Webinar: Sexual Health and HIV in Older Adults

When: Thursday 6 July, 12-1:00pm

Join us to hear from speakers Dr Gemma Spiers, NIHR Older People and Frailty Policy Research Unit, and Professor Kaye Welling, London School of Hygiene and Tropical Medicine, NIHR Public Health Policy Research Unit, who will be presenting their research findings on promoting sexual health in older adults, and Alex Sparrowhawk from Terrence Higgins Trust who will be talking about his work on ageing with HIV.

You will have the opportunity to hear about the latest research and initiatives and ask the speakers any questions you may have.

If you have any queries, please contact [email protected]

Register now.

Latest STI data show significant rise in gonorrhoea and syphilis cases

On 6 June, the UK Health Security Agency (UKHSA) released the latest data on sexually transmitted infections (STIs) for England.

The new data show there were 392,453 STIs diagnosed in England in 2022, which represents a rise of 24% from 2021. Gonorrhoea diagnoses were the highest annual number on record and syphilis diagnoses were the highest since 1948. Key information includes:

  • Gonorrhoea diagnoses increased by 50% from 54,961 in 2021 to 82,592 in 2022
  • Chlamydia diagnoses increased by 24% from 160,279 in 2021 to 199,233 in 2022
  • Syphilis diagnoses increased by 15% from 7,543 in 2021 to 8,692 in 2022
  • There was a 21% increase in chlamydia in young people despite no increase in testing among this group
  • There were 2,195,909 sexual health screens performed by sexual health services, a 13% increase from 2021.

Whilst the rise in testing may contribute to the increases in STI diagnoses, the scale of increase in gonorrhoea and syphilis cases indicates there is likely more transmission of STIs within the population.

The greatest burden of STI diagnoses continues to be on young people (aged 15 t0 24 years), gay, bisexual, and other men who have sex with men (GBMSM), and some people of Black ethnicity. In 2022, people of Black Caribbean ethnicity had the highest diagnosis rates of chlamydia, gonorrhoea, infectious syphilis, trichomoniasis, and genital herpes. This ethnic disparity is most likely caused by underlying socio-economic factors as opposed to any clinical or behavioural factors.

The main STI prevention messages include:

  • Consistent condom use
  • Regular screening for STIs and HIV as part of maintaining good sexual health. A person who is sexually active should be advised to test at least once a year, and those having sex with new partner(s) should be advised to test every 3 months
  • Using HIV pre-exposure prophylaxis (PrEP) for those at an increased likelihood of acquiring HIV. PrEP is available on the NHS from sexual health services
  • Ensure everyone who is eligible is up to date with vaccinations, including for HPV, Hepatitis A & B, and Mpox.

Responses to the STI data release

UKHSA conclude that there is evidence of a rebound in service provision at sexual health services, following the disruption during the Covid-19 pandemic. The scale up of online sexual health provision has continued in 2022, which has contributed to an increase in overall consultations at sexual health services. However, UKHSA highlight the importance of monitoring equity of access to reduce health inequalities.

Dr Hamish Mohammed, Consultant Epidemiologist in the STI Section at UKHSA, responded to the data:

“We saw more gonorrhoea diagnoses in 2022 than ever before, with large rises in gay and bisexual men. STIs aren’t just an inconvenience – they can have a major impact on your health and that of any sexual partners. Condoms are the best defence, but if you didn’t use one the last time you had sex with a new or casual partner, get tested to detect any potential infections early and prevent passing them on to others. Testing is important because you may not have any symptoms of an STI.

“PrEP only provides protection from HIV, so you still need a condom to avoid getting or passing on an STI such as syphilis or gonorrhoea.”

However, whilst increasing the uptake in STI testing is crucial for reducing the number of diagnoses, calls from civil society also warn that sexual health services must be adequately funded to effectively respond to increasing demand. In their statement on the STI data release, the British Association for Sexual Health and HIV (BASHH) reaffirm that these latest stats are against a backdrop of substantial pressures on sexual health services.

You can order information resources, including leaflets on gonorrhoea, chlamydia, and syphilis from the HPE resources portal, and find out more information about STIs at startswithme.org.uk.

Read the full report on ‘Sexually transmitted infections and screening for chlamydia in England: 2022 report’

Read the full statement from BASHH.

Patricia The Little Sexy Bus

Written by Renaissance UK

PrEP is a word that anyone working within the sexual health sphere will be very accustomed to, and despite its only recent NHS availability the popularity of this game changer has skyrocketed. However, there are many communities (particularly those at risk) who have not yet heard of PrEP and its benefits.

So how to make people aware?

Renaissance UK, a sexual health and harm reduction charity based in Lancashire, picked up the mantle of this question and ran with it. There are many answers to this problem, some cheap, some expensive – but all had the same fundamental flaw: they were out of our control. Once the money had been spent, the charity would be left hoping for the best in terms of engagement and response.

However, for every problem, there is a solution. Enter Patricia, The Little Sexy Bus.

Patricia is an ex-events vehicle which has been repurposed to provide a clean, clinical, educational space for anyone who wants to know about HIV prevention and ultimately, PrEP.

No expense has been spared in making Patricia: warm, inviting and of course, accessible. Renaissance have created an interior complete with consultation space, television, hot and cold water, air conditioning and an awning for those really sunny days.

Every available space on the inside and outside of the van has been given over to promotion. This means that even those who may not feel comfortable coming to talk might at least get a taste of what is on offer and can investigate in their own time. The sides of the van all have QR codes which link directly to the campaign’s website: bepreped.co.uk.

However, the greatest advantage of Patricia is her mobility. Static advertising works for many campaigns, particularly when your target audience is the public at large. However, when you want to reach specific groups thinking outside the box is the way forward. This is what Patricia brings to the table. She can go to places that other traditional advertising cannot reach, and doubles up as a space where we can test and have confidential conversations.

During National HIV Testing Week, we launched Patricia with a tour across Lancashire. We visited Lancaster and Morecambe in the north, Skelmersdale in the south, Burnley in the east and many, many more places in between. Not only was this an opportunity to test and raise awareness about PrEP but surprisingly it also served as a chance to challenge some of the misconceptions about HIV.

Looking to the future, Renaissance UK is going to seek out opportunities to work collaboratively with other organisations in the area including charities, NHS groups and sexual health services. This collaborative approach to health promotion and support is mutually beneficial to all involved and shows what can be achieved with some joined up thinking.

Patricia will also be making an appearance at all of the local Pride events, providing a platform with which we can do outreach, testing and provide advice all from the comfort of a cosy consultation space.

Like Patricia’s (The Little Sexy Bus) name suggests our intention is worn on our sleeves. We intend to facilitate positive and constructive conversations about HIV and sexual health. We are about unapologetically promoting safer sexual health practices and destigmatising at every opportunity. That coupled with Patricia’s mobility means we can take the messages to where they need hearing most.

We are extremely proud and look forward to Patricia’s impact on PrEP promotion around Lancashire.

See you on the road.