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Branded Report Template East Sussex Sexual Health Needs Assessment July 2019 1 About this document: Version number: V 16 Enquiries: Miranda Scambler Related information: Public Health Practitioner Adult Social Care Department. ESCC Executive Summary available Author: Miranda Scambler from: Telephone: 01273 336 071 http://www.eastsussexjsna.org. Email: [email protected] uk/comprehensive Download this document From: http://www.eastsussexjsna.org.uk/comprehensive Accessibility help: Zoom in or out by holding down the Control key and turning the mouse wheel. CTRL and click on the table of contents to navigate. Press CTRL and Home key to return to the top of the document Press Alt-left arrow to return to your previous location. Author: Miranda Scambler Date: July 2019 Advisory Group: Tony Proom Strategic Commissioning Manager - Sexual Health Jo Bernhaut Consultant in Public Health Graham Evans Head of Public Health Intelligence Ross Boseley Health Improvement Specialist (NHS Health Checks & Sexual Health) Miranda Scambler Public Health Practitioner A full list of contributors to this needs assessment is available at the end of this document. 2 Contents Contents .................................................................................................................................................................. 3 Figures ..................................................................................................................................................................... 6 Tables ...................................................................................................................................................................... 9 CHAPTER 1: Introduction ...................................................................................................................................... 10 SCOPE OF THIS NEEDS ASSESSMENT ................................................................................................................ 10 METHODOLOGY ............................................................................................................................................... 11 CHAPTER 2: Context ............................................................................................................................................. 12 NATIONAL POLICY CONTEXT ............................................................................................................................ 12 LOCAL POLICY CONTEXT ................................................................................................................................... 14 COMMISSIONING SEXUAL HEALTH .................................................................................................................. 15 Commissioning responsibilities and priorities for sexual health in East Sussex .......................................... 15 LOCAL DEMOGRAPHY....................................................................................................................................... 17 CHAPTER 3: Sexual health needs- National evidence ......................................................................................... 19 REPRODUCTIVE HEALTH AND PREGNANCY PLANNING – RISK FACTORS ......................................................... 20 Reproductive health in England .................................................................................................................. 20 CONTRACEPTION .............................................................................................................................................. 24 Long-acting reversible contraceptives (LARC) ............................................................................................. 25 Permanent methods of contraception ........................................................................................................ 28 User dependent methods of contraception ................................................................................................ 28 Emergency contraception ........................................................................................................................... 29 Contraception after pregnancy ................................................................................................................... 30 Contraception after childbirth ..................................................................................................................... 31 INDUCED ABORTION (TERMINATION OF PREGNANCY) ................................................................................... 32 Contraception after abortion ...................................................................................................................... 32 SEXUALLY TRANSMITTED INFECTIONS (STIs) ................................................................................................... 33 Prevalence of sexually transmitted infections in England ........................................................................... 33 Chlamydia .................................................................................................................................................... 33 Gonorrhoea ................................................................................................................................................. 34 Syphilis ......................................................................................................................................................... 35 Genitally located symptomatic Herpes Simplex type 1 and 2 ..................................................................... 35 Genitally located warts ................................................................................................................................ 36 Hepatitis B ................................................................................................................................................... 37 Human Immunodeficiency Virus (HIV) ........................................................................................................ 37 VULNERABLE POPULATIONS AND RISK FACTORS............................................................................................. 39 Age and gender ........................................................................................................................................... 39 Deprivation .................................................................................................................................................. 42 Rural and urban areas ................................................................................................................................. 45 Lesbian, Gay, Bisexual and Transgender (LGBT) people .............................................................................. 46 Ethnicity ....................................................................................................................................................... 51 Sex workers ................................................................................................................................................. 53 Looked After Children (LAC) ........................................................................................................................ 54 Child sexual exploitation ............................................................................................................................. 55 Prison population ........................................................................................................................................ 57 Vulnerable adults (including learning disabilities) ....................................................................................... 58 Physical disability ......................................................................................................................................... 60 Mental health .............................................................................................................................................. 61 People with serious mental illness .............................................................................................................. 62 Homelessness .............................................................................................................................................. 63 Sexual assault and violence ......................................................................................................................... 63 Female Genital Mutilation ........................................................................................................................... 65 Substance misuse ........................................................................................................................................ 65 Alcohol misuse ............................................................................................................................................. 67 Online influences ......................................................................................................................................... 69 Sexting in under 18s .................................................................................................................................... 69 COST OF THE ISSUE........................................................................................................................................... 70 Contraception , ...........................................................................................................................................
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