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Youth Sexual Health Facts and Figures

Youth Sexual Health Facts and Figures. Dr Lewis Marshall Sexual Health Physician Fremantle Hospital. Who’s doing what?. 34% males and 43% females in secondary school have ever had sexual intercourse 1 (36% and 33% in 2002) 30% have had more than 3 partners in past 12 months ( 20% in 2002)

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Youth Sexual Health Facts and Figures

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  1. Youth Sexual HealthFacts and Figures Dr Lewis Marshall Sexual Health Physician Fremantle Hospital

  2. Who’s doing what? 34% males and 43% females in secondary school have ever had sexual intercourse1 (36% and 33% in 2002) 30% have had more than 3 partners in past 12 months (20% in 2002) 50% always used condoms ( 52% in 2002) 10% most recent sexual encounter was with someone of same gender 38% young women & 19% men reported ever having had unwanted sex 1. 4th National Survey of Australian Secondary Students, HIV and Sexual Health

  3. What are they getting Chlamydia is the most common notifiable disease in WA Prevalence varies from 3-18% depending on who tested Notifications serious underestimation of disease Most people with infection have no symptoms Teenage pregnancy

  4. Number of chlamydia notifications by sex, WA, 2002 to 2011 Source: Epidemiology and Surveillance Program, Communicable Disease Control Directorate (CDCD)

  5. Number of gonorrhoea notifications by sex, WA, 2002 to 2011 Source: Epidemiology and Surveillance Program, Communicable Disease Control Directorate (CDCD)

  6. Number of chlamydia notifications by age group and sex*, WA, 2011 Source: Epidemiology and Surveillance Program, Communicable Disease Control Directorate (CDCD) * Excludes unknown or indeterminate sex

  7. Number and proportion of chlamydia in 15-24 year olds, WA, 2002 to 2011 Source: Epidemiology and Surveillance Program, Communicable Disease Control Directorate (CDCD)

  8. Number of gonorrhoea notifications by age group and sex*, WA, 2011 Source: Epidemiology and Surveillance Program, Communicable Disease Control Directorate (CDCD) * Excludes unknown or indeterminate sex

  9. STI, BBV and HIV Aboriginal: Non-Aboriginal rate ratios1, WA, 2011 Source: Epidemiology and Surveillance Program, Communicable Disease Control Directorate (CDCD)

  10. Chlamydia and gonorrhoea age-standardised notification rates1 by region, WA, 2011 Source: Epidemiology and Surveillance Program, Communicable Disease Control Directorate (CDCD)

  11. Teenage Births in WA

  12. Age specific fertility rates (per 1000 per year) for 15–19 year old women using data from the Australian Bureau of Statistics. Data from the Australian Bureau of Statistics, Birth Catalogues(1, 5-8).

  13. Teenage births WA 2011

  14. Induced abortions in WA

  15. What services exist General Practice Most young people attend a GP at least once a year ( 86% F and 67% M) but most not tested (<10%) State Services NGOs ( essentially Metro only) FPWA Head Space ( Mental Health focus) WAAC ACCHOS Local Government Corrective Services Very few youth specific services

  16. State services RPH FH KEMH EDs Public Health units Community health

  17. GonorrhoeaManagement site

  18. Issues Education Variable commitment Health promotion and prevention Visibility of the health issue Service provision Workforce Testing opportunities Youth specific services Youth health planning and policy

  19. Workforce Only positions for Sexual health physicians in South Metro Only 3 FTE available Succession planning difficult Only one designated Nurse practitioner position Community Health staff not available in Metro Advanced Practice Nurse process stalled

  20. What are possible solutions? Better Education Youth, HCWs and Youth workers Empower young people to ask for testing Reduce stigma Remove barriers to testing and treatment Provide youth specific services Affordable, accessible, appropriate Invest in Sexual Health Services Develop and promulgate a Youth Health Policy

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