Study of STD clinic attenders in England and Wales, 1978. 1. Patients versus cases.

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Abstract
A study was carried out to quantify and describe patients seen in sexually transmitted diseases [STD] clinics in England and Wales during 1978. Of male patients, 9% were homosexual. Of female patients, 58% were < 25 yr old. Only 42% of heterosexual mean were < 25 yr old. Homosexual men had a higher mean number of cases/patient during the year than heterosexual men or women; they were apparently more likely to have multiple episodes of disease. Female patients also had a higher mean number of cases than heterosexual men; apparently they often had several concurrent infections. There were 100,000 fewer patients than cases (332,000 compared with 432,000); 41% were seen in clinics in London. Current statistics for STD are seemingly inadequate. Some quantification and categorization of patients treated would be useful in analyzing the trends in the incidences of the STD.