5. Young people and heterosexuals with recent partner change are a large priority group and some services may lack the capacity to see all clients in these groups. It may be necessary to ensure those most vulnerable to STIs within these groups are prioritised. This issues is discussed further in part 3.
14. People with HIV are considered a priority For sexual health services because of:
15. Young people, aged 25 and under are considered a priority population because:
16. A range of approaches will be needed to address the different issues young people face. Consider how the issues identified below will affect how vulnerable a young person is to STIs.
17. Heterosexuals with recent partner change As the risk of STIs increases with the number of sexual partners this group is also a priority within the STI strategy. Because of the size of this group sexual health services may not be able to prioritise this group or may have to prioritise only those within this group who are most at risk of STIs. * More common for under 30 years olds ** Among those who were in a regular relationship for more than one year
18. Heterosexuals with recent partner change The period between first sexual experience and settling down with one partner has increased over the past few decades as cohabitation has become more acceptable 5 This has greatly increased the need for awareness of STI risks and prevention among the majority of heterosexuals
19. Heterosexuals with recent partner change Encouraging regular sexual health check-ups is important for this priority group particularly when - As most STIs have no symptoms, people should be encouraged to have an STI check.
20. Heterosexuals with recent partner change It may be more appropriate for people who want a ‘routine’ sexual health check to be referred to a GP practice, family planning clinic or women's’ health clinic, unless their circumstances indicate they maybe a higher priority
21. People with symptoms or a contact of STI Anyone who experiences the following symptoms should be considered a higher priority
23. The ‘3-7-3’ rule shown below, indicates how soon an appointment should be provided. *Unprotected anal intercourse in MSM or unprotected vaginal intercourse in women with a known HIV infected partners is generally considered a high risk exposure.
1 Australian Bureau of Statistics Census (2006) http://www.abs.gov.au/websitedbs/d3310114.nsf/home/census+data
2NSW Department of Health 2006, NSW Sexually Transmissible Infections Strategy:Enviornmental Scan 2006–2009, Sydney.
3 Feachem R 1995, Valuing the past… investing in the future: evaluationof the National HIV/AIDS Strategy 1993–94 to 1995–96, Canberra:Commonwealth Department of Human Services and Health.4NSW Department of Health 2004, Evaluation of the NSW HIV/AIDSHealth Promotion Plan 2001–2003, Sydney.
2NSW Department of Health 2006, NSW Sexually Transmissible Infections Strategy:Envirornmental Scan 2006–2009, Sydney.
5Estcourt CS, Marks C, Rohrsheim R, Johnson AM, Donovan B,Mindel A. HIV, sexually transmitted infections, and riskbehaviours in male commercial sex workers in Sydney. SexTransm Infect 2000; 76: 294–8. doi:10.1136/sti.76.4.294http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1744253/pdf/v076p00447.pdf
5Estcourt CS, Marks C, Rohrsheim R, Johnson AM, Donovan B,Mindel A. HIV, sexually transmitted infections, and riskbehaviours in male commercial sex workers in Sydney. SexTransm Infect 2000; 76: 294–8. doi:10.1136/sti.76.4.294http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1744253/pdf/v076p00447.pdf
NSW Department of Health 2006, NSW Sexually Transmissible Infections Strategy:Enviornmental Scan 2006–2009, Sydney.
5Bradshaw C, Pierce L, Tabrizi S, Fairley C, Garland S 2005, Screeninginjecting drug users for sexually transmitted infections and blood borneviruses using street outreach and self collected sampling, Sex TransmInfect 2005;81:53-58.
4 Australian Research Centre in Sex, Health and Society (2009) The Fourth National Survey of Australian Secondary School Students and Sexual Health 2008 La Trobe University, Melbourne. http://www.latrobe.edu.au/news/videos/4th-national-school-sexual-health-survey, accessed 7 January 2011.Around one in three year 10 students and just nearly 60 per cent of year 12 students report having had oral sex. One quarter of students in year 10 report sexual intercourse, and around half of those in year 12. Rates for young men have remained stable or fallen slightly, while for young women, rates have increased particularly among year 12 girls, rising from 46% to 61%. It also appears that students are having sex with more partners.http://www.latrobe.edu.au/news/videos/4th-national-school-sexual-health-survey
5Australian Research Centre in Sex, Health & Society (2001)Australian Study of Health and Relationships La Trobe University Melbourne. http://www.latrobe.edu.au/ashr/ accessed 10 January 2011.
5Australian Research Centre in Sex, Health & Society (2001)Australian Study of Health and Relationships La Trobe University Melbourne. http://www.latrobe.edu.au/ashr/ accessed 10 January 2011.