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Health Care Assistant’s Conference October 2007. Don’t be shy – what you can do to encourage the public to stay sexually healthy Janet Bell – Nurse Practitioner Independent Prescriber. Objectives for this session. To raise awareness of sexual health issues and its importance to everyone.
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Health Care Assistant’s ConferenceOctober 2007 Don’t be shy – what you can do to encourage the public to stay sexually healthy Janet Bell – Nurse Practitioner Independent Prescriber
Objectives for this session • To raise awareness of sexual health issues and its importance to everyone. • To highlight how HCAs can play their part to promote sexual health for everyone. • Where you can find more information
Question? Why is sexual health such a hot topic?
Who needs sexual health? Everyone!
Areas to consider • Sexually transmitted infections (STI) • Teenage Pregnancy • Men’s Sexual Health • Women’s Sexual Health
Sexually Transmitted Infections – Facts and Figures • 10% of women are infected with Human Papilloma Virus (HPV) by the age 16. • Genital Chlamydia Trachomatis is the commonest STI in the UK and is most prevalent in men and women under 25 years, often undiagnosed. • 63,000 adults now living with HIV in the UK, half undiagnosed. • Hepatitis B 350 million chronically infected people world wide
More facts about STIs • In 2006 19,000 new cases of gonorrhoea diagnosed. High in urban areas of London, North West England, Humber and W Midlands. • 40% of these infections were in teenage women. • 1/3 of infections in men who have sex with men (MSM) • STIs can be prevented
Sexual health Strategy This strategy aims to: • Reduce transmission of HIV and STIs • Reduce the prevalence of undiagnosed HIV and STIs • Reduce unintended pregnancy rates • Improve health and social care for people living with HIV • Reduce the stigma associated with HIV and STIs
Condoms • Single use only!
Teenage Pregnancies • In 2005 - 7,462 pregnancies in under 16s. • 57.4% of those ended in a termination. • Teenagers having sex are often unprepared and under the influence of alcohol
National Teenage PregnancyStrategy The government's Teenage Pregnancy Strategy represents the first coordinated attempt to tackle both the causes and the consequences of teenage pregnancy. The strategy's targets are: • Halve the under-18 conception rate by 2010, and establish a firm downward trend in the under-16 rate • Increase the proportion of teenage parents in education, training or employment to 60% by 2010, to reduce their risk of long-term social exclusion All local areas have a 10-year strategy in place, with local under-18 conception rate reduction targets of between 40 and 60%. These local targets underpin the national 50% reduction target.
National Teenage Conception Rates Under 18 conception rate for England 1998-2005 Under 16 conception rate for England 1998 - 2005 Source: ONS and TPU, 2007. Rate per 1000 females 15-17 and 13-15
Men’s sexual health • Prostrate cancer – 35,000 men diagnosed each year in UK • Testicular cancer 1,860 cases each year; affects 20 – 49 age group.
Men’s Sexual Health • Erectile and sexual dysfunction affects 1 in 10 men • Causes include; • Psychological • Disease • Medication
Womens Sexual Health • Breast cancer is the most common cancer in the UK 44,000 cases every year; 100 women a day. • 300 cases of breast cancer in men a year. • 8 out of 10 cases in the over 50s • NHS breast screening programme finds 14,000 cases and saves 1,400 lives a year
Women’s Sexual Health • Cervical Screening programme – women between 25 and 60 years. (3 – 5 years) • Breast Screening Programme women over 50 – 65 years, every 3 years eligible for screening but not called after 65. • Ovarian Cancer Screening – not yet available.
Question for discussion What can you do to encourage the public to stay healthy?
What are the opportunities? • Every day • New patient checks • All patient encounters • Posters in the waiting rooms • Joining a condom scheme • Good leaflets available on STIs and screening • Know where your local Family Planning Clinic and GUM clinics are located. • Have information on clinic times and phone numbers
What are the benefits of asking your patients about their sexual health? • Giving patients permission to talk • Safer sex information can tailored to the individual • Identifies patients at high risk of STIs • Increase uptake of screening programmes • Improve quality of the service provided
Things to consider • Know your facts • Under 16s • Confidentiality • Know who and when to ask for help • Be sensitive to your patients needs
Find out more NHS Sexual Health web sites • www.condomessentialwear.co.uk • www.modyourrod.co.uk • www.privatedickmovie.co.uk Other useful sites • www.ruthinking.co.uk • www.fpa.org • www.brook.org • www.condoms4life.org • www.durex.com/uk/ • www.mates.co.uk
And finally…. Don’t be shy! Thank you