scholarly journals Involving service users in sexual health service development

2005 ◽  
Vol 31 (4) ◽  
pp. 281-284 ◽  
Author(s):  
P. Baraitser ◽  
V. Pearce ◽  
G. Blake ◽  
K. Collander-Brown ◽  
A. Ridley
Keyword(s):  
Health Service ◽  
Sexual Health ◽  
Service Development ◽  
Service Users ◽  
Sexual Health Service ◽  
Health Service Development

Beyond the binary: sexual health outcomes of transgender and non-binary service users of an online sexual health service

2021 ◽  
pp. 095646242098283
Author(s):  
Sara Day ◽  
Joanna Smith ◽  
Sean Perera ◽  
Sophie Jones ◽  
Ryan Kinsella
Keyword(s):  
Health Service ◽  
Sexual Health ◽  
Health Outcomes ◽  
Unmet Need ◽  
P Value ◽  
Service Users ◽  
Healthcare Needs ◽  
Sexual Health Service ◽  
Hiv Test ◽  
Group Sex

Sexual health data on transgender and non-binary (TNB) people in the United Kingdom are limited. TNB individuals experience significant socioeconomic and stigma-related disadvantages. Sexual health morbidity and unmet need is likely to be significant. We compared the sexual health outcomes of TNB and cisgender users of London’s online sexual health service. Of 119329 users that registered with the e-service between 30.4.19 and 31.12.19, 504 (0.42%) identified as TNB: 302 TNB users requested 463 kits. 78.4% (363/463) of kits were returned. 99.4% of dispatched kits included throat and rectal swabs for gonorrhoea and chlamydia testing. STI/HIV test positivity was: 5.5% syphilis, 4.8% chlamydia, 3.4% gonorrhoea and 0.7% HIV positive. HIV prevalence amongst TNB individuals was: 4.3%. 19.9% of TNB individuals engaged in chemsex, group sex, or fisting and were more likely to engage in sex work (95% CI 4.35-8.95, p-value <0.0001). 97.7% gave the service 4/5 or 5/5 star rating. We observed high positivity rates of HIV/STIs amongst TNB individuals and significant levels of high-risk sexual activity. Service users rated the service highly. Given TNB often have complex healthcare needs, some of which cannot be met entirely online, physical clinics must work collaboratively with e-services to support and protect this marginalised population.

scholarly journals Accessibility of sexual health services in teenage sexual health service users: local area geospatial analysis

2012 ◽  
Vol 34 (3) ◽  
pp. 438-446 ◽  
Author(s):  
Jonathan R. Olsen ◽  
Penny A. Cook ◽  
Sue Forster ◽  
Penelope A. Phillips-Howard
Keyword(s):  
Health Service ◽  
Health Services ◽  
Sexual Health ◽  
Local Area ◽  
Geospatial Analysis ◽  
Service Users ◽  
Sexual Health Service

Can an asymptomatic screening pathway for men who have sex with men be introduced safely at a level 3 sexual health service in the UK?

2014 ◽  
Vol 26 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Alex Collister ◽  
Manroop Bains ◽  
Rachel Jackson ◽  
Emily Clarke ◽  
Raj Patel
Keyword(s):  
Health Service ◽  
Sexual Health ◽  
Sexual Health Service ◽  
Level 3 ◽  
Sex With Men ◽  
The Uk

Audit on management of sexual assault victims attending an integrated sexual health service in Coventry

2019 ◽  
Vol 30 (9) ◽  
pp. 911-914
Author(s):  
Billakanti Swarna Kumari ◽  
Shyamalie Bopitiya ◽  
Anne Bassinder ◽  
Satyajit Das
Keyword(s):  
Sexual Assault ◽  
Health Service ◽  
Sexual Health ◽  
Holistic Approach ◽  
Ethnic Origin ◽  
Post Exposure Prophylaxis ◽  
Transmitted Infection ◽  
Sexual Health Service ◽  
Assault Victims ◽  
Hiv Risk Assessment

The management of victims of sexual assault need a holistic approach. The British Association of Sexual Health and HIV (BASHH) has set up standards for the management of sexual assault victims attending Sexual Health Clinics. We audited the management of victims of sexual assault attending an integrated sexual health service against recommendations from the latest BASHH guidelines. We included the recommendations and implementations already in place following an earlier audit in 2013 using the same guideline. Sixty-seven individuals identified themselves as victims of sexual assault. Most were of white ethnic origin (78%), female (96%) and the commonest age group was 18–25 years (39%). We achieved the 100% target in recording the date of assault, offering baseline sexually transmitted infection (STI) screening, HIV risk assessment, offer of post-exposure prophylaxis (PEP) for HIV where applicable and offer of emergency contraception. We were below the 100% target for other categories but improved compared to the previous audit except in recording the time when the first dose of PEP for HIV was given. The BASHH guideline has 14 auditable standards, all with a target of 100%. Our audit cycle completed in three years showed considerable improvement in achieving the standards in the management of Sexual Assault Victims. We hope this will encourage other centres audit their practice against the standards set by BASHH.

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