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Sexual Health in Scotland

Young People's Sexual Health in Scotland. Adolescence key period in development of personal relationships and sexual development Main issues around adolescent sex: Early initiationSexually Transmitted Infections (STIs):Unintended pregnancies. Young People's Sexual Health in Scotland. Early in

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Sexual Health in Scotland

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    1. Sexual Health in Scotland Shirley Windsor (NHS Health Scotland / Scottish Government) Winfried van der Sluijs (Child and Adolescent Health Research Unit)

    2. Young People’s Sexual Health in Scotland Adolescence key period in development of personal relationships and sexual development Main issues around adolescent sex: Early initiation Sexually Transmitted Infections (STIs): Unintended pregnancies

    3. Young People’s Sexual Health in Scotland Early initiations of sexual intercourse: negative consequences and associations for young people’s health Codeau et al (2008) Spriggs Madkour et al. (2010

    4. Young People’s Sexual Health in Scotland Scotland 2008 Drop under 16 years old pregnancy rate from 8.5% in 1995 to 6.8% in 2010 (20% drop). Information Services Division (ISD) Scotland (2010) Sexually Transmitted Infections (STIs): % of those diagnosed with STI who are < 25 yrs Chlamydia 72% Genital Warts 59% Gonorrhoea 61%

    5. Method & Analyses Sample : 2006 Scottish HBSC Survey 15 year old pupils from 300 schools in Scotland; N = 2306 Analyses: Frequency analyses; Chi-square

    6. Trend Sexual Intercourse in Scotland

    8. Contraceptives

    11. Person easiest to discuss sexual matters with

    12. Information Sources About Sex

    13. Information Sources About Sex

    14. Information Sources About Sex

    15. Sex Education in 2006

    16. Relationships Sec Ed. & Sex 2006 data Association Feeling Condoms are too Expensive and Sex Education (boys only) Association Feeling Uncomfortable Carrying Condoms and Sex Educ. (boys and girls)

    17. Respect and Responsibility Strategic objectives Improve the [sexual health] culture Enhance lifelong learning around positive sexual wellbeing Provide services that are accessible, safe and fit for purpose

    18. Outcome objectives Reduced incidence of infection and poor sexual health outcomes Person centred and effective treatment, care and support accessible to all Comprehensive services by effective multi agency partnerships A society and culture whereby the attitudes are positive, non-stigmatising, sympathetic and supportive

    19. So……… What was the sexual health landscape prior to January 2005? What has changed since and what were the levers to facilitate these changes

    20. Pre 2005 landscape Focus on sexual ill health Disparate cinderella services Low priority for commissioners Lack of national, regional and local leadership

    21. Levers for change Evidence of need across all population groups (information, services, support) Clear national framework, leadership, ring fenced funding and ongoing support New HIV Action Plan More focus on embedding in cross cutting initiatives

    22. Continuing Challenges Im(?)Balance between positive sexual wellbeing and sexual ill health Resource pressures Leadership/ownership not spread across public and voluntary sectors Move away from “silos” to broader approach Wider cultural change still not evident

    23. So……….. What long term outcomes do we want to see from positive sexual wellbeing? And what can help in terms of: Policy Practice Research

    24. Thank you Shirley Windsor NHS Health Scotland/ Scottish Government Winfried van der Sluijs Child and Adolescent Health Research Unit (CAHRU) University of Edinburgh

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