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Lancashire Sexual Health Profile

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Lancashire Sexual Health Profile Lancashire Sexual Health Profile Christine Graham & Farha Abbas Public Health Knowledge Management & Intelligence October 2013 Contents 1. Summary .............................................................................................................................. 2 2 Teenage pregnancy ............................................................................................................ 4 3 Under 18 abortion ............................................................................................................... 9 4 Under 16 conceptions ....................................................................................................... 13 5 Live births .......................................................................................................................... 15 6 Abortions ........................................................................................................................... 17 7 Sexual Health Balanced Scorecard by locality ............................................................... 20 The data within this brief report, reflects the easily accessible data for sexual health and as such is heavily weighted towards conception data. By intent or omission this data does not represents the focus of attention for sexual health. The strategy and action plan for sexual health fully acknowledges that Sexual health needs vary according to factors such as age, gender, sexuality and ethnicity, and some groups are particularly at risk of poor sexual health. We are undertaking a JSNA for sexual health, due completion in August 2014 and this will provide a comprehensive view of sexual health needs across Lancashire. Sexual Health in Lancashire - Overview 1. Summary This report provides a brief high level overview of sexual health in Lancashire. In Burnley, Hyndburn, Pendle, Preston and Rossendale the <18 conception rate is significantly higher than the England rate (09-11) In East locality, Burnley has the highest rate of <18 conceptions in 2011 In Central locality, Preston has the highest rate of under 18 conceptions in 2011 In North locality, Wyre has the highest rate of under 18 conceptions in 2011 Between 2000 and 2011, the 3 highest percentage of reductions in <18 conceptions were in Lancaster, Hyndburn and Rossendale, respectively Within England, Burnley ranks 5th highest for teenage conception rate, therefore, has a higher rank (in England) than all other Lancashire districts Under 18 abortion rate is highest in Burnley and 2nd highest in Chorley whereas the proportion of <18 conceptions leading to abortion is highest in Chorley and 2nd highest in Fylde Burnley, Chorley, Fylde, Pendle and West Lancashire have the five highest < 18 abortion rates in Lancashire In East locality - the recent 4 years' data show a rise in the proportion of <18 conceptions leading to abortion, in Burnley and Hyndburn In Central locality – the recent 4 years' data show a rise in the proportion of <18 conceptions leading to abortion, in Chorley and West Lancashire In North locality - the recent 4 years' data show a gradual decline in the proportion of <18 conceptions leading to abortion, in Wyre In North locality - the recent 2 years' show an increase in the proportion of <18 conceptions leading to abortion, in Fylde. There is a strong correlation between local authority deprivation and <18 conception rate In Lancashire 12, the under 16 conception rate remains highest in Burnley (significantly higher than England) and lowest in Ribble Valley. In Lancashire, the proportion of under 16 conceptions leading to abortion remains highest in Pendle The proportion of under 16 conceptions leading to abortion is 2nd highest in South Ribble and 3rd highest in Chorley and lowest in Wyre In Burnley and Preston, the rate of live births in mothers under 18 years is significantly higher than the England rate The rate of abortion in under 18 year olds is highest in West Lancashire CCG and 2nd highest in East Lancashire CCG. The number of abortions in under 18s is highest in East Lancashire CCG and 2nd highest in Chorley and South Ribble CCG. Within Lancashire CCGs, the total number of legal abortions is highest in East Lancashire CCG and 2nd highest in Greater Preston CCG • 2 • Sexual Health in Lancashire - Overview East locality sexual health balanced scorecard: In Burnley the rate of acute STI diagnoses is significantly higher than the England rate and in Pendle, Rossendale and Ribble Valley it is significantly lower than the England rate In all East locality districts, the percentage of 15-24 year olds tested for chlamydia outside GUM clinics is significantly worse than the England rate; lowest in Rossendale In Pendle and Rossendale the rate of age 15-24 years chlamydia diagnoses in all settings is significantly worse than the England rate In Burnley, the rate of Pelvic Inflammatory Disease related admissions (age 15-44) is significantly higher than the England rate In all East locality districts, HIV test uptake in GUM clinics is significantly worse than the England rate; highest in Ribble Valley In Burnley, Hyndburn and Pendle, the percentage achieving 5 GCSE A-C grades (inc English & Maths) is significantly worse than England (2010/2011) Central locality sexual health balanced scorecard: In Preston the rate of acute STI diagnoses is significantly higher than the England rate and in Chorley and West Lancashire it is significantly lower than the England rate In West Lancashire, the percentage of 15-24 year olds tested for chlamydia outside GUM clinics is significantly worse than England; in the other three Central districts it is better than England In West Lancashire, the rate of age 15-24 years chlamydia diagnoses in all settings is significantly worse than England; in the other three Central districts it is better than England In West Lancashire, the rate of Pelvic Inflammatory Disease related admissions (age 15- 44) is significantly higher than the England rate and in Preston it is significantly better than the England In West Lancashire, HIV test uptake in GUM clinics is significantly better than England In Preston, the rate of police recorded rape of females is worse than England Apart from West Lancashire, in the other three Central locality districts, the percentage achieving 5 GCSE A-C grades (inc. English & Maths) is significantly better than England (2010/2011) North locality sexual health balanced scorecard: In Fylde and Wyre the rate of acute STI diagnoses is significantly better than the England rate In Lancaster, the percentage of 15-24 year olds tested for chlamydia outside GUM clinics is significantly worse than England In Wyre, the rate of age 15-24 years chlamydia diagnoses in all settings is significantly better than England In Lancaster and Wyre, the rate of Pelvic Inflammatory Disease related admissions (age 15-44) is significantly lower than the England rate In all North locality districts, gonorrhoea diagnoses in GUM clinics is significantly lower than England In Lancaster and Wyre, HIV test uptake in GUM clinics is significantly worse than England In Fylde and Lancaster, the percentage achieving 5 GCSE A-C grades (inc. English & Maths) is significantly better than England (2010/2011) • 3 • Sexual Health in Lancashire - Overview 2 Teenage pregnancy The most current (2009-2011) figures show that in Lancashire the rate of teenage (<18 years) conceptions is significantly higher than the England rate (figure 1). In Lancashire, in Burnley, Hyndburn, Pendle, Preston and Rossendale the teenage conception rate is significantly higher than the England rate. Figure 1: <18 years Conceptions: Crude rate per 1,000 female population aged 15-17 (09- 11). Red=significantly higher than England, green=significantly lower than England, Orange=no significant difference from England <18 years Conceptions: Crude rate per 1,000 female population aged 15-17 (09-11) Figure 2 shows the under 18 teenage conception rate for 2011. According to the 2011 figures, in Burnley, Pendle, Preston and Lancashire under 18 conception rate is significantly higher than England rate. In Ribble valley the under 18 conception rate is significantly lower than England rate • 4 • Sexual Health in Lancashire - Overview Figure 2: Under 18 teenage conception rate, 2011 Source: NHS IC Figures 3 to 5 show the trend in under 18 conceptions, 1998 to 2011, by locality. In East locality, between 1998 and 2011, the under 18 teenage conception rate has fluctuated, showing an overall reduction. Between 2010 and 2011, all East locality districts experienced a reduction in under 18 conception rate; this reduction was larger in Burnley, Hyndburn and Pendle than in Ribble Valley's rate (figure 3). Over the years, either Burnley or Hyndburn have generally had the highest under 18 conception rates in East locality and with Hyndburn experiencing a gradual reduction, from 2008 onwards, Burnley has had the highest rate in East locality. Figure 3: Trend in under 18 conception rate in East locality Source: Office for National Statistics In Central locality, between 1998 and 2011, the under 18 teenage conception rate has fluctuated, showing an overall reduction in Chorley, Preston and West Lancashire and an • 5 • Sexual Health in Lancashire - Overview increase in South Ribble. The latest 2011 data shows a reduction, compared to 2010, in the under 18 teenage conception rate in Chorley and South Ribble and no considerable change in Ribble Valley's rate; Preston experienced an increase in under 18 teenage conception
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