women experience high—yet considerably different—reported rates of sexually transmitted infections (STIs), including bacterial infections such as chlamydia.We examined how several sex-based (eg, biological) and gender-based (eg, sociocultural) factors may interact to influence STI surveillance data trends.The youth clinics in our study did not require proof of having current MSP coverage.

Interviews lasted ∼1-hour and covered topics including experiences with testing and perceptions about sociocultural norms. Interviews were transcribed, checked for accuracy and uploaded to the software NVivo to organise and manage the data.For example, syphilis rates in BC among men aged 20–24 years were nine times higher than those of females of the same age (17.6 cases per 100 000 men compared to 1.9 cases per 100 000 women).1STI surveillance patterns are frequently attributed to ‘core groups’ of men and women that share specific risk profiles.For example, syphilis outbreaks in Canadian urban centres are largely attributed to men who have sex with men (MSM) who concurrently have high numbers of sex partners.2 These differences are also partly attributed to biological or anatomical differences between males and females and their effects on STI transmission, acquisition and symptomatology.3 4 Patterns in how young men and women are routinely tested for asymptomatic STIs are also thought to influence how STIs are counted and reported based on sex.Conclusions The results point to the importance of taking a social and biological view to understanding the factors that contribute to the gap between young men's and women's routine engagement in STI care.This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

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